Online Ordering of Printed Forms and Publications

The forms and publications requisition form (F-80025A) is a fillable Microsoft Word document. It is used to order forms and publications stored in the Department's Forms and Publications Center. (You must have Microsoft Word 97 or newer to complete the form.)

Internet Explorer (IE) Users: When downloading a Word form, you may get a Windows Security popup box asking for a login ID and a password. The form will open if you choose "Cancel."

F-80025A  (Word, 29 KB)

Paper versions are not available for all forms and publications.  Before requesting a paper version of a form or publication, please review the appropriate forms or publications list to ensure availability in paper format. If the entry in the column "Other Location" reads "None," paper versions are not available. All other entry types will provide ordering instructions.


  1. Complete the form by tabbing through the input fields, NOT by using the return/enter key.  Note:  Please order only a three-month supply.
  2. From the toolbar, choose File, Save As, give the document a name, and save it to a location on your computer that you will remember. Close the file.
  3. After the form is completed, email it to the forms manager who is responsible for the majority of the order, and he/she will work with the others to complete your request.
  4. Once you have determined which forms manager to send the request to, please choose his/her email hyperlink from the list below.
  5. Attached the saved F-80025A to the email and send.

If you are unable to place your order electronically, you need to use the multiple ply F-80025. To order this form, please call 608-266-8502 or email the DES Forms Manager.

Where to send forms and publications order forms by using the division acronym:

Division Responsible Please send the request to the following Forms Manager: 

Division of Care and Treatment Services (DCTS)

Division of Medicaid Services (DMS)/Long Term Care Programs

Division of Public Health (DPH)/Bureau of Aging and Disability Resources

Jim Pritchard at 

Division of Enterprise Services (DES)

Division of Quality Assurance (DQA)

Executive Offices

Jenny Haight at 

Division of Public Health (DPH)

Cris Caputo at 

Division of Medicaid Services (DMS)

Office of the Inspector General (OIG)


Lori Schultz at 

Vital Records Forms Email:


If you have questions about ordering forms or publications, please email Lois Mulder or call her at: 608-266-8502.

Last Revised: October 10, 2017