Other Forms and Information

Forms

FormDescription
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)
1988​Notices
3071Fax Payment Form​
3082​Wall Certificate with Wallet Card or Governor-Signed Wall Certificate Request Form
​LicCounts​Monthly License Counts

Information

TitleDescription
Application Process​Steps and Timeframes for an Application to be Completed
1907Disability 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