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Official DHS 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 document, enter the number or a portion of the title in the search box below. To narrow your search results even more, place quotation marks (" ") around search terms.

If you are looking for an informative document, visit our Informative Documents and Publications Library. If you need a file in another file format or can't find what you are looking for here, reach out to the Digital Communications Team at dhsfmorder@dhs.wisconsin.gov. You can typically expect a response within 1-2 business days.

Assigned number Title Division Language Release date File type Available to order
F-05064 Delayed Marriage Court Order DPH English 05/2007 HTML No
F-02889 Dementia Knowledge Assessment Tool DPH English 09/2021 Word No
F-02889A Dementia Knowledge Assessment Tool Answer Key and Instructions DPH English 09/2021 PDF No
F-02870 Demographic Assessment for Communities, Boards, Workgroups, and Councils DPH English 08/2021 HTML No
F-82002 Denial of Government Access to Health Care Records OLC English 07/2008 PDF No
F-82003 Denial of Researcher Access To Health Care Records OLC English 07/2006 PDF No
F-21150 Department of Health Services Notification Regarding Need for Independent Investigation Due to Conflict of Interest with APS Report DPH English 04/2025 PDF No
F-00047 Designated Asbestos Coordinator Notification DPH English 08/2025 HTML No
F-00889 Designation of Confidential and Proprietary Information - Managed LTC Business Plan DMS English 08/2022 Word No
F-00889 Designation of Confidential and Proprietary Information - Managed LTC Business Plan DMS English 08/2022 PDF No
F-21072 Determination of Exceptional Care Needs for Children in Child Care or Foster Care Setting DMS English 03/2017 Word No
F-02897 DHS 75 Implementation Questions DCTS English 10/2021 HTML No
F-03089 DHS 75 Residential Services Fit and Qualified Application DQA English 08/2022 Word No
F-02903 DHS Office of the Secretary External Event Request OS English 06/2022 HTML No
F-02069 DHS Quarterly Report on Consumers Enrolled in CCS DCTS English 01/2024 HTML No
F-03331 DHS Rehabilitation Review Application DQA English 12/2025 HTML No
F-02825 DHS Stockpile Request DPH English 02/2025 HTML No
F-03170 DHS Tuberculosis Program and Refugee Health Liaison Feedback Survey DPH English 05/2023 HTML No
F-83271 DHS Website Feedback OS English 03/2017 HTML No
F-03030 Disability Benefit Specialist Program Case Closing Letter DPH English 05/2022 Word No
F-03030LP Disability Benefit Specialist Program Case Closing Letter, Large Print DPH English 05/2022 Word No
F-03030S Disability Benefit Specialist Program Case Closing Letter, Spanish DPH Spanish 05/2022 Word No
F-02562 Disability Benefit Specialist Program Extended Services Agreement DPH English 12/2025 Word No
F-02562 Disability Benefit Specialist Program Extended Services Agreement DPH English 12/2025 HTML No
F-02562I Disability Benefit Specialist Program Extended Services Agreement Instructions DPH English 12/2025 PDF No
F-02562LP Disability Benefit Specialist Program Extended Services Agreement, Large Print DPH English 12/2025 Word No
F-02562A Disability Benefit Specialist Program Summary of Brief Services and Closing Notice DPH English 12/2025 Word No
F-02562A Disability Benefit Specialist Program Summary of Brief Services and Closing Notice DPH English 12/2025 HTML No
F-02562AI Disability Benefit Specialist Program Summary of Brief Services and Closing Notice Instructions DPH English 12/2025 PDF No
F-02562ALP Disability Benefit Specialist Program Summary of Brief Services and Closing Notice, Large Print DPH English 12/2025 Word No
F-02339 Disaster Response Interpreter (DRI) Deployment Checklist for Community Shelters and Media Events DPH English 06/2018 PDF No
F-03203 Disenrollment of Adult Long-Term Care (LTC) Waiver Program and Services DMS English 09/2024 Word No
F-03203 Disenrollment of Adult Long-Term Care (LTC) Waiver Program and Services DMS English 09/2024 PDF No
F-16025 Disqualification Consent Agreement DMS English 07/2023 PDF No
F-16025AR Disqualification Consent Agreement, Arabic DMS Arabic 07/2023 PDF No
F-16025CM Disqualification Consent Agreement, Chinese (Simplified) DMS Chinese (Simplified) 07/2023 PDF No
F-16025G Disqualification Consent Agreement, German DMS German 05/2018 PDF No
F-16025H Disqualification Consent Agreement, Hmong DMS Hmong 07/2023 PDF No
F-16025L Disqualification Consent Agreement, Laotian DMS Lao 05/2018 PDF No
F-16025R Disqualification Consent Agreement, Russian DMS Russian 07/2023 PDF No
F-16025SO Disqualification Consent Agreement, Somali DMS Somali 07/2023 PDF No
F-16025S Disqualification Consent Agreement, Spanish DMS Spanish 07/2023 PDF No
F-02962 Disseminated Gonococcal Infection Provider Worksheet DPH English 02/2022 PDF No
F-10193 Divestment Penalty and Undue Hardship Notice Plus Waiver Request DMS English 08/2021 PDF No
F-10193S Divestment Penalty and Undue Hardship Notice Plus Waiver Request, Spanish DMS Spanish 08/2021 PDF No
F-00607 Division of Quality Assurance (DQA) - Misconduct Report or Complaint about Care or Treatment DQA English 02/2023 HTML No
F-03352 Division of Quality Assurance (DQA) Clinical Laboratory Complaint DQA English 01/2025 HTML No
F-44764 DNR Bracelet Insert DPH English 07/2020 PDF No
F-43025 Document of Anatomical Gift Authorization for Organ and Tissue Donation DPH English 08/2025 PDF No
F-43025S Document of Anatomical Gift Authorization for Organ and Tissue Donation, Spanish DPH Spanish 08/2025 PDF No

DHS is required under Wis. Stat. § 15.04(1) to establish and maintain a forms management program, appoint a forms officer, and establish and maintain a numbering and filing system for official forms.

Glossary

 
Last revised October 27, 2025