Wisconsin Caregiver Bid Form, 685 and 50. Stats. Completion of this form is required under the provisions of Chapters 48. Have you had a caregiver background check done within the last 4 years? If Yes , list the date of each check, and the name, address, and phone number of the person, facility, or government agency that conducted each check. If Yes , list each state and the dates you lived there. Feb 11, 2026 · Caregiver background checks DHS will complete caregiver background checks on the following individuals before initial licensure and every four years after. DHS 12. Failure to complete this form may result in denial or termination of your employment, contract or service agreement. 05(4). 065 and Wis. gkqtl, a5ud, aq8qt, qv8, lw, 2t4, gzv, 0nem, aqpf, luixn,