Get F-20933 - Wisconsin Department Of Health Services - Dhs Wisconsin

Filling out the F-20933 form is an important process for individuals facing court orders for assessment related to substance use and motorized recreational vehicle violations. This guide will walk you through each section of the form to ensure accurate and complete submission online.

Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to obtain the form and display it in your editing software.
2. In the first section, enter your name as it appears on identification documents, including your last name, first name, and middle initial. Make sure to use proper spelling and capitalization.
3. Provide your birthdate in the format mm/dd/yyyy. This ensures that your identity and age are accurately recorded.
4. Fill in your complete address, including street number, city, state, and ZIP code. This information helps facilitate communication regarding the assessment.
5. Indicate the date of arrest using the mm/dd/yyyy format. This is crucial for establishing a timeline concerning your case.
6. Input your telephone number for potential follow-ups regarding the assessment process.
7. List your Blood Alcohol Concentration (BAC) level or any controlled substances involved. This information is vital for the assessment.
8. Specify the court of conviction by entering its name, as well as the case number assigned to your situation.
9. Indicate your occupation to provide context regarding your lifestyle and responsibilities.
10. Enter the county of residence to help identify the jurisdiction related to your case.
11. Note the date of conviction in the mm/dd/yyyy format. This helps maintain the documentation's chronological clarity.
12. Provide the court's address, ensuring to include the street, city, state, and ZIP code.
13. From the list provided, mark the relevant statute that applies to your case by checking the corresponding box. This specifies the nature of the violation.
14. Indicate whether this is your first, second, or third offense by selecting the appropriate option.
15. Identify the assessment facility by providing its name, address, and telephone number. This ensures clarity about where the assessment will take place.
16. Sign the document to acknowledge your understanding of the requirements and your commitment to comply with the assessment process. Include the date signed.
17. Finally, review the completed form for accuracy and completeness, and then save your changes. You can download, print, or share the form as necessary.

Complete your F-20933 form online today to proceed with your assessment effectively.