Skip to main content
Dot gov

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

HTTPS

Secure .gov websites use HTTPS
A lock () or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

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-10126A F-10126A: Appoint, Change, or Remove an Authorized Representative: Person DMS English 07/2023 PDF No
F-10126AAR F-10126AAR: Appoint, Change, or Remove an Authorized Representative: Person, Arabic DMS Arabic 07/2023 PDF No
F-10126ACM F-10126ACM: Appoint, Change, or Remove an Authorized Representative: Person, Chinese DMS Chinese Mandarin 07/2023 PDF No
F-10126ADA F-10126ADA: Appoint, Change, or Remove an Authorized Representative: Person, Dari DMS Dari 07/2023 PDF No
F-10126AG F-10126AG: Appoint, Change, or Remove an Authorized Representative: Person, German DMS German 07/2023 PDF No
F-10126AH F-10126AH: Appoint, Change, or Remove an Authorized Representative: Person, Hmong DMS Hmong 07/2023 PDF No
F-10126AL F-10126AL: Appoint, Change, or Remove an Authorized Representative: Person, Laotian DMS Laotian 07/2023 PDF No
F-10126APA F-10126APA: Appoint, Change, or Remove an Authorized Representative: Person, Pashto DMS Pashto 07/2023 PDF No
F-10126AR F-10126AR: Appoint, Change, or Remove an Authorized Representative: Person, Russian DMS Russian 07/2023 PDF No
F-10126AS F-10126AS: Appoint, Change, or Remove an Authorized Representative: Person, Spanish DMS Spanish 07/2023 PDF No
F-10126ASO F-10126ASO: Appoint, Change, or Remove an Authorized Representative: Person, Somali DMS Somali 07/2023 PDF No
F-10126B F-10126B: Appoint, Change, or Remove an Authorized Representative: Organization DMS English 07/2023 PDF No
F-10126BAR F-10126BAR: Appoint, Change, or Remove an Authorized Representative: Organization, Arabic DMS Arabic 07/2023 PDF No
F-10126BCM F-10126BCM: Appoint, Change, or Remove an Authorized Representative: Organization, Chinese Mandarin DMS Chinese Mandarin 07/2023 PDF No
F-10126BDA F-10126BDA: Appoint, Change, or Remove an Authorized Representative: Organization, Dari DMS Dari 07/2023 PDF No
F-10126BG F-10126BG: Appoint, Change, or Remove an Authorized Representative: Organization, German DMS German 07/2023 PDF No
F-10126BH F-10126BH: Appoint, Change, or Remove an Authorized Representative: Organization, Hmong DMS Hmong 07/2023 PDF No
F-10126BL F-10126BL: Appoint, Change, or Remove an Authorized Representative: Organization, Laotian DMS Laotian 07/2023 PDF No
F-10126BPA F-10126BPA: Appoint, Change, or Remove an Authorized Representative: Organization, Pashto DMS Pashto 07/2023 PDF No
F-10126BR F-10126BR: Appoint, Change, or Remove an Authorized Representative: Organization, Russian DMS Russian 07/2023 PDF No
F-10126BS F-10126BS: Appoint, Change, or Remove an Authorized Representative: Organization, Spanish DMS Spanish 07/2023 PDF No
F-10126BSO F-10126BSO: Appoint, Change, or Remove an Authorized Representative: Organization, Somali DMS Somali 07/2023 PDF No
Last revised July 18, 2023