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DEPARTMENT OF HEALTH SERVICES STATE OF WISCONSIN Division of Quality Assurance F-00547 (12/11) Chapter DHS 61.71 and 61.79, Wis. Admin. Code Page 1 of 9 MENTAL HEALTH INPATIENT INITIAL CERTIFICATION

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What is f-00547 - dhs wisconsin?

The f-00547 - dhs wisconsin form is used to report information about the financial status and resources of individuals applying for benefits through the Wisconsin Department of Health Services (DHS).

Who is required to file f-00547 - dhs wisconsin?

Individuals applying for benefits through the Wisconsin DHS are required to file the f-00547 form.

How to fill out f-00547 - dhs wisconsin?

The f-00547 form should be filled out with accurate information about the applicant's financial status and resources, following the instructions provided on the form.

What is the purpose of f-00547 - dhs wisconsin?

The purpose of the f-00547 form is to determine the eligibility of individuals for benefits provided by the Wisconsin DHS.

What information must be reported on f-00547 - dhs wisconsin?

The f-00547 form requires information about the applicant's income, assets, expenses, and any other relevant financial information.

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