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Form F 20483 PDF Details

In order to file your taxes properly, you will need to complete Form F 20483. This form is used to calculate your taxable income and determine the amount of tax that you owe. The instructions for completing this form are straightforward, but it is important to be careful when filling out the information. Accuracy is key when filing your taxes, so make sure to double-check all of your calculations before submitting the form. If you have any questions about how to complete Form F 20483, don't hesitate to contact a tax professional for help.

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Question	Answer
Form Name	Form F 20483
Form Length	1 pages
Fillable?	Yes
Fillable fields	25
Avg. time to fill out	5 min 19 sec
Other names	f20483 wisconsin incident tracking system form

12

Form Preview Example

DEPARTMENT OF HEALTH SERVICES	STATE OF WISCONSIN
Division of Public Health
F-20483 (02/2018)

WISCONSIN INCIDENT TRACKING SYSTEM (WITS) WEB ACCESS REQUEST

Completion of this form is required in order to have access to the WITS system.

INSTRUCTIONS:

1.Users must first have a WAMS ID, https://on.wisconsin.gov/WAMS/home. Use this URL to logon to WAMS home page and click on self-registration link to create a new account OR use the other options on this page for subsequent account maintenance.

2.Once WITS users have a WAMS ID, they must complete this form, sign the form, have their supervisors sign the form, and then fax the form to DHS, Attn: WITS Security Administrator, Fax – 608-267-3203.

Your Name (Last, First, MI)

Your Phone Number

Date Account Needed

User ID from WAMS

County(ies) for Which You Will be Reporting

Name – Employing Agency (do not abbreviate)

Type of Agency	WITS access needed to file reports on incidents involving:
County Dept. of Human Services, Social Services, Health, etc.	(select one)
County Aging Unit	Elder adults-at-risk only (those age 60+)
Aging and Disability Resource Center	Adults-at-risk only (those age 18-59)
Nongovernmental agency contracted to one of the above	Adults-at-risk in both age groups (18 and over)
Other (describe:

AUTHORIZING SIGNATURES

If your employer is a county agency, county aging unit, or ADRC, complete the following:

Name – Supervisor

Email Address – Supervisor

SIGNATURE – Supervisor

Phone Number - Supervisor

Date Signed

If your employer is a nongovernmental contract agency, complete the following:

Name – County Agency Holding the Contract

Name – County Agency Supervisor or Contract Signer

Email Address – County Supervisor

Phone Number – County Supervisor

SIGNATURE – County Agency Supervisor or Contract Signer

Date Signed

If the WITS user listed above is filling the position of a former employee, complete the following:

Name of Previous Employee

WITS Account Deactivation Date

User of this logon and password provides access to confidential information, which must be safeguarded in accordance with Wisconsin Statutes. The User’s signature on this form constitutes acceptance of responsibility for compliance with Wis. Stat. §§ 49.32(10), 49.32(10m), 49.81, 49.83, and 943.70(2), and with DHS policy (attached to new logon approvals).

SIGNATURE – User

Date Signed

How to Edit Form F 20483 Online for Free

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Step 1: To get started, choose the orange button "Get Form Now".

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Form F 20483 spaces to fill in

Complete the Date, Signed Phone, Number, County, Supervisor WITS, Account, Deactivation, Date Date, Signed and Date, Signed field using the data requested by the software.

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