Providers

Operational Data Collection and Reporting

Fiscal Forms and Documents

• IRS W-9 Form
• Special Needs Payroll - Substitute W-9 Form
• Payroll Action Sheet
• Budget, Personnel, and Expense Schedules
• State of Wisconsin Medicaid Waiver Agreement
• Best Practice Revenue and Expense Schedule
• Dane County Equal Benefits Certification
• Living Wage Certification:
  • DCDHS Living Wage Certification for Sole Proprietorships
  • DCDHS Living Wage Certification for Corporations
  • Dane County Living Wage - Exemption
• Expense Report