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Assigned Number |
Title | Division | Other Location |
|---|---|---|---|
| F-47255 | Emergency Medical Services Program Municipal Signature and Population Verification | DPH | None |
| F-47247 | Ambulance Attendant License/Permit Renew | DPH | None |
| F-47181 | First Responder Certification Card | DPH | None |
| F-47097 | Application for Registration of X-Ray Devices | DPH | None |
| F-45032 | License, Permit or Registration - Radiation Only | DPH | Other |
| F-45029i | Instructions For School Food Safety Plan | DPH | Other |
| F-45029 | School Food Safety Program Inspection Report | DPH | Other |
| F-45023 | Certificate - Use of Depleted Uranium under General License | DPH | None |
| F-45022 | Application for Material License | DPH | None |
| F-45021 | Generally Licensed Device Inspection by Mail | DPH | None |
| F-45020 | Cumulative Occupational Exposure History | DPH | None |
| F-45019 | Reciprocity Privileges Checklist | DPH | None |
| F-45017 | Application for Radioactive Material License Authorizing the Use of Sealed Sources | DPH | None |
| F-45016 | Application for a Radioactive Material License for Academic, Research and Development and Other Licenses of Limited Scope | DPH | None |
| F-45015 | Application for Radioactive Material License for Broad Scope | DPH | None |
| F-45014 | Application for Radioactive Material License Authorizing the Use of Self Shielded Irradiators | DPH | None |
| F-45013 | Application for a Radioactive Material License Authorizing the Use of Industrial Radiography | DPH | None |
| F-45012 | Application for a Radioactive Material License for a Commercial Radiopharmacy | DPH | None |
| F-45011 | Certificate - In Vitro Testing with Radioactive Material Under General License | DPH | None |
| F-45010G | Training, Experience and Preceptor Attestation - G (Authorized Medical Physicist) | DPH | None |
| F-45010F | Training, Experience and Preceptor Attestation - F (Authorized Nuclear Pharmacist) | DPH | None |
| F-45010E | Training, Experience and Preceptor Attestation - E (Authorized User of Remote Afterloader, Teletherapy or Gamma Stereotactic Radiosurgery Units) | DPH | None |
| F-45010D | Training, Experience and Preceptor Attestation - D (Authorized User For Manual Brachytherapy Sources) | DPH | None |
| F-45010C | Training, Experience and Preceptor Attestation - C (Unsealed Radioactive Material Requiring A Written Directive) | DPH | None |
| F-45010B | Training, Experience and Preceptor Attestation - B (Authorized User - Written Directive Not Required) | DPH | None |
| F-45010A | Training, Experience and Preceptor Attestation - A (Radiation Safety Officer For Medical Use) | DPH | None |
| F-45009 | Application for Radioactive Material License Authorizing the Use of Sealed Sources in Fixed Gauge Devices | DPH | None |
| F-45008 | Application for Radioactive Material License for Medical Use | DPH | None |
| F-45007 | Certificate of Disposition of Materials | DPH | None |
| F-45006 | Application for Radioactive Material License Authorizing the Use of Sealed Sources in Portable Gauges or XRF Devices | DPH | None |
| F-45003 | Occupational Exposure Record Per Monitoring Period | DPH | None |
| F-44824 | Wisconsin Day Care Assessment | DPH | Other |
| F-44819 | Farmers Market Nutrition Program (FMNP) - Application for Farm Stand | DPH | None |
| F-44800 | Farmers Market Nutrition Program (FMNP) - Application for Farmers' Market Managers | DPH | None |
| F-44771D | Property Investigation Closure Report / Case Management of Children with Elevated Blood Lead Levels | DPH | None |
| F-44771C | Property Investigation Report / Case Management of Children with Elevated Blood Lead Levels | DPH | None |
| F-44771B | Nursing Case Closure Report / Case Management of Children with Elevated Blood Lead Levels | DPH | None |
| F-44771AA | Medicaid Targeted Case Management Fact Sheet - Childhood Lead Poisoning | DPH | None |
| F-44771A | Nursing Case Management Report Case Management of Children with Elevated Blood Lead Levels | DPH | None |
| F-44764 | Do Not Resuscitate Bracelet - Electronic Format | DPH | None |
| F-44763 | Emergency Care Do Not Resuscitate Order (DNR) | DPH | None |
| F-44757 | WIC Farmer's Market Contract For Farmers | DPH | Other |
| F-44755 | WIC Farmers' Market Nutrition Program | DPH | None |
| F-44746 | Farmers Market Nutrition Program (FMNP) - Site Observation Worksheet | DPH | None |
| F-44727 | WIC Vendor Training Proof | DPH | None |
| F-44702 | Vaccine Administration Record | DPH | Other |
| F-44621 | WIC Stock Price Survey | DPH | None |
| F-44614I | AIDS/HIV Drug Assistance Program And Insurance Assistance Program Application/Recertification - Instructions | DPH | None |
| F-44614B | AIDS/HIV Drug Insurance Premium Subsidy Program and Drug Assistance Program Application/Recertification Part B - Physician Portion | DPH | None |
| F-44614A | AIDS/HIV Drug Assistance Program and Insurance Assistance Program Application / Recertification | DPH | None |
Pages
Last Revised: March 23, 2021
