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Wisconsin Department of Health Services

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BadgerCare Plus

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Caretaker Supplement

Fair Hearing Request

Fair Hearing Withdrawal

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Eligibility Management (Income Maintenance) Home >> Customer Help >> Caretaker Supplement Help 

Caretaker Supplement Help

To see if you may be eligible or to apply online, go to access.wi.gov

ApplicationDDE 2571 (PDF, 288KB) — To apply for Caretaker Supplement benefits.

Request For Fair HearingDHA 28 (PDF, 100KB) *(exit DHS) — To request a hearing if you don't agree with a decision about your benefits.

Fair Hearing Voluntary WithdrawalDHA 17 (PDF, 10KB) *(exit DHS) — If you want to withdraw your request for a hearing.

Other Links

Agency Directory - To find the telephone number and address of your local agency.

Income Limits - To find current income limits.

More information can be found at dhfs.wisconsin.gov/ssi/caretaker.htm.

Legal Services - To find the name and telephone number of who in your area can provide you with legal help.  You may also go to:

 

Last Revised: June 03, 2009