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Form Number Form Title Form Language DWD Division Creation/Revision Date Content Contact
DVR-16843-E-S Consumer Fiscal Responsibilities Agreement Spanish DVR 4/21/2014 Audrey Merten 
DVR-16843-E Consumer Fiscal Responsibilities Agreement English DVR 4/21/2014 Audrey Merten 
FIS-17594-E Children's Trust Fund & FAST Expenditure Report English ASD 4/21/2014 Sue Losen 
DVR-16843-E-H Consumer Fiscal Responsibilities Agreement Hmong DVR 4/21/2014 Audrey Merten 
UCT-7842 Contribution Adjustment Report English UI 4/1/2014 UI Tax & Accounting Staff 
TAA-16645 Training Approval Checklist English DET 3/26/2014 Ann Astin 
TAA-17581 Job Search Checklist English DET 3/24/2014 Ann Astin 
FIS-17012-E University Child Welfare Training Contracts Expenditure Report English ASD 3/20/2014 Jill Colburn 
FIS-17579-E Wisconsin Fast Forward - Office of Skills Development Expenditure Report English ASD 3/12/2014 Warren Honkola 
FIS-14393-E ACH (Automatic Clearing House) Set-up for Grant Contracts English ASD 3/11/2014 Sue Losen 
DVR-10527-E Request for a Hearing English DVR 3/5/2014 Audrey Merten 
LS-119-S Wisconsin Labor Standards Complaint Spanish ER 3/1/2014 Equal Rights Information 
DVR-17445-E Referral for DVR Services English DVR 2/28/2014 Audrey Merten 
DVR-17445-E-S Referral for DVR Services Spanish DVR 2/28/2014 Audrey Merten 
DVR-17445-E-H Referral for DVR Services Hmong DVR 2/28/2014 Audrey Merten 
UCT-101-E (2008 and Prior) 2008 (and Prior) Quarterly Contribution Report to be filed with Quarterly Wage Report English UI 2/26/2014 UI Tax & Accounting Staff 
UCT-101-E (2009 - 2010) 2009-2010 Quarterly Contribution Report to be filed with Quarterly Wage Report English UI 2/26/2014 UI Tax & Accounting Staff 
UC-7823-E Quarterly Wage Report English UI 2/26/2014 Wage Reporting Staff 
UCT-101-E (2011-2012) 2011- 2012 Quarterly Contribution Report to be filed with Quarterly Wage Report English UI 2/26/2014 UI Tax & Accounting Staff 
UCT-101-E (2013) 2013 Quarterly Contribution Report to be filed with Quarterly Wage Report English UI 2/26/2014 UI Tax & Accounting Staff 
UCT-101-E (2014 and After) 2014 (and After) Quarterly Contribution Report to be filed with Quarterly Wage Report English UI 2/26/2014 UI Tax & Accounting Staff 
WKC-16-B-E Practitioner's Report on Accident or Industrial Disease in Lieu of Testimony English WC 2/24/2014 Kathy Froehlich 
FIS-15073-2-E Child Care Training & Technical Assistance English ASD 2/20/2014 Sue Losen 
DVR-17545-E Service Report Header English DVR 2/20/2014 Audrey Merten 
TRA-30-E TRA/TAA Work Search Report English UI 2/13/2014 TRA Staff 
TRA-15628 Directions for Completing Form TRA-858A-E English UI 2/13/2014 TRA Staff 
UCB-12 Weekly Work Search Notice English UI 2/10/2014 Benefit Operations Staff 
UCB-12-S Weekly work Search Notice Spanish UI 2/10/2014 Benefit Operations Staff 
UCB-12-E-S Weekly Work Search Notice Spanish UI 2/10/2014 Benefit Operations Staff 
UCB-12-E Weekly Work Search Notice English UI 2/10/2014 Benefit Operations Staff 
UCB-12-H Weekly Work Search Notice Hmong UI 2/10/2014 Benefit Operations Staff 
UCB-12-E-H Weekly Work Search Notice Hmong UI 2/10/2014 Benefit Operations Staff 
UCT-8291 Employer Power of Attorney Assignment English UI 2/4/2014 UI Tax & Accounting Staff 
FIS-13589-2-E DCF County Programs - Child Care, Direct and Allocated, and Child Welfare Expenditure Report English ASD 2/1/2014 Sue Losen 
FIS-14042-E DCF Tribal Agency Expenditure Report English ASD 2/1/2014 Sue Losen 
DETI-14168 2014 Wisconsin Employer Report - LMI English DET 1/29/2014 Sarah Hoffman 
FIS-14706-11-E Workforce Investment Act & Related Grants (North Central WI Workforce) English ASD 1/24/2014 DWD Finance Grants 
FIS-14706-12-E Workforce Investment Act & Related Grants (Northwest WI CEP Inc.) English ASD 1/24/2014 DWD Finance Grants 
FIS-14706-21-E Workforce Investment Act & Related Grants (Workforce Resource Inc.) English ASD 1/24/2014 DWD Finance Grants 
FIS-14706-10-E Workforce Investment Act & Related Grants (Kenosha County) English ASD 1/24/2014 DWD Finance Grants 
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