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Data Collection (Forms) Library

Forms produced by the Wisconsin Department of Health Services are available electronically and/or for paper order. Review the "Available to Order" column below to ensure availability in paper format. If the document is available to order in a paper version, there will be a "Yes" with a link to ordering instructions.

When you are searching for a form, enter the number or a portion of the title in the search box below.

Assigned Number Title Division Language Release Date File Type Available to Order
F-45013 Application for a Radioactive Material License Authorizing the Use of Industrial Radiography DPH English 12/2011 PDF No
F-45012 Application for a Radioactive Material License for a Commercial Radiopharmacy DPH English 05/2010 PDF No
F-45012 Application for a Radioactive Material License for a Commercial Radiopharmacy DPH English 05/2010 Word No
F-45016 Application for a Radioactive Material License for Academic, Research and Development and Other Licenses of Limited Scope DPH English 05/2011 Word No
F-45016 Application for a Radioactive Material License for Academic, Research and Development and Other Licenses of Limited Scope DPH English 05/2011 PDF No
F-01588 Application for Available Beds DMS English 07/2015 Word No
F-02725 Application for COVID Connect Collection Site DPH English 10/2020 Word No
F-45022 Application for Material License DPH English 02/2005 PDF No
F-45022 Application for Material License DPH English 02/2005 Word No
F-45009 Application for Radioactive Material License Authorizing the Use of Sealed Sources in Fixed Gauge Devices DPH English 05/2012 PDF No
F-45009 Application for Radioactive Material License Authorizing the Use of Sealed Sources in Fixed Gauge Devices DPH English 05/2012 Word No
F-45006 Application for Radioactive Material License Authorizing the Use of Sealed Sources in Portable Gages or XRF Devices DPH English 05/2010 PDF No
F-45006 Application for Radioactive Material License Authorizing the Use of Sealed Sources in Portable Gauges or XRF Devices DPH English 05/2010 Word No
F-45015 Application for Radioactive Material License for Broad Scope DPH English 02/2005 Word No
F-45015 Application for Radioactive Material License for Broad Scope DPH English 02/2005 PDF No
F-45008 Application for Radioactive Material License for Medical Use DPH English 05/2010 PDF No
F-45008 Application for Radioactive Material License for Medical Use DPH English 05/2010 Word No
F-01827 Application for Reduction of Cost Share DMS English 12/2022 Word No
F-01827 Application for Reduction of Cost Share DMS English 12/2022 PDF No
F-01827LP Application for Reduction of Cost Share, Large Print DMS English 12/2022 Word No
F-01827LP Application for Reduction of Cost Share, Large Print DMS English 12/2022 PDF No
F-44011 Application for Registration of Lead-Free or Lead-Safe Property DPH English 03/2002 PDF No
F-47097 Application for Registration of X-Ray Devices DPH English 10/2018 PDF No
F-22468 Application for Services Office for the Blind and Visually Impaired DPH English 07/2016 Word No
F-22468 Application for Services Office for the Blind and Visually Impaired DPH English 07/2016 PDF No
F-02306 Application for Telecommunication Assistance Program (TAP) DPH English 08/2024 HTML No
F-02306 Application for Telecommunication Assistance Program (TAP) DPH English 08/2024 PDF No
F-00926 Application for the Use of Protective Equipment or Mechanical Restraint - CLTS and CCOP DMS English 02/2022 PDF No
F-00926 Application for the Use of Protective Equipment or Mechanical Restraint - CLTS and CCOP DMS English 02/2022 Word No
F-02530 Application for Wisconsin's Test of English Proficiency (TEP) and Board for Examination of Interpreters (BEI) DPH English 08/2022 PDF No
F-02530 Application for Wisconsin's Test of English Proficiency (TEP) and Board for Examination of Interpreters (BEI) DPH English 08/2022 Word No
F-01268 Application to Conduct Intoxicated Driver Assessments, Tribal Treatment Facility DCTS English 09/2016 Word No
F-05009 Application to Purchase a Copy of a Certificate of Birth Resulting in a Stillbirth DPH English 05/2021 PDF No
F-10126B Appoint, Change, or Remove an Authorized Representative: Organization DMS English 03/2024 PDF No
F-10126BAR Appoint, Change, or Remove an Authorized Representative: Organization, Arabic DMS Arabic 03/2024 PDF No
F-10126BCM Appoint, Change, or Remove an Authorized Representative: Organization, Chinese (Simplified) DMS Chinese (Simplified) 03/2024 PDF No
F-10126BDA Appoint, Change, or Remove an Authorized Representative: Organization, Dari DMS Dari (Afghan Persian) 03/2024 PDF No
F-10126BG Appoint, Change, or Remove an Authorized Representative: Organization, German DMS German 03/2024 PDF No
F-10126BH Appoint, Change, or Remove an Authorized Representative: Organization, Hmong DMS Hmong 03/2024 PDF No
F-10126BL Appoint, Change, or Remove an Authorized Representative: Organization, Laotian DMS Laotian 03/2024 PDF No
F-10126BPA Appoint, Change, or Remove an Authorized Representative: Organization, Pashto DMS Pashto 03/2024 PDF No
F-10126BR Appoint, Change, or Remove an Authorized Representative: Organization, Russian DMS Russian 03/2024 PDF No
F-10126BSO Appoint, Change, or Remove an Authorized Representative: Organization, Somali DMS Somali 03/2024 PDF No
F-10126BS Appoint, Change, or Remove an Authorized Representative: Organization, Spanish DMS Spanish 03/2024 PDF No
F-10126A Appoint, Change, or Remove an Authorized Representative: Person DMS English 03/2024 PDF No
F-10126AAR Appoint, Change, or Remove an Authorized Representative: Person, Arabic DMS Arabic 03/2024 PDF No
F-10126ACM Appoint, Change, or Remove an Authorized Representative: Person, Chinese (Simplified) DMS Chinese (Simplified) 03/2024 PDF No
F-10126ADA Appoint, Change, or Remove an Authorized Representative: Person, Dari DMS Dari (Afghan Persian) 03/2024 PDF No
F-10126AG Appoint, Change, or Remove an Authorized Representative: Person, German DMS German 03/2024 PDF No
F-10126AH Appoint, Change, or Remove an Authorized Representative: Person, Hmong DMS Hmong 03/2024 PDF No

Glossary

 
Last revised August 26, 2024