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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-10192 Medicaid Annuity Information - Disclosure 01/2009 PDF English No
F-10095 Medicaid Asset Assessment Medical Institution / Community Waiver Resident and Community Spouse 07/2015 PDF English No
F-10095S Medicaid Asset Assessment Medical Institution / Community Waiver Resident and Community Spouse, Spanish 07/2008 PDF Spanish No
F-10137 Medicaid Change Report 06/2023 PDF English No
F-10137DA Medicaid Change Report, Dari 06/2023 PDF Dari (Afghan Persian) No
F-10137H Medicaid Change Report, Hmong 06/2023 PDF Hmong No
F-10137PA Medicaid Change Report, Pashto 06/2023 PDF Pashto No
F-10137S Medicaid Change Report, Spanish 06/2023 PDF Spanish No
F-01298 Medicaid Deductible Worksheet 07/2014 PDF English No
F-10112 Medicaid Disability Application 04/2024 PDF English Yes
F-10112H Medicaid Disability Application, Hmong 04/2024 PDF Hmong No
F-10112S Medicaid Disability Application, Spanish 04/2024 PDF Spanish No
F-10114 Medicaid Disability Redetermination Report 10/2023 PDF English No
P-10030 Medicaid Eligibility Handbook Release 15-01 06/2015 PDF English No
P-10030 Medicaid Eligibility Handbook Release 15-02 07/2015 PDF English No
P-10030 Medicaid Eligibility Handbook Release 15-03 11/2015 PDF English No
P-10030 Medicaid Eligibility Handbook Release 16-01 06/2016 PDF English No
P-10030 Medicaid Eligibility Handbook Release 16-02 06/2016 PDF English No
P-10030 Medicaid Eligibility Handbook Release 17-01 05/2017 PDF English No
P-10030 Medicaid Eligibility Handbook Release 17-02 06/2017 PDF English No
P-10030 Medicaid Eligibility Handbook Release 17-03 11/2017 PDF English No
P-10030 Medicaid Eligibility Handbook Release 18-01 04/2018 PDF English No
P-10030 Medicaid Eligibility Handbook Release 18-02 08/2018 PDF English No
P-10030 Medicaid Eligibility Handbook Release 18-03 12/2018 PDF English No
P-10030 Medicaid Eligibility Handbook Release 19-01 04/2019 PDF English No

Glossary

 
Last revised August 16, 2024