Skip to main content

FoodShare Forms

Below is a list of all FoodShare forms. 

When you are searching for a document, enter the number or a portion of the title in the search box below.

Assigned Number Title Division Language Release Date File Type Available to Order
F-01359 Historical Earnings Verification Request DMS English 02/2022 Word No
F-00107 Instructions, Self-Employment Income Report DMS English 06/2019 PDF No
F-00107ACM Instructions, Self-Employment Income Report, Chinese (Simplified) DMS Chinese (Simplified) 06/2019 PDF No
F-00107 Instructions, Self-Employment Income Report, Hmong DMS Hmong 06/2019 PDF No
F-00107 Instructions, Self-Employment Income Report, Spanish DMS Spanish 06/2019 PDF No
F-16030B Instructions: FoodShare Wisconsin Overpayment Calculator DMS English 01/2018 PDF No
F-16104 Local Agency Customer Feedback DMS English 10/2017 PDF Yes
F-16104H Local Agency Customer Feedback, Hmong DMS Hmong 10/2017 PDF No
F-16104S Local Agency Customer Feedback, Spanish DMS Spanish 10/2017 PDF Yes
F-02946 Management Evaluation Review (MER) Advocate Survey DMS English 02/2024 HTML No
F-02945 Management Evaluation Review (MER) Income Maintenance (IM) Staff Survey DMS English 02/2024 HTML No
F-01598 Medical Exemption from Work Requirement for Able-Bodied Adults Without Dependents DMS English 08/2015 PDF No
F-01598H Medical Exemption from Work Requirement for Able-Bodied Adults Without Dependents, Hmong DMS Hmong 08/2015 PDF No
F-01598S Medical Exemption from Work Requirement for Able-Bodied Adults Without Dependents, Spanish DMS Spanish 08/2015 PDF No
F-01891 New Employment Reporting DMS English 08/2017 PDF No
F-16015 Notice of Approval of Benefits/Positive Change in Benefits DMS English 07/2020 Word No
F-16015S Notice of Approval of Benefits/Positive Change in Benefits, Spanish DMS Spanish 07/2020 Word No
F-16001 Notice of Denial of Benefits/Negative Change in Benefits DMS English 05/2018 Word No
F-16001AR Notice of Denial of Benefits/Negative Change in Benefits, Arabic DMS Arabic 05/2018 PDF No
F-16001CM Notice of Denial of Benefits/Negative Change in Benefits, Chinese (Simplified) DMS Chinese (Simplified) 05/2018 PDF No
F-16001G Notice of Denial of Benefits/Negative Change in Benefits, German DMS German 05/2018 PDF No
F-16001H Notice of Denial of Benefits/Negative Change in Benefits, Hmong DMS Hmong 05/2018 PDF No
F-16001L Notice of Denial of Benefits/Negative Change in Benefits, Laotian DMS Laotian 05/2018 PDF No
F-16001R Notice of Denial of Benefits/Negative Change in Benefits, Russian DMS Russian 05/2018 PDF No
F-16001SO Notice of Denial of Benefits/Negative Change in Benefits, Somali DMS Somali 05/2018 PDF No
F-16001S Notice of Denial of Benefits/Negative Change in Benefits, Spanish DMS Spanish 05/2018 Word No
F-16028 Notice of FoodShare Overissuance DMS English 07/2023 PDF No
F-16028AR Notice of FoodShare Overissuance, Arabic DMS Arabic 07/2023 PDF No
F-16028CM Notice of FoodShare Overissuance, Chinese (Simplified) DMS Chinese (Simplified) 07/2023 PDF No
F-16028G Notice of FoodShare Overissuance, German DMS German 01/2018 PDF No
F-16028H Notice of FoodShare Overissuance, Hmong DMS Hmong 07/2023 PDF No
F-16028L Notice of FoodShare Overissuance, Laotian DMS Laotian 01/2018 PDF No
F-16028R Notice of FoodShare Overissuance, Russian DMS Russian 07/2023 PDF No
F-16028SO Notice of FoodShare Overissuance, Somali DMS Somali 07/2023 PDF No
F-16028S Notice of FoodShare Overissuance, Spanish DMS Spanish 07/2023 PDF No
F-16026 Prosecution Diversion Agreement DMS English 05/2018 PDF No
F-16026AR Prosecution Diversion Agreement, Arabic DMS Arabic 05/2018 PDF No
F-16026CM Prosecution Diversion Agreement, Chinese (Simplified) DMS Chinese (Simplified) 05/2018 PDF No
F-16026G Prosecution Diversion Agreement, German DMS German 05/2018 PDF No
F-16026H Prosecution Diversion Agreement, Hmong DMS Hmong 05/2018 PDF No
F-16026L Prosecution Diversion Agreement, Laotian DMS Laotian 05/2018 PDF No
F-16026R Prosecution Diversion Agreement, Russian DMS Russian 05/2018 PDF No
F-16026SO Prosecution Diversion Agreement, Somali DMS Somali 05/2018 PDF No
F-16026S Prosecution Diversion Agreement, Spanish DMS Spanish 05/2018 PDF No
F-03193 Replacement Request For Stolen FoodShare Benefits OIG English 04/2024 PDF No
F-03193H Replacement Request For Stolen FoodShare Benefits, Hmong OIG Hmong 04/2024 PDF No
F-03193S Replacement Request For Stolen FoodShare Benefits, Spanish OIG Spanish 04/2024 PDF No
F-00330 Request for Replacement FoodShare and/or Summer EBT Benefits DMS English 10/2024 PDF No
F-00330AR Request for Replacement FoodShare and/or Summer EBT Benefits, Arabic DMS Arabic 10/2024 PDF No
F-00330CM Request for Replacement FoodShare and/or Summer EBT Benefits, Chinese (Simplified) DMS Chinese (Simplified) 10/2024 PDF No

Glossary

 
Last revised January 24, 2023