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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-03076 WI Vaccine 3rd Party Scheduling Tracker DPH English 08/2022 HTML No
F-03075 WI Vaccine Support- All Calls Tracker DPH English 07/2022 HTML No
F-01821 WIC Authorized Infant Formula Supplier Application DPH English 04/2022 Word No
F-44161A WIC Cardholder Rights and Responsibilities DPH English 08/2023 PDF No
F-44161AH WIC Cardholder Rights and Responsibilities, Hmong DPH Hmong 08/2023 PDF No
F-44161AS WIC Cardholder Rights and Responsibilities, Spanish DPH Spanish 08/2023 PDF No
F-03364 WIC Interpreter Waiver DPH English 02/2025 Word No
F-03364H WIC Interpreter Waiver, Hmong DPH Hmong 02/2025 Word No
F-03364S WIC Interpreter Waiver, Spanish DPH Spanish 02/2025 Word No
F-03043 WIC Medical Formula Order DPH English 06/2022 HTML No
F-02040 WIC Program Notice of Categorical Ineligibility DPH English 08/2023 Word No
F-02040H WIC Program Notice of Categorical Ineligibility, Hmong DPH Hmong 08/2023 Word No
F-02040S WIC Program Notice of Categorical Ineligibility, Spanish DPH Spanish 08/2023 Word No
F-40085 WIC Program Notice of Ineligibility DPH English 08/2023 PDF No
F-40085 WIC Program Notice of Ineligibility DPH English 08/2023 Word No
F-40085H WIC Program Notice of Ineligibility, Hmong DPH Hmong 08/2023 PDF No
F-40085S WIC Program Notice of Ineligibility, Spanish DPH Spanish 08/2023 PDF No
F-44024A WIC Request for Medical Food: Pregnant, Breastfeeding, and Nonbreastfeeding Postpartum Women DPH English 06/2023 Word No
F-44024D WIC Request for Medical Formula/Food: Infants and Children DPH English 09/2024 Word No
F-44161 WIC Rights and Responsibilities DPH English 07/2023 PDF No
F-44161 WIC Rights and Responsibilities DPH English 07/2023 HTML No
F-44161AL WIC Rights and Responsibilities, Albanian DPH Albanian 07/2023 HTML No
F-44161AL WIC Rights and Responsibilities, Albanian DPH Albanian 07/2023 PDF No
F-44161AR WIC Rights and Responsibilities, Arabic DPH Arabic 07/2023 PDF No
F-44161AR WIC Rights and Responsibilities, Arabic DPH Arabic 07/2023 HTML No
F-44161BU WIC Rights and Responsibilities, Burmese DPH Burmese 07/2023 PDF No
F-44161BU WIC Rights and Responsibilities, Burmese DPH Burmese 07/2023 HTML No
F-44161CM WIC Rights and Responsibilities, Chinese (Simplified) DPH Chinese (Simplified) 07/2023 PDF No
F-44161CC WIC Rights and Responsibilities, Chinese (Traditional) DPH Chinese (Traditional) 07/2023 PDF No
F-44161CC WIC Rights and Responsibilities, Chinese (Traditional) DPH Chinese (Traditional) 07/2023 HTML No
F-44161CM WIC Rights and Responsibilities, Chinese Mandarin DPH Chinese (Simplified) 07/2023 HTML No
F-44161DA WIC Rights and Responsibilities, Dari DPH Dari (Afghan Persian) 07/2023 PDF No
F-44161DA WIC Rights and Responsibilities, Dari DPH Dari (Afghan Persian) 07/2023 HTML No
F-44161FR WIC Rights and Responsibilities, French DPH French 07/2023 PDF No
F-44161FR WIC Rights and Responsibilities, French DPH French 07/2023 HTML No
F-44161HT WIC Rights and Responsibilities, Haitian Creole DPH Haitian Creole 07/2023 PDF No
F-44161HT WIC Rights and Responsibilities, Haitian Creole DPH Haitian Creole 07/2023 HTML No
F-44161H WIC Rights and Responsibilities, Hmong DPH Hmong 07/2023 HTML No
F-44161H WIC Rights and Responsibilities, Hmong DPH Hmong 07/2023 PDF No
F-44161KA WIC Rights and Responsibilities, Karen DPH Karen 07/2023 PDF No
F-44161KA WIC Rights and Responsibilities, Karen DPH Karen 07/2023 HTML No
F-44161RW WIC Rights and Responsibilities, Kinyarwanda DPH Kinyarwanda 07/2023 PDF No
F-44161RW WIC Rights and Responsibilities, Kinyarwanda DPH Kinyarwanda 07/2023 HTML No
F-44161MA WIC Rights and Responsibilities, Malay DPH Malay 07/2023 HTML No
F-44161MA WIC Rights and Responsibilities, Malay DPH Malay 07/2023 PDF No
F-44161NE WIC Rights and Responsibilities, Nepali DPH Nepali 07/2023 HTML No
F-44161NE WIC Rights and Responsibilities, Nepali DPH Nepali 07/2023 PDF No
F-44161PA WIC Rights and Responsibilities, Pashto DPH Pashto 07/2023 PDF No
F-44161PA WIC Rights and Responsibilities, Pashto DPH Pashto 07/2023 HTML No
F-44161R WIC Rights and Responsibilities, Russian DPH Russian 07/2023 HTML 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