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 Other Locationsort descending
F-02390 Fall Medicare Training Participant Survey
F-02389 Fall Medicare Training for Wisconsin Professionals
F-02388 MIPPA Grant Agency Application
F-21343 Alzheimer's Family and Caregiver Support Program (AFCSP) Budget Report
F-02426 DQA Misconduct Incident Reporting (MIR) System Account Registration Survey
F-02069 DHS Quarterly Report on Consumers Enrolled in CCS
F-47471 Emergency Medical Technician Verification of Licensure
F-47472 Emergency Medical Technician (EMT) License / First Responder Certification Renewal Application
F-47477 First Responder / Emergency Medical Technician Certificate / License
F-47478 First Responder / Emergency Medical Technician Application Electronic Addition to a Roster
F-47247 Ambulance Attendant License/Permit Renew
F-47255 Emergency Medical Services Funding Assistance Program Municipal Signature and Population Verification Page
F-47181 First Responder Certification Card

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Last Revised: May 22, 2018