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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-00237 Appeal Request - MCOs - Community Care Inc. DMS English 01/2019 Word No
F-00237AR Appeal Request - MCOs - Community Care Inc., Arabic DMS Arabic 01/2019 Word No
F-00237CM Appeal Request - MCOs - Community Care Inc., Chinese (Simplified) DMS Chinese (Simplified) 01/2019 Word No
F-00237H Appeal Request - MCOs - Community Care Inc., Hmong DMS Hmong 01/2019 Word No
F-00237L Appeal Request - MCOs - Community Care Inc., Laotian DMS Laotian 01/2019 Word No
F-00237SE Appeal Request - MCOs - Community Care Inc., Serbo-Croatian DMS Serbian (Serbo-Croatian) 01/2019 Word No
F-00237SO Appeal Request - MCOs - Community Care Inc., Somali DMS Somali 01/2019 Word No
F-00237S Appeal Request - MCOs - Community Care Inc., Spanish DMS Spanish 01/2019 Word No
F-00237 Appeal Request - MCOs - Inclusa DMS English 08/2023 Word No
F-00237AR Appeal Request - MCOs - Inclusa, Arabic DMS Arabic 08/2023 Word No
F-00237CM Appeal Request - MCOs - Inclusa, Chinese (Simplified) DMS Chinese (Simplified) 08/2023 Word No
F-00237H Appeal Request - MCOs - Inclusa, Hmong DMS Hmong 08/2023 Word No
F-00237L Appeal Request - MCOs - Inclusa, Laotian DMS Laotian 08/2023 Word No
F-00237SE Appeal Request - MCOs - Inclusa, Serbo-Croatian DMS Serbian (Serbo-Croatian) 08/2023 Word No
F-00237SO Appeal Request - MCOs - Inclusa, Somali DMS Somali 08/2023 Word No
F-00237S Appeal Request - MCOs - Inclusa, Spanish DMS Spanish 08/2023 Word No
F-00237 Appeal Request - MCOs - Independent Care Health Plan DMS English 01/2019 Word No
F-00237AR Appeal Request - MCOs - Independent Care Health Plan, Arabic DMS Arabic 01/2019 Word No
F-00237CM Appeal Request - MCOs - Independent Care Health Plan, Chinese (Simplified) DMS Chinese (Simplified) 01/2019 Word No
F-00237H Appeal Request - MCOs - Independent Care Health Plan, Hmong DMS Hmong 01/2019 Word No
F-00237L Appeal Request - MCOs - Independent Care Health Plan, Laotian DMS Laotian 01/2019 Word No
F-00237SE Appeal Request - MCOs - Independent Care Health Plan, Serbo-Croatian DMS Serbian (Serbo-Croatian) 01/2019 Word No
F-00237SO Appeal Request - MCOs - Independent Care Health Plan, Somali DMS Somali 01/2019 Word No
F-00237S Appeal Request - MCOs - Independent Care Health Plan, Spanish DMS Spanish 01/2019 Word No
F-00237 Appeal Request - MCOs - Lakeland Care Inc. DMS English 01/2019 Word No
F-00237AR Appeal Request - MCOs - Lakeland Care Inc., Arabic DMS Arabic 01/2019 Word No
F-00237CM Appeal Request - MCOs - Lakeland Care Inc., Chinese (Simplified) DMS Chinese (Simplified) 01/2019 Word No
F-00237H Appeal Request - MCOs - Lakeland Care Inc., Hmong DMS Hmong 01/2019 Word No
F-00237L Appeal Request - MCOs - Lakeland Care Inc., Laotian DMS Laotian 01/2019 Word No
F-00237SE Appeal Request - MCOs - Lakeland Care Inc., Serbo-Croatian DMS Serbian (Serbo-Croatian) 01/2019 Word No
F-00237SO Appeal Request - MCOs - Lakeland Care Inc., Somali DMS Somali 01/2019 Word No
F-00237S Appeal Request - MCOs - Lakeland Care Inc., Spanish DMS Spanish 01/2019 Word No
F-00237 Appeal Request - MCOs - My Choice Wisconsin DMS English 02/2021 Word No
F-00237AR Appeal Request - MCOs - My Choice Wisconsin, Arabic DMS Arabic 02/2021 Word No
F-00237CM Appeal Request - MCOs - My Choice Wisconsin, Chinese (Simplified) DMS Chinese (Simplified) 02/2021 Word No
F-00237H Appeal Request - MCOs - My Choice Wisconsin, Hmong DMS Hmong 02/2021 Word No
F-00237L Appeal Request - MCOs - My Choice Wisconsin, Laotian DMS Laotian 02/2021 Word No
F-00237SE Appeal Request - MCOs - My Choice Wisconsin, Serbo-Croatian DMS Serbian (Serbo-Croatian) 02/2021 Word No
F-00237SO Appeal Request - MCOs - My Choice Wisconsin, Somali DMS Somali 02/2021 Word No
F-00237S Appeal Request - MCOs - My Choice Wisconsin, Spanish DMS Spanish 02/2021 Word No
F-80838 Applicant Consent for Criminal Background Check DES English 07/2021 Word No
F-43005 Applicant Physician Assurance for J-1 Visa Waiver Applications DPH English 10/2018 PDF No
F-45013 Application for a Radioactive Material License Authorizing the Use of Industrial Radiography DPH English 12/2011 Word No
F-45013 Application for a Radioactive Material License Authorizing the Use of Industrial Radiography DPH English 12/2011 PDF No
F-45012 Application for a Radioactive Material License for a Commercial Radiopharmacy DPH English 05/2010 PDF No
F-45012 Application for a Radioactive Material License for a Commercial Radiopharmacy DPH English 05/2010 Word No
F-45016 Application for a Radioactive Material License for Academic, Research and Development and Other Licenses of Limited Scope DPH English 05/2011 Word No
F-45016 Application for a Radioactive Material License for Academic, Research and Development and Other Licenses of Limited Scope DPH English 05/2011 PDF No
F-44002A Application for Asbestos Company Satellite Office Certification DPH English 04/2025 PDF No
F-44002AS Application for Asbestos Company Satellite Office Certification, Spanish DPH Spanish 04/2025 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.

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Last revised December 4, 2024