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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-22540 Instructions: Human Service Revenue Reporting - Expenditures by Revenue Source for Human Service Programs 05/2019 PDF English No
F-10110A Instructions: Medicaid/BadgerCare Plus Eligibility Certification 01/2018 HTML English No
F-02074A Instructions: Medicare Other Coverage Discrepancy Report 04/2018 PDF English No
F-11133A Instructions: Personal Care Screening Tool (PCST) 08/2017 PDF English No
F-11010A Instructions: Prior Authorization / Dental Attachment 1 (PA/DA1) Check Box Format 01/2018 PDF English No
F-11008A Instructions: Prior Authorization / Therapy Attachment (PA/TA) 07/2024 PDF English No
F-01248A Instructions: Prior Authorization Drug Attachment for Hepatitis C Agents Renewal 08/2016 PDF English No
P-45369 Insulin Pearls 08/2015 PDF English No
P-01904 Insulin Storage Guide 06/2023 PDF English No
P-45369 Insulin Therapy 2012 08/2015 PDF English No
P-45369E Insurance Coverage Past Year, 2015 02/2017 Excel English No
P-45369E Insurance Coverage Past Year, 2015 02/2017 PDF English No
P-45369E Insurance Coverage Past Year, 2016 06/2018 Excel English No
P-45369E Insurance Coverage Past Year, 2016 06/2018 PDF English No
P-45369 Insurance Coverage Past Year, 2017 01/2019 PDF English No
P-45369E Insurance Coverage Past Year, 2017 01/2019 Excel English No
P-45369E Insurance Coverage Past Year, 2018 09/2019 PDF English No
P-45369E Insurance Coverage Past Year, 2018 09/2019 Excel English No
P-45369E Insurance Coverage Past Year, 2019 09/2020 PDF English No
P-45369E Insurance Coverage Past Year, 2019 Excel 09/2020 Excel English No
P-03106 Intake Call and After Inquiry Guidance Sheet 09/2021 PDF English No
N/A Integrating Bright Futures into Public Health at the State and Local Levels 08/2015 PDF English No
P-03580B Integrating Health Equity into Local and Tribal Health Departments' Program Evaluation Plans - Resource Guide 07/2024 PDF English No
P-03565 Intensity-Modulated Radiation Therapy Issue Guide for Providers 01/2024 PDF English No
P-03590 Intensive Care Coordination Program 03/2024 PDF English No

Glossary

 
Last revised August 16, 2024