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Other Information/Forms

Other Information/Forms
Form # Title/Description
1051 SSN Exempt Form
For applicants of initial license or renewal who do not have a Social Security Number.  
Please mail original, notarized copy to: DSPS, Renewal Office, PO Box 8935, Madison, WI 53708-8935.
2252 Convictions and Pending Charges Form
1229 Communicable Disease Form (only applicable to Health Professions)
1988 Notices
Department Information
Disability Modification Request Form for Examinations
Professional Verification of Request for Modification
Military Licensure Benefits
3071Fax Payment Form
3082 Wall Certificate with Wallet Card or Governor-Signed Wall Certificate Request Form