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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 Injury Prevention Toolkit 07/2024 PDF English No
P-03027 Institutional Levels of Care: Children’s Long-Term Support Programs in Wisconsin 05/2022 PDF English No
F-10097 Institutional Medicaid Income Allocation 04/2024 PDF English No
F-10097H Institutional Medicaid Income Allocation, Hmong 04/2024 PDF Hmong No
F-10097S Institutional Medicaid Income Allocation, Spanish 04/2024 PDF Spanish No
P-02246I Instructions 09/2018 PDF English No
F-80983A Instructions - Completing the Civil Rights Complaint 04/2024 PDF English No
F-80983ABU Instructions - Completing the Civil Rights Complaint, Burmese 04/2024 PDF Burmese No
F-80983AH Instructions - Completing the Civil Rights Complaint, Hmong 04/2024 PDF Hmong No
F-80983AS Instructions - Completing the Civil Rights Complaint, Spanish 04/2024 PDF Spanish No
P-02616 Instructions and Requirements for the Use of Protective Equipment and Mechanical Restraints in Children's Long-Term Support Programs 02/2022 PDF English No
F-20582I Instructions for Completing the Application for Katie Beckett Medicaid 03/2023 PDF English No
F-20582IH Instructions for Completing the Application for Katie Beckett Medicaid, Hmong 03/2023 PDF Hmong No
F-20582IS Instructions for Completing the Application for Katie Beckett Medicaid, Spanish 03/2023 PDF Spanish No
F-00989I Instructions for Completing Wisconsin's Individualized Family Service Plan (IFSP) 03/2017 PDF English No
F-00950I Instructions for Coverage Decision Letter 01/2024 PDF English No
P-02573 Instructions for CWA Fiscal Staff to Access the CLTS Data Warehouse External CWA Templates Folder 01/2020 PDF English No
F-03112I Instructions for Logging HMO Appeals 01/2024 PDF English No
F-02466I Instructions for Logging MCO Appeals 12/2022 PDF English No
F-02466AI Instructions for Logging MCO Grievances 12/2022 PDF English No
F-00232I Instructions for Notice of Adverse Benefit Determination (Notice of Action) 12/2021 PDF English No
F-62022A Instructions for Report of Hours Worked and Resident Census Forms 02/2009 PDF English No
F-62022A Instructions for Report of Hours Worked and Resident Census Forms 02/2009 Word English No
F-00539 Instructions for the County Waiver Agency Support and Service Coordination (SSC) Rates 09/2019 PDF English No
P-00267 Instructions Related to 270/271 Health Care Eligibility Benefit Inquiry / Response Based ASC X 12 07/2018 PDF English No

Glossary

 
Last revised August 16, 2024