Get Wi F-83263 2018-2025

The WI F-83263 form, known as the Rehabilitation Review Application, is essential for individuals seeking approval to work as caregivers in Wisconsin despite prior ineligibility due to legal issues. This guide will walk you through the process of filling out this form online, ensuring that you understand each section and its requirements.

Follow the steps to complete your application effectively.

1. Click the ‘Get Form’ button to access the Rehabilitation Review Application and open it in your preferred online editor.
2. Begin by filling out Section A, which requires your personal information including your last name, first name, address, date of birth, and contact details. Ensure that all provided information is accurate and complete.
3. Move to Section B to specify the reason for your ineligibility. Here, check all relevant boxes that apply to your circumstances as outlined in the form.
4. In Section C, identify your applicant type. Again, check all boxes that pertain to your situation to ensure the review panel understands your association with caregiver roles.
5. Proceed to Section D, where you must specify the types of entities where you expect to be employed or contracted. Be thorough and check all applicable options.
6. In Section E, list your employment history for the past five years. Ensure to include any gaps in employment, providing explanations where necessary.
7. Complete Section F by detailing all your residential addresses for the past five years, including any time you spent out of state.
8. Navigate to Section G to disclose any criminal convictions or pending charges. Provide all requested documentation to support your disclosures.
9. In Section H, indicate any government or regulatory findings or investigations that pertain to you. Provide the necessary details as instructed in the section.
10. Section I requires additional information that may support your rehabilitation review. Ensure adequate documentation is attached to validate your responses.
11. Lastly, in Section J, confirm that you have included all required documents and information listed. This checklist ensures your application is complete.
12. Once all sections are filled out, ensure you sign and date the application. Review all exchanges for completeness. After reviewing, you can save the form, download a copy, or print it for mailing.

Start filling out your WI F-83263 application online today to take the first step towards your rehabilitation approval.