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WIC: Electronic and Available to Order

 Forms, Publications, and Other Documents

Below is a list of all WIC (Special Supplemental Nutrition Program for Women, Infants, and Children) documents including electronic only and printed items available to order. Review the "Available to Order" column below to ensure availability in paper format. If the document is available to order in a paper version, there will be a "Yes" with a link to ordering instructions.

When you are searching for a document, enter the number or a portion of the title in the search box below. To narrow your search results even more, place quotation marks " " around search terms. For example: "Breastfeeding Peer Counselors"

Ordering instructions for local WIC agencies only:

  • Download and fill out the Forms/Publications Order, F-80025A. Order only as many as you will use in three to six months. For most items you should order in quantities of at least 50.
  • Email the completed order form to the WIC forms processor at dhsfmdphwic@dhs.wisconsin.gov. You will receive a confirmation email once your order has been processed.
Assigned Number Title Release Date File Type Language Available to Order
N/A AANHPI Breastfeeding Week Proclamation 08/2024 PDF English No
F-40019 Affirmation of Identity, Residency, Income, or Benefit Loss 08/2023 PDF English No
F-40019H Affirmation of Identity, Residency, Income, or Benefit Loss, Hmong 08/2023 PDF Hmong No
F-40019S Affirmation of Identity, Residency, Income, or Benefit Loss, Spanish 08/2023 PDF Spanish No
F-00974 Agreement Between State of Wisconsin Department of Health Services - WIC and Senior Farmers' Market Nutrition Program (FMNP) 01/2024 PDF English No
F-40036 Agreement Between the State of Wisconsin and the Wisconsin Women, Infant, and Children (WIC) Vendor 11/2022 PDF English No
P-40124 Alcohol, Tobacco, and Other Drugs are Harmful 09/2021 PDF English No
P-40124S Alcohol, Tobacco, and Other Drugs are Harmful, Spanish 09/2021 PDF Spanish No
F-40093 Annual ROSIE User Security and Confidentiality Agreement 12/2019 PDF English No
F-40093 Annual ROSIE User Security and Confidentiality Agreement 12/2019 Word English No
F-01804 Appointment Results Wisconsin WIC Program 02/2018 Word English No
P-00255 Ask for Farmer's Market Checks if You are Interested in Buying Fresh Fruits and Vegetables from Local Farmers' Market - Green 03/2019 PDF English Yes
P-00255S Ask for Farmer's Market Checks if You are Interested in Buying Fresh Fruits and Vegetables from Local Farmers' Market, Spanish - Green 03/2019 PDF Spanish Yes
P-00254C Ask WIC about Benefits for Buying Fruits and Veggies at Local Farmers' Markets 03/2019 PDF English No
P-00254A Ask WIC about Benefits for Buying Fruits and Veggies at Local Farmers' Markets 03/2019 PDF English No
P-00254B Ask WIC about Benefits for Buying Fruits and Veggies at Local Farmers' Markets 03/2020 PDF English No
N/A Black Breastfeeding Week Proclamation 08/2024 PDF English No
F-40106 Breast Pump Loan and Release Agreement 08/2022 Word English No
F-40106H Breast Pump Loan and Release Agreement, Hmong 08/2022 Word Hmong No
F-40106S Breast Pump Loan and Release Agreement, Spanish 08/2022 Word Spanish No
P-40141B Breastfeeding Peer Counselor Pamphlet Insert 01/2023 PDF English No
P-40141BS Breastfeeding Peer Counselor Pamphlet Insert, Spanish 01/2023 PDF Spanish No
P-40141A Breastfeeding Peer Counselors 01/2023 PDF English No
P-40141 Breastfeeding Peer Counselors Pamphlet 01/2023 PDF English No
P-40141 Breastfeeding Peer Counselors Pamphlet (Print-ready) 01/2023 PDF English Yes

Glossary

 
Last revised November 1, 2024