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Numeric List - HFS

This numeric list contains forms that are available from this site. A PDF - Fillable form can be filled in using your computer and then printed; see About PDF Forms. Microsoft Word - Fillable or Excel forms, can be filled in, saved, and transmitted electronically. You must have access to Microsoft Office 97, or a more recent version, to use these forms.

Note:  Wisconsin administrative codes with a DHS prefix can be obtained from the Revisor of Statutes Website or by contacting one of the DHS forms/publications managers.

Key word explanations for Form Type and Other Location columns.
Division Prefix / Old Form Number Assigned Form Number Form Title Form Type Other Location Language
HFS-0002 F-82002 Denial of Government Access To Health Care Records PDF None English
HFS-0003 F-82003 Denial of Researcher Access To Health Care Records PDF None English
HFS-0006 F-82006 Employment Application / Applicant Registration Supplement Word None English
HFS-0009 F-82009 Confidential Information Release Authorization - Generic PDF None English
HFS-0009 F-82009 Confidential Information Release Authorization - Generic  Word None English
HFS-0009H F-82009H Confidential Information Release Authorization - Hmong PDF None Hmong
HFS-0009S F-82009S Confidential Information Release Authorization - Generic - Spanish PDF None Spanish
HFS-0009S F-82009S Confidential Information Release Authorization - Spanish Word None Spanish
HFS-0018C F-82018C Work Time Absence Record - 2012 Excel - Fillable Form Center English
HFS-0018C F-82018C Work Time Absence Record - 2012 Excel - PRINT Form Center English
HFS-0021 F-82021 Researcher's Request for Confidential Records or Human Subjects Research PDF None English
HFS-0064 F-82064 Background Information Disclosure and Instructions PDF Form Center English
HFS-0064 F-82064 Background Information Disclosure and Instructions Word Form Center English
HFS-0064H F-82064H Background Information Disclosure and Instructions - Hmong. PDF None Hmong
HFS-0064S F-82064S Background Information Disclosure and Instructions - Spanish PDF None Spanish

Last Revised:  September 06, 2011