- Assisted Living Facility Request for Waiver, Approval, Variance or Exception, F-62548 (PDF)
- Resident Evacuation Assessment, F-62373 (PDF)
All fires in a licensed health or residential care facility in Wisconsin must be reported to the Department of Health Services within 72 hours (check specific rule requirements).
- All fires are to be reported by completing and submitting the online Health Care Facility Fire Report, F-62500.
Questions about this process may be directed to the "Fire Authority" at 608-266-8016. Refer to DQA memo 17-003 (PDF) for additional information.