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Form Number Form Title Form Language DWD Division Creation/Revision Date Content Contact
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 
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 
UCT-1-E 2014 Wisconsin Employer Report English UI 11/25/2013 UI Tax & Accounting Staff 
DETI-14168 2014 Wisconsin Employer Report - LMI English DET 1/29/2014 Sarah Hoffman 
UCT-6491-E Account Change Information English UI 2/1/2013 UI Tax & Accounting Staff 
FIS-14393-E ACH (Automatic Clearing House) Set-up for Grant Contracts English ASD 3/11/2014 Sue Losen 
WKC-19-E Admission to Service and Answer to Application English WC 5/6/2014 Kathy Froehlich 
FIS-16875-E Adoption Exchange Center/Recruitment and Support Program Expenditure Report English ASD 4/1/2011 Jill Coburn 
FIS-16903-E Adoption/Exchange Center/Recruitment & Support Proghram/Post Adoption Resource Expenditure Report English ASD 10/29/2010 Jill Coburn 
ERD-10584-E Agent or Subcontractor Affidavit of Compliance with Prevailing Wage Rate Determination English ER 11/1/2010 Equal Rights Information 
UCT-5334-E Agricultural Employer's Report for 2014 English UI 11/25/2013 UI Tax & Accounting Staff 
DETW-16841-E Agriculture, Food and Natural Resource Skill Standards Checklist English DET 8/19/2013 Amy Phillips 
DVR-13813-E Alternate Receipt for DVR Services English DVR 6/18/2013 Audrey Merten 
DVR-16489-E Annual Closure Review English DVR 2/23/2009 Audrey Merten 
LS-37-E Application for a Special Minimum Wage License - NOTE: includes both a Microsoft Word Fill-enabled version to be filled out on your computer, and a PDF version for printing and manual completion. English ER 1/1/2004 Equal Rights Information 
ERD-5719-E Application for Prevailing Wage Rate Determination English ER 6/1/2013 Equal Rights Information 
DETW-17019-E Architecture and Construction Skill Standards Checklist English DET 7/1/2011 Amy Phillips 
DETW-10039-E Arts, A.V Technology and Communications Skill Standards Checklist English DET 8/9/2012 Amy Phillips 
DVR-13178 Attendant/Child Care Provider Log English DVR 6/1/2005 Audrey Merten 
DVR-13178-S Attendant/Child Care Provider Log (Spanish) Spanish DVR 6/1/2005 Audrey Merten 
DVR-199-E-H Authorization for Release of Confidential Information Hmong DVR 11/19/2013 Audrey Merten 
DVR-199-E Authorization for Release of Confidential Information English DVR 11/19/2013 Audrey Merten 
DVR-199-E-S Authorization for Release of Confidential Information Spanish DVR 11/19/2013 Audrey Merten 
FIS-16844-E Best Outcomes for Indian Children Expenditure Report English ASD 11/14/2013 Sue Losen 
WBL-10537 Biotechnology Skill Standards Checklist English DET 11/14/2005 Amy Phillips 
FIS-17612-E Boys and Girls Club Green Bay Expenditure Report English ASD 6/10/2014 Sue Losen 
FIS-17528-E Boys and Girls Club of WI Rapids Expenditure Report English ASD 11/1/2013 Sue Losen 
FIS-16973-E Brighter Future Initiative Expenditure Report English ASD 5/18/2012 Jill Coburn 
ERD-9646-E Business Closing/Mass Layoff Complaint English ER 8/8/2005 Equal Rights Information 
WKC-15717-E Certification of Readiness English WC 1/1/2009 Kathy Froehlich 
DWSD-14778 Certification Regarding Debarment, Suspension, Ineligibility & Voluntary Exclusion English DET 6/30/2005 DWD ASD Procurement 
FIS-14825-1-E CESA 6 Youth Apprenticeship Expenditure Report English ASD 4/15/2014 DWD Finance Grants 
ERD-12193 Cessation of Health Care Benefits Complaint English ER 3/1/2001 Equal Rights Information 
FIS-14875-E Child Care Earmarks Tech Grant Expenditure Report English ASD 3/6/2013 Sue Losen 
FIS-16352-E Child Care Expenditure Report English ASD 10/1/2008 Sue Losen 
FIS-15073-2-E Child Care Training & Technical Assistance English ASD 2/20/2014 Sue Losen 
FIS-13587-E Child Support Expenditure Report English ASD 1/9/2012 Sue Losen 
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