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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-10126A F-10126A: Appoint, Change, or Remove an Authorized Representative: Person DMS English 06/2022 PDF No
F-10126A F-10126AAR: Appoint, Change, or Remove an Authorized Representative: Person, Arabic DMS Arabic 06/2022 PDF No
F-10126A F-10126ACM: Appoint, Change, or Remove an Authorized Representative: Person, Chinese DMS Chinese Mandarin 06/2022 PDF No
F-10126A F-10126ADA: Appoint, Change, or Remove an Authorized Representative: Person, Dari DMS Dari 06/2022 PDF No
F-10126A F-10126AG: Appoint, Change, or Remove an Authorized Representative: Person, German DMS German 06/2022 PDF No
F-10126A F-10126AH: Appoint, Change, or Remove an Authorized Representative: Person, Hmong DMS Hmong 06/2022 PDF No
F-10126A F-10126AL: Appoint, Change, or Remove an Authorized Representative: Person, Laotian DMS Laotian 06/2022 PDF No
F-10126A F-10126APA: Appoint, Change, or Remove an Authorized Representative: Person, Pashto DMS Pashto 06/2022 PDF No
F-10126A F-10126AR: Appoint, Change, or Remove an Authorized Representative: Person, Russian DMS Russian 06/2022 PDF No
F-10126A F-10126AS: Appoint, Change, or Remove an Authorized Representative: Person, Spanish DMS Spanish 06/2022 PDF No
F-10126A F-10126ASO: Appoint, Change, or Remove an Authorized Representative: Person, Somali DMS Somali 06/2022 PDF No
F-10126B F-10126B: Appoint, Change, or Remove an Authorized Representative: Organization DMS English 06/2022 PDF No
F-10126B F-10126BAR: Appoint, Change, or Remove an Authorized Representative: Organization, Arabic DMS Arabic 06/2022 PDF No
F-10126B F-10126BCM: Appoint, Change, or Remove an Authorized Representative: Organization, Chinese Mandarin DMS Chinese Mandarin 06/2022 PDF No
F-10126B F-10126BDA: Appoint, Change, or Remove an Authorized Representative: Organization, Dari DMS Dari 06/2022 PDF No
F-10126B F-10126BG: Appoint, Change, or Remove an Authorized Representative: Organization, German DMS German 06/2022 PDF No
F-10126B F-10126BH: Appoint, Change, or Remove an Authorized Representative: Organization, Hmong DMS Hmong 06/2022 PDF No
F-10126B F-10126BL: Appoint, Change, or Remove an Authorized Representative: Organization, Laotian DMS Laotian 06/2022 PDF No
F-10126B F-10126BPA: Appoint, Change, or Remove an Authorized Representative: Organization, Pashto DMS Pashto 06/2022 PDF No
F-10126B F-10126BR: Appoint, Change, or Remove an Authorized Representative: Organization, Russian DMS Russian 06/2022 PDF No
F-10126B F-10126BS: Appoint, Change, or Remove an Authorized Representative: Organization, Spanish DMS Spanish 06/2022 PDF No
F-10126B F-10126BSO: Appoint, Change, or Remove an Authorized Representative: Organization, Somali DMS Somali 06/2022 PDF No
Last revised April 13, 2023