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Get Department Of Health Services Division Of Health Care Access And Accountability F-13033 (07/08)

DEPARTMENT OF HEALTH SERVICES Division of Health Care Access and Accountability F-13033 (07/08) STATE OF WISCONSIN Wisconsin Statutes Section 859.07 PROBATE CLAIMS NOTICE Completion of this form is.

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How to use or fill out the DEPARTMENT OF HEALTH SERVICES Division Of Health Care Access And Accountability F-13033 (07/08) online

Filling out the DEPARTMENT OF HEALTH SERVICES Division Of Health Care Access And Accountability F-13033 (07/08) form is a crucial step in the Estate Recovery process. This guide provides clear instructions to assist you in completing the form accurately and efficiently online.

Follow the steps to successfully complete the form online.

  1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
  2. Begin by entering the name of the deceased person under 'In the Matter of the Estate of'. Ensure you accurately spell the name to avoid any processing delays.
  3. Fill in the county where the decedent resided at the time of death. This is important for jurisdiction purposes.
  4. Provide the Social Security number of the deceased. This is a mandatory field needed for identification and processing.
  5. Indicate the type of probate being filed by selecting the appropriate option. This section ensures the correct procedures are followed.
  6. Input the date of death of the deceased, as well as their date of birth. These dates help confirm the identity and timeline of the estate.
  7. Enter the final date to file claims. This should reflect the relevant timeframe according to Wisconsin statutes.
  8. Check the appropriate boxes if the deceased received Medicaid benefits or other specified programs. This identifies potential claims against the estate.
  9. If applicable, provide the name and Social Security number of any predeceased spouse who received benefits. This information must be included on the form.
  10. Fill in the details of the personal representative or petitioner, including their name and mailing address. This is vital for communication purposes.
  11. Include the name and mailing address of the attorney, if one is involved in the probate process.
  12. Complete the proof of mailing section by certifying that the proper parties have received copies of the Notice. Ensure the date, signature, and notary details are filled in correctly.
  13. Once all fields are completed, review the form for accuracy. Make any necessary changes before proceeding.
  14. Save your changes and then choose to download, print, or share the form as needed.

Complete your forms online today to ensure efficient processing of your estate claims.

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IRIS (Include, Respect, I Self-Direct) is a program for adults with disabilities and elderly people in Wisconsin. It is a self-directed program. That means that you will have the freedom to decide how you want to live your life.

Kirsten Johnson has over 20 years of experience as a public health leader in complex local, state, national, and international organizations. She joins the administration after previously serving as the health commissioner for the city of Milwaukee following her appointment in January 2021.

The Wisconsin Estate Recovery Program seeks repayment for the cost of certain long term care services paid for on behalf of members by Medicaid, BadgerCare Plus, Community Options Program (COP), or non-Medicaid Family Care; or any services provided by the Wisconsin Chronic Disease Program (WCDP).

All applicants and members Call Member Services at 800-362-3002 or email them at memberservices@wisconsin.gov. They're available from 8 a.m.–6 p.m. Monday through Friday.

Wisconsin Department of Health Services. Protects and promotes the health and safety of the people of Wisconsin. The Wisconsin Department of Health Services oversees Medicaid and other health and social service programs.

If you can't find what you are looking for, or if you need more information: Call the IRIS Call Center at 888-515-4747. Email the Wisconsin Department of Health Services (DHS) at DHSIRIS@wisconsin.gov.

Call Member Services at 800-362-3002, 711 or 800-947-3529 (TTY). Call the Estate Recovery Program at 608-264-6755 or 608-264-7739.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232