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Forms: Numeric List - DMT
Division of Management and Technology
now known as 
Division of Enterprise Services

Form Number Form Title Form Type Other Location Language
DMT-0013 Petty Cash Fund Annual Report Excel - Fillable None English
DMT-0015 Summary of Depository Funds Annual Report Excel - Fillable None English
DMT-0025 Forms / Publications Requisition Paper Forms Center English
DMT-0025A Forms / Publications Requisition Word - Fillable None English
DMT-0025B Forms / Publications Requisition Word - Fillable None English
DMT-0112 Vendor Validation Word - Fillable None English
DMT-0112A Vendor Validation Instructions Word - Print None English
DMT-0115 Operating Budget Excel - Fillable None English
DMT-0115A Operating Budget Supplement Excel - Fillable None English
DMT-0122 Journal Voucher Excel - Fillable Forms Center English
DMT-0122A Journal Voucher Supplement Excel - Fillable Forms Center English
DMT-0130 Financial Information PDF - Print Forms Center English
DMT-0130 Financial Information  Word - Fillable Forms Center English
DMT-0130H Financial Information - Hmong PDF - Print None Hmong
DMT-0130S Financial Information - Spanish PDF - Print None Spanish
DMT-0130S Financial Information - Spanish Word - Fillable None Spanish
DMT-0138 Invoice / Credit Memo Input Excel - Fillable Forms Center English
DMT-0138A Invoice / Credit Memo Input Supplement Excel - Fillable None English
DMT-0138I Invoice Credit Memo Input Instructions Word - Print None English
DMT-0142 Collections Delegation Application Word - Fillable None English
DMT-0188 Check Distribution / Attachments Word - Fillable Forms Center English
DMT-0190 Travel Reimbursement Request Non-State Employee PDF - Print None English
DMT-0190_ Travel Reimbursement Request Non-State Employee for Travel after November 30, 2007 Excel - Fillable None English
DMT-0190__ Travel Reimbursement Request Non-State Employee for Travel between December 1, 2006 and November 30, 2007 Excel - Fillable None English
DMT-0190A Travel Reimbursement Request State Employee for Travel after November 30, 2007 Excel - Fillable None English
DMT-0190a_ Travel Reimbursement Request State Employee for Travel between December 1, 2006 and November 30, 2007 Excel - Fillable None English
DMT-0455 Lease Transmittal Notice Word - Fillable None English
DMT-0456 Operating Lease Agreement Word - Fillable None English
DMT-0457 Lease Agreement Summary Word - Fillable None English
DMT-0459 Client Account Balance Report Excel - Fillable None English
DMT-0460 Account Disclosure Report - Page 1 Voucher Listing - Page 2 Excel - Fillable None English
DMT-0462 Capital Asset Summary Word - Fillable None English
DMT-0464 Physical and Capital Inventory Compliance Certification Word - Fillable None English
DMT-0476 Asset Transfer Word - Fillable None English
DMT-0477 Canteen Operations Statement of Revenues / Expenses and Fund Equity Changes GAAP Excel - Fillable None English
DMT-0477A Canteen Operations Analysis of Cash GAAP Basis Excel - Fillable None English
DMT-0477B Canteen Operations Balance Sheet - GAAP Basis Excel - Fillable None English
DMT-0479 Audit Confirmation Request (Grants) PDF - print None English
DMT-0600 CARS Expenditure Report Excel - Fillable None English
DMT-0600D CARS Aging Expenditure Report Excel - Fillable None English
DMT-0600T CARS Tribal Expenditure Report Excel - Fillable none English
DMT-0601 Certification of Claim* PDF - Fillable None English
DMT-0602 Electronic Expenditure Report Certification PDF - Print None English
DMT-0602 Electronic Expenditure Report Certification  Word - Fillable None English
DMT-0739 Prompt Payment Compliance Attachment Excel - Fillable None English
DMT-0739A Prompt Payment Compliance Instructions Word - Print BFS English
DMT-0751 Non-County Resident Proceedings Cost Certification PDF - Print None English
DMT-0751 Non-County Resident Proceedings Cost Certification Word - Fillable None English
DMT-0761 Contingent Account Activity Report Excel - Fillable None English
DMT-0762 Store Inventory Reconciliation Worksheet Excel - Fillable None English
DMT-0783A Family Financial Questionnaire - County Use PDF - Print None English
DMT-0783A Family Financial Questionnaire - County Use Word - Fillable None English
DMT-0806 Purchase Requisition Word - Fillable Forms Center English
DMT-0806A Bid Solicitation Results Word - Fillable None English
DMT-0806I Purchase Requisition Instructions Word - Print None English
DMT-0855 CARS Expenditure Report by Profile  Excel - Fillable None English
DMT-0855A Instructions for Completing Expenditure Report - DMT-855 PDF - Print None English
DMT-0857 Special CARS Run request Word - Fillable None English
DMT-0862 CARS Expenditure Report by Activity Excel - Fillable None English
DMT-0862A Instructions for Completing Expenditure Report - DMT-862 PDF - Print None English
DMT-0865 CARS Expense Adjustment Report Word - Fillable None English
DMT-0881 Profile ID Request (CARS) Word - Fillable None English
DMT-0881A Profile ID Request (CARS) Instructions Word - Print None English
DMT-0882 Contract Summary (CARS) Word - Fillable None English
DMT-0883 CARS Contract Adjustment - Extensions and Moves Word - Fillable None English
DMT-0890 BD Workbook (Profile Expense / Budget Summary, Profile Funding Summary, Listing of Expected Contracts, Operating Budget/Supplement)  Excel - Fillable None English
DMT-0890-CO BD County Workbook (Profile Expense / Budget Summary, Profile Funding Summary, Listing of Expected Contracts)  Excel - Fillable None English
DMT-0890A Profile Expense / Budget Summary, Profile Funding Summary - Instructions  PDF - Print None English
DMT-0891 List of Expected Contracts Excel - Fillable None English
DMT-0891A List of Expected Contracts - Instructions PDF - Print None English
DMT-0900 Receivables Quarterly Report Excel - Fillable None English
DMT-0900A Receivables Annual Report Excel - Fillable None English
DMT-0905 State Instant Deposit Program Enrollment PDF - Print None English
DMT-0905T State Instant Deposit Program Enrollment - Tribes / Great Lakes Tribal Council PDF - Print None English
DMT-0905T State Instant Deposit Program Enrollment - Tribes / Great Lakes Tribal Council Word - Fillable None English
DMT-0911 Limited Term Employment or Project Employment Application PDF - Print None English
DMT-0911 Limited Term (LTE) Employment or Project Employment Application Word - Fillable None English
DMT-0911A Limited Term (LTE) Employment or Project Employment Application Instructions PDF - Print None English
DMT-0921 Invoice Request - Print on Buff Paper Word - Fillable None English
DMT-0921A Invoice Request Instructions Word - Print None English
DMT-0921B Invoice Request - Supplement Print on BUFF Paper Word - Fillable None English
DMT-0951 Limited Term and Project Employment Cover letter and Form Requirements PDF - Print None English
DMT-0952 Contingency Plan, Health and Human Services Agencies PDF - Print None English
DMT-0952A Contingency Plan Supplement, Health and Human Services Agencies PDF - Print None English
DMT-0962 New Capital Asset Record Word - Fillable None English
DMT-0963 Capital Asset Changes / Deletion Record Word - Fillable None English
DMT-0974 Instructions for Completing Budget/Claim Forms to Recover Fed. Foster Care Funds PDF - Print None English
DMT-0975 Schedule A, Federal Reimbursement Budget Excel - Fillable None English
DMT-0976 Employment and Education History Summary PDF - Print None English
DMT-0976 Employment and Education History Summary Word - Fillable None English
DMT-0977 Schedule B, Operating Statement Excel - Fillable None English
DMT-0978 Schedule C, Rate Computation Report Excel - Fillable None English
DMT-0979 Schedule D, Physical Plant Utilization - Group Foster Home Excel - Fillable None English
DMT-0980 Schedule D, Physical Plant Utilization - Residential Care Center Excel - Fillable None English
DMT-0981 Schedule E, Allocation of Expenses by Function - Residential Care Center Excel - Fillable None English
DMT-0982 Schedule E, Allocation of Expenses by Function - Group Foster Home Excel - Fillable None English
DMT-0983 Civil Rights Discrimination Complaint PDF - Print None English
DMT-0983 Civil Rights Discrimination Complaint Word - Fillable None English
DMT-0983A Civil Rights Discrimination Complaint Instructions PDF - Print None English
DMT-1011 Cash Certification for Contingent, Canteen client / Resident and General Accounts Word - Fillable None English
DMT-9022 Stop Payment / Duplicate Check Request Word - Fillable None English

Last Revised:  April 04, 2008

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Wisconsin Department of Health and Family Services
Protecting and promoting the health and safety of the people of Wisconsin