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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 Sort descending Division Language Release Date File Type Available to Order
F-45013 Application for a Radioactive Material License Authorizing the Use of Industrial Radiography DPH English 12/2011 Word
F-45012 Application for a Radioactive Material License for a Commercial Radiopharmacy DPH English 05/2010 PDF
F-45012 Application for a Radioactive Material License for a Commercial Radiopharmacy DPH English 05/2010 Word
F-45016 Application for a Radioactive Material License for Academic, Research and Development and Other Licenses of Limited Scope DPH English 05/2011 PDF
F-45016 Application for a Radioactive Material License for Academic, Research and Development and Other Licenses of Limited Scope DPH English 05/2011 Word
F-01588 Application for Available Beds DMS English 07/2015 Word
F-02725 Application for COVID Connect Collection Site DPH English 10/2020 Word
F-45022 Application for Material License DPH English 02/2005 PDF
F-45022 Application for Material License DPH English 02/2005 Word
F-45017 Application for Radioactive Material License Authorizing the Use of Sealed Sources DPH English 07/2003 Word
F-45017 Application for Radioactive Material License Authorizing the Use of Sealed Sources DPH English 07/2003 PDF
F-45009 Application for Radioactive Material License Authorizing the Use of Sealed Sources in Fixed Gauge Devices DPH English 05/2012 PDF
F-45009 Application for Radioactive Material License Authorizing the Use of Sealed Sources in Fixed Gauge Devices DPH English 05/2012 Word
F-45006 Application for Radioactive Material License Authorizing the Use of Sealed Sources in Portable Gages or XRF Devices DPH English 05/2010 PDF
F-45006 Application for Radioactive Material License Authorizing the Use of Sealed Sources in Portable Gauges or XRF Devices DPH English 05/2010 Word
F-45014 Application for Radioactive Material License Authorizing the Use of Self Shielded Irradiators DPH English 07/2008 Word
F-45014 Application for Radioactive Material License Authorizing the Use of Self Shielded Irradiators DPH English 07/2008 PDF
F-45015 Application for Radioactive Material License for Broad Scope DPH English 02/2005 Word
F-45015 Application for Radioactive Material License for Broad Scope DPH English 02/2005 PDF
F-45008 Application for Radioactive Material License for Medical Use DPH English 05/2010 Word
F-45008 Application for Radioactive Material License for Medical Use DPH English 05/2010 PDF
F-01827 Application for Reduction of Cost Share DMS English 12/2022 PDF
F-01827 Application for Reduction of Cost Share DMS English 12/2022 Word
F-01827LP Application for Reduction of Cost Share, Large Print DMS English 12/2022 PDF
F-01827LP Application for Reduction of Cost Share, Large Print DMS English 12/2022 Word
F-44011 Application for Registration of Lead-Free or Lead-Safe Property DPH English 03/2002 PDF
F-47097 Application for Registration of X-Ray Devices DPH English 10/2018 PDF
F-22468 Application for Services Office for the Blind and Visually Impaired DPH English 07/2016 PDF
F-22468 Application for Services Office for the Blind and Visually Impaired DPH English 07/2016 Word
F-02306 Application for Telecommunication Assistance Program (TAP) DPH English 07/2022 Word
F-02306 Application for Telecommunication Assistance Program (TAP) DPH English 07/2022 HTML
F-02306 Application for Telecommunication Assistance Program (TAP) DPH English 06/2021 PDF
F-00926 Application for the Use of Protective Equipment or Mechanical Restraint - CLTS and CCOP DMS English 02/2022 PDF
F-00926 Application for the Use of Protective Equipment or Mechanical Restraint - CLTS and CCOP DMS English 02/2022 Word
F-02530 Application for Wisconsin's Test of English Proficiency (TEP) and Board for Examination of Interpreters (BEI) DPH English 08/2022 Word
F-02530 Application for Wisconsin's Test of English Proficiency (TEP) and Board for Examination of Interpreters (BEI) DPH English 08/2022 PDF
F-01268 Application to Conduct Intoxicated Driver Assessments, Tribal Treatment Facility DCTS English 09/2016 Word
F-05009 Application to Purchase a Copy of a Certificate of Birth Resulting in a Stillbirth DPH English 05/2021 PDF
F-10126B Appoint, Change, or Remove an Authorized Representative: Organization DMS English 07/2023 PDF
F-10126BCM Appoint, Change, or Remove an Authorized Representative: Organization, Chinese Mandarin DMS Chinese Mandarin 07/2023 PDF
F-10126BDA Appoint, Change, or Remove an Authorized Representative: Organization, Dari DMS Dari 07/2023 PDF
F-10126BG Appoint, Change, or Remove an Authorized Representative: Organization, German DMS German 07/2023 PDF
F-10126BH Appoint, Change, or Remove an Authorized Representative: Organization, Hmong DMS Hmong 07/2023 PDF
F-10126BL Appoint, Change, or Remove an Authorized Representative: Organization, Laotian DMS Laotian 07/2023 PDF
F-10126BPA Appoint, Change, or Remove an Authorized Representative: Organization, Pashto DMS Pashto 07/2023 PDF
F-10126BR Appoint, Change, or Remove an Authorized Representative: Organization, Russian DMS Russian 07/2023 PDF
F-10126BSO Appoint, Change, or Remove an Authorized Representative: Organization, Somali DMS Somali 07/2023 PDF
F-10126BS Appoint, Change, or Remove an Authorized Representative: Organization, Spanish DMS Spanish 07/2023 PDF
F-10126A Appoint, Change, or Remove an Authorized Representative: Person DMS English 07/2023 PDF
F-10126AAR Appoint, Change, or Remove an Authorized Representative: Person, Arabic DMS Arabic 07/2023 PDF
Last revised December 8, 2023