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FORMS

The following are forms from various sources that are requested most often from the Department.

Authorization for Disclosure of Non-health Confidential Information

Authorization for Disclosure of Health Confidential Information

Revocation of Authorization for Disclosure of Confidential Information

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Packet of forms to request a Governor's Pardon or Executive Clemency

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To modify a Truth in Sentencing conviction:

1) The petition for sentence adjustment
з973.195, Wisconsin Statutes

2) The petition to modify Court-imposed condition of Extended Supervision
з302.113(7m), Wisconsin Statutes

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Form for County Jails:
Health Transfer Summary

Form for Legal Counsel:
Authorization to Withhold Money from Trust Account

 

 

05/24/2010