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Wisconsin Department of Health Services

LTC Encounter Reporting

LTC Data Warehouse

WAMS User ID

Wisconsin Provider Index (WPI search)

PPS (Program Participation System)

Human Services Reporting System (HSRS)

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 http://www.dhs.wisconsin.gov/forms/printformsonline.htm .

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

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
DHSSOSHelp@wisconsin.gov

You may call at other times and leave a message.

Last Revised: May 15, 2013