This version of the form is not currently in use and is provided for reference only. Download this version of Form F-00476 for the current year.
This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. Check the official instructions before completing and submitting the form.
Form Details:
Download a fillable version of Form F-00476 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.