Fill and Sign Wisconsin Legal Forms

This Form is used for obtaining prior authorization or preferred drug list (Pa/Pdl) for Proton Pump Inhibitor (Ppi) orally disintegrating tablets in Wisconsin. It provides instructions on how to complete the form and submit it for approval.

This form is used for certifying the need for emergency psychiatric or substance abuse admissions to hospital institutions for mental disease for members under age 21 in Wisconsin. It is also used for Medicaid determination after admission.

This form is used for completing the Child Care Coordination Family Questionnaire in Wisconsin. It provides instructions on how to fill out the form and what information is required.

This form is used for requesting a review of a member's prescription drug use in the Pharmacy Services Lock-In Program in Wisconsin.

This Form is used for submitting a request for prior authorization for hearing instrument and audiological services in Wisconsin. It provides instructions on how to fill out the form and what documentation is required.

This Form is used for updating program provider files for the Wisconsin AIDS Drug Assistance Program, Wisconsin Chronic Disease Program, and Wisconsin Well Woman Program in Wisconsin.

This form is used for requesting special handling of pharmacy services in the state of Wisconsin. It provides instructions on how to fill out and submit the Form F-13074 for specific pharmacy needs.

This Form is used for Home Health Agencies in Wisconsin to request a variance of the physician signature requirement for verbal orders during recertification.

This form is used for training, experience, and preceptor attestation for authorized users of manual brachytherapy sources in Wisconsin.

This document is used for residency documentation for homeless individuals in the state of Wisconsin. It helps individuals without a permanent address establish their residency for certain services and benefits.

This Form is used for Quarterly Wage Report in Wisconsin.

This Form is used for filing a child support complaint in Wisconsin.

This Form is used for filing a child support complaint in Wisconsin in the Hmong language.

This form is used for requesting abandoned funds in the state of Wisconsin.

This form is used for obtaining informed consent from parents for their child to be observed or tested by an outside agency at a licensed child care center in Wisconsin.

This form is used for follow-up notification regarding tuberculosis (TB) from another jurisdiction in Wisconsin. It helps facilitate the coordination of healthcare and tracking of TB cases across jurisdictions.

This form is used for conducting fire inspections at community-based residential facilities (CBRFs) in Wisconsin.

This Form is used for authorizing the release of confidential information in Wisconsin.

This form is used for updating the remaining deductible for Wisconsin Medicaid and BadgerCare Plus.

This Form is used for applying for an air pollution control permit for painting and coating operations in Wisconsin.

This Form is used for applying for an air pollution control permit for operating a boiler or furnace in the state of Wisconsin.

This Form is used for submitting an application for an air pollution control permit in Wisconsin for miscellaneous processes.

This form is used for applying for a miscellaneous air pollution control permit in Wisconsin.

This document is an application form used in Wisconsin for obtaining an air pollution control permit for baghouse/fabric filters used in controlling air pollution from control equipment.

This form is used for compliance certification of monitoring and reporting methods in the state of Wisconsin.

This form is used for applying for an air pollution control permit in Wisconsin specifically for cyclone/settling chambers. It is required for businesses that operate these types of equipment to ensure compliance with air quality regulations.

This Form is used for the annual monitoring and certification of compliance of hot mix asphalt plants in Wisconsin.

This form is used for applying for a medical exemption from the work requirement for able-bodied adults without dependents in the state of Wisconsin.

This form is used for recording and documenting patient care information for Emergency Medical Services (EMS) in the state of Wisconsin. It helps to track and organize important details about the patient's condition, treatment, and transportation.

This form is used for reporting the experience of the Solid Waste Disposal Facility Manager in Wisconsin. It helps the state keep track of relevant experience and qualifications.

This document is a form used in Wisconsin to request a Child Protective Services (CPS) background check.

This form is used for applying for plan approval for construction and demolition waste processing facilities in the state of Wisconsin.

This document provides instructions for completing the Report of Hours Worked and Resident Census forms in Wisconsin. It guides employers and individuals on how to accurately report their work hours and residency information.

Este formulario es utilizado para solicitar el suplemento de Medicaid en Wisconsin, en conjunto con la solicitud de Foodshare.

This form is used for applying for the Wisconsin Medicaid Supplement to the Foodshare Wisconsin program. It helps determine eligibility and provides additional support for individuals receiving food assistance.

This document is used for completing the Good Faith Certification for businesses in Wisconsin. It provides instructions on how to accurately fill out the form and certify that the information provided is true and accurate.

This form is used for requesting free in-service or educational training in Wisconsin.