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Wisconsin Department of Health Services

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Human Services Reporting System (HSRS) Forms and Deskcards


The Human Services Reporting System (HSRS) is a data collection system for social services, the services they receive, and the funds expended. This information meets both state and federal reporting requirements.

Form Number

Form Name
F-20468 (PDF, 36KB) HSRS Family Support Program Module
F-20468 (Word, 268KB) HSRS Family Support Program Module
F-22018 (PDF, 26KB) HSRS Long Term Support Module
F-22018 (Word, 225KB) HSRS Long Term Support Module 
F-20468I (PDF, 101KB) HSRS Family Support Program Deskcard
F-22018l (PDF, 121KB) HSRS Long Term Support Deskcard


Forms may be obtained by clicking on the desired form or by ordering electronically at .

Lois Mulder
Forms/Records Manager
1 West Wilson Street, Room 672
Madison, WI 53707-7851
(608) 266-8502

The SOS  Helpdesk is operated for HSRS questions and /or problems:
Hours: 8:00 A.M. - 4:00 P.M. (Monday - Friday)
Telephone: (608) 266-9198
Fax: (608) 267-2437

You may call at other times and leave a message.

Last Revised: August 19, 2014