Forms Library

Forms produced by the Wisconsin Department of Health Services are available for downloading and printing from this site. If a form is not available electronically, you will be provided instructions for requesting a paper copy. If you are searching for a form number that does not start with the letter "F," just enter the number you have available and you will get a better search result. Example, looking for DDE-2539? Enter "2539" in the Search Forms field below.

The Division of Health Care Access and Accountability (DHCAA) and Division of Long Term Care (DLTC) have combined into the Division of Medicaid Services (DMS). When searching for forms by Division, please use the new acronym.

Assigned Number Title Division Other Location
F-47477 First Responder / Emergency Medical Technician Certificate / License DPH
F-01112 HealthCheck Verification Card DMS
F-05054 Court Order To Amend Cause of Death - 89 DPH
F-05021 Report of Legal Name Change DPH
F-05035 Report Change Name, Sex Birth Certificate Surgical Procedure DPH
F-47478 First Responder / Emergency Medical Technician Application Electronic Addition to a Roster DPH
F-05027A Report of Citizenship DPH
F-05098 Court Order to Correct Facts, Misrepresented Information DPH
F-05021C Report of Legal Name Change - Confidential DPH

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Last Revised: March 26, 2019