IRIS Forms
Know the exact form you are looking for? Type in the form name in the search bar or click on buttons on the left to see forms sorted by role and type.
| Documents | Summary | Tags |
|---|
Start-Up Forms
◾ IRIS Participant Start-up Packet (blank) (fillable) (sample)
◾ Participant Reimbursement Request Form (blank) (fillable) (sample) (tips)
(Spanish)
◾ Participant Payment Election Form (blank) (fillable) (Spanish) (electronic submission)
◾ Form 2678: Employer/Payer Appointment of Agent
◾ Form SS-4: Application for Employer Identification Number
◾ Form 8821: Tax Information Authorization
Note: Voided check or typed bank verification must be attached. If the Participant has a Guardian or Power of Attorney, the following forms are required: Guardianship or Power of Attorney Document
◾ Form 2848: Power of Attorney and Declaration of Representative
Note: Form 2848 is required if the Participant has a Guardian or Power of Attorney.
◾ Form F-00036: Wisconsin Power of Attorney for Finances and Property
Note: Form F-00036 is required if the Participant needs to assign a Power of Attorney.
Transit
Running, Inc. Pre-Purchased Punch Card Order Forms
◾ Baraboo
◾ Beaver Dam
◾ Brown Cab
◾ Chippewa Falls
◾ Clintonville
◾ Hudson
◾ Marshfield
◾ Mauston
◾ New Richmond
◾ Onalaska
Transit
Running, Inc. Pre-Purchased Punch Card Order Forms
◾ Baraboo
◾ Bay Area Rural Transit (BART) Order Form
◾ Eau Claire Transit Order Form
◾ Fond du Lac Transit Order Form
◾ GO Transit (Oshkosh) Transit Order Form
◾ Green Bay Metro Transit Order Form
◾ Janesville Transit Order Form
◾ Kenosha Transit Order Form
◾ Madison Metro Transit Order Form
◾ Maritime Metro (Manitowoc) Transit Order Form
◾ Milwaukee WisGo Bus Tickets
◾ Milwaukee WisGo Transit Plus Tickets
◾ Outagamie County Transit Order Form
◾ Ozaukee County Shared Ride Taxi
◾ Racine Transit Order Form
◾ Shoreline Metro Transit Order Form
◾ Valley Transit (Appleton) Order Form
◾ Wausau Metro Transit Order Form
◾ Washington County Transit Order Form
New WisGo Order Forms
◾ WisGo Bus Tickets
◾ WisGo Transit Plus Tickets
◾ WisGo FAQ’s
◾ Bay Area Rural Transit (BART) Order Form
◾ Eau Claire Transit Order Form
◾ Fond du Lac Transit Order Form
◾ GO Transit (Oshkosh) Transit Order Form
◾ Green Bay Metro Transit Order Form
◾ Janesville Transit Order Form
◾ Kenosha Transit Order Form
◾ Madison Metro Transit Order Form
◾ Maritime Metro (Manitowoc) Transit Order Form
◾ Milwaukee Bus Tickets
◾ Milwaukee Transit Plus Tickets
◾ Outagamie County Transit Order Form
◾ Ozaukee County Shared Ride Taxi
◾ Racine Transit Order Form
◾ Shoreline Metro Transit Order Form
◾ Valley Transit (Appleton) Order Form
◾ Wausau Metro Transit Order Form
◾ Washington County Transit Order Form
Other
◾ Participant Reimbursement Request Form (blank) (fillable) (Spanish fillable) (sample) (tips)
◾ IRIS Participant Employer Handbook: How to be an Employer
◾ IRIS Fiscal Employer Agent (FEA) Tips
◾ OSHA Standard Precautions
◾ Confidential Information Release Authorization (F-82009)
Note: Required to provide Participant information to someone other than the Participant or Guardian. Must be approved by Participant or Participant’s Guardian
◾ Portal Participant Help Guide
◾ IRIS FEA Transfer Calendar
Start-Up Forms
◾ IRIS Participant-Hired Worker Start-Up Packet (blank) (fillable) (sample)
◾ Participant-Hired Worker Welcome Packet
◾ IRIS Participant-Hired Worker Relationship Identification (F-01201A) – English, Hmong, Spanish
Note: Approved by Participant or Participant’s guardian
IRIS Participant-Hired Worker Relationship Identification
◾ (F-01201A) – English, Hmong, Spanish
Note: Approved by Participant or Participant’s guardian
◾ Form W-4
◾ Form WT-4
◾ IRS Notice 2014-7 Flyer
◾ IRS Notice 2014-7 Caregiver Exemption Form
◾ Form I-9 (Use this link if on a mobile device)
– The direct link to this form on the USCIS website is here. You can only open the form via this link on a laptop/desktop computer, not via a mobile device.
To open, please follow these instructions:
1. Click the link and download the PDF to your computer.
2. Right click on the file name and choose “Open with System Viewer”.
Note: Approved by Participant or Participant’s guardian.
◾ Background Information Disclosure (F-82064) – English
◾ Background Information Disclosure Addendum (F-01246) – English, Hmong, Spanish
◾ IRIS Participant Employer / Participant-Hired Worker Agreement (F-1201C) – English, Hmong, Spanish
Note: Approved by Participant or Participant’s guardian
◾ Payment Election Form (blank) (fillable) (Spanish) (electronic submission)
Note: Voided check or typed bank verification must be attached for Direct Deposit option.
◾ ADP MyWisely Pay Card Consent Form for Minors
◾ Status Change Form (blank) (fillable) (Spanish)
◾ The Permanent Bar from Employment List can be found in the IRIS Policy Manual (P-00708A) on page 35: IRIS Policy Manual: Work Instructions (wisconsin.gov)
◾ Employment Verification Form
◾ Wisconsin Medicaid Program Provider Agreement and Acknowledgement of Terms of Participant for Waiver Service Provider Agencies (F-00180C)
Payment Forms
◾ 2025 IRIS Payroll Payment Schedule
◾ 2026 IRIS Payroll Payment Schedule
◾ IRIS Timesheet: In/Out Timesheet (blank) (fillable) (sample)
◾ Mileage Log (blank) (fillable) (Spanish fillable) (sample)
◾ Expense Report: (blank) (fillable) (sample)
◾ 2025 IRIS Vendor Payment Schedule
◾ 2026 IRIS Vendor Payment Schedule
◾ 2025 IRIS Vendor Transit Ticket Schedule
◾ 2026 IRIS Vendor Transit Ticket Schedule
◾ IRIS Vendor Start-up Packet (blank) (sample)
◾ IRIS Vendor Welcome Packet
◾ IRIS Vendor Claims Form Tips
◾ Vendor Income Verification Request
◾ Vendor Status Change Form
◾ Provider Start-up and Requirements Checklist
◾ Form W-9
◾ Wisconsin Medicaid Program Provider Agreement and Acknowledgement of Terms of Participant for Waiver Service Provider Agencies (F-00180C)
◾ Provider Agreement (fillable)
Note: Approved by Participant or Participant’s guardian.
◾ Adult Family Home Information Form
Note: Required for AFH providers with non-taxable income.
◾ Vendor Direct Deposit Authorization Form (blank) (fillable) (electronic submission)
Note: Voided check or typed bank verification must be attached.
– Copy of Liability Insurance Certificate
– Copy of Professional License and/or Certificate
Note: If applicable, see License Requirements List.
– Copy of Driver’s License
Note: Required if providing specialized transportation.
Online Claims Submission Form (preferred method)
◾ Vendor Claims Submission Form
◾ Vendor Claims Submission Form FAQ
Paper Claim Form
◾ Claim Form (blank) (fillable) (sample) (tips) (instructions)
Vendor Claims Payment Schedule
◾ 2025 IRIS Vendor Claims Payment Schedule
◾ 2026 IRIS Vendor Claims Payment Schedule
