Other Forms and Information


1051SSN 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
1229​Communicable Disease Form (only applicable to Health Professions)
​Application for Initial Credential Fee Reduction
3085​Application for Predetermination
3071​Payment Form​
3082​Wall Certificate with Wallet Card or Governor-Signed Wall Certificate Request Form
​LicCo​unts​Monthly License Counts


Disability Modification Request Form for Examinations
2349​Requests for Modification of Examinations for Persons With Disabilities
2350​Professional Verification of Request for Modification
Military Licensure Benefits​Military Benefits Related to Licensure for Eligible Veterans, Service Members, and Spouses
Death of a Licensee​Procedure for Reporting the Death of a Licensee