| Agency Code | Agency Name | Agency Address Line One | Agency Address Line Two | Agency City | Agency State Code | Agency Zip Code |
| TA | Barron Co Dept. Health & Human Serv | | | Barron | WI | 54812 |
| RI | Brown County Health Department | 610 S Broadway St | PO Box 23600 | Green Bay | WI | 54305-3600 |
| RQ | City of Oshkosh Health Department | 215 Church Ave | PO Box 1130 | Oshkosh | WI | 54903 |
| TC | Cudahy Health Department | P. O. Box 100510 | | Cudahy | WI | 53110-6108 |
| 30 | Kenosha County Division of Health | 8600 Sheridan Road | Suite 600 | Kenosha | WI | 53143-6515 |
| RL | Public Health-Madison & Dane Cnty | 210 Martin Luther King Bl | Room 507 | Madison | WI | 53703 |
| RG | Sheboygan County Health and Family | | | Sheboygan | WI | |
| 67 | Waukesha Dept of Health and Human | 500 Review | | Waukesha | WI | 53188 |