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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
F-24277 Informed Consent for Medication - Zyprexa (4/16/2021) 05/2024 Word English No
F-24277 Informed Consent for Medication - Zyprexa (4/16/2021) 05/2024 PDF English No
F-24277 Informed Consent For Medication Exelon (5/27/2021) 05/2024 Word English No
F-24277 Informed Consent for Medication, Blank (PRINT BACK-TO-BACK) 05/2024 PDF English No
F-20941 Informed Consent for Participation in Wisconsin's Money Follows the Person (MFP) Demonstration 09/2018 Word English No
F-20941S Informed Consent for Participation in Wisconsin's Money Follows the Person (MFP) Demonstration, Spanish 09/2018 Word Spanish No
P-00336 Informed Consent Requirement in Nursing Homes 07/2023 PDF English No
F-21076 Informed Consent – Children's Long-Term Support Functional Screen 03/2021 Word English No
F-21076KA Informed Consent – Children's Long-Term Support Functional Screen, Karen 03/2021 PDF Karen No
F-21076RY Informed Consent – Children's Long-Term Support Functional Screen, Rohingya 03/2021 Word Rohingya No
F-21076SO Informed Consent – Children's Long-Term Support Functional Screen, Somali 03/2021 Word Somali No
F-21076V Informed Consent – Children's Long-Term Support Functional Screen, Vietnamese 03/2021 Word Vietnamese No
F-02031S Initial Application - Individual Lead Disciplines, Spanish 11/2023 PDF Spanish No
F-03082C Initial Certification Application for Branch Office or School Branch Office 08/2022 Word English No
F-03082F Initial Certification Application for DHS 75.59 Opioid Treatment Program (OTP) Mobile Unit 07/2023 Word English No
F-03082 Initial Certification or Change of Ownership Application for DHS 75.14 and DHS 75.15 Service Certification 08/2022 Word English No
F-03082A Initial Certification or Change of Ownership Application for DHS 75.49, DHS 75.50, DHS 75.51, and DHS 75.52 Service Certification 08/2022 Word English No
F-03082B Initial Certification or Change of Ownership Application for DHS 75.59 Service Certification 08/2022 Word English No
F-03082D Initial Certification or Change of Ownership Application for DHS 75.60 Service Certification 08/2022 Word English No
F-47463J Initial EMS Service Providers Operational Plan Components Checklist 09/2022 Word English No
F-02996 Initial Lead Abatement Certification Application 10/2023 PDF English No
F-02996S Initial Lead Abatement Certification Application, Spanish 11/2023 PDF Spanish No
F-02031 Initial Lead Application - Individual Certification 11/2023 PDF English No
N/A Injury Deaths, ICD-10 Codes 01/2015 PDF English No
P-00362 Injury of Unknown Source Flowchart (For All DQA-Regulated Entities) 08/2024 PDF English No

Glossary

 
Last revised August 16, 2024