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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 Medicaid Purchase Plan Work Requirement Letter for COVID-19 04/2020 PDF English No
P-10071H Medicaid Purchase Plan, Hmong 07/2024 PDF Hmong No
P-10071S Medicaid Purchase Plan, Spanish 07/2024 PDF Spanish No
F-10106S Medicaid Qualified Medicare Beneficiary (QMB) Specified Low-Income Medicare Beneficiary (SLMB) / Specified Low-Income Medicare Beneficiary Plus (SLMB+) Approval Decision Notice, Spanish 07/2008 PDF Spanish No
F-10106 Medicaid Qualified Medicare Beneficiary (QMB) Specified Low-Income Medicare Beneficiary (SLMB) Specified Low-Income Medicare Beneficiary Plus (SLMB+) Approval Decision Notice 07/2008 PDF English No
F-10107 Medicaid Qualified Medicare Beneficiary (QMB) Specified Low-Income Medicare Beneficiary (SLMB) Specified Low-Income Medicare Beneficiary Plus (SLMB+) Negative Decision Notice 07/2008 PDF English No
F-10107S Medicaid Qualified Medicare Beneficiary (QMB) Specified Low-Income Medicare Beneficiary (SLMB) Specified Low-Income Medicare Beneficiary Plus (SLMB+) Negative Decision Notice, Spanish 07/2008 PDF Spanish No
P-03478A Medicaid Renewals for Older Adults - Flyer 07/2023 PDF English No
P-03478AH Medicaid Renewals for Older Adults - Flyer, Hmong 07/2023 PDF Hmong No
P-03478AS Medicaid Renewals for Older Adults - Flyer, Spanish 07/2023 PDF Spanish No
P-03478B Medicaid Renewals for Older Adults - Outreach Card 07/2023 PDF English No
P-03478BH Medicaid Renewals for Older Adults - Outreach Card, Hmong 07/2023 PDF Hmong No
P-03478BS Medicaid Renewals for Older Adults - Outreach Card, Spanish 07/2023 PDF Spanish No
P-03478C Medicaid Renewals for Older Adults - Pharmacy 07/2023 PDF English No
P-03478CH Medicaid Renewals for Older Adults - Pharmacy, Hmong 07/2023 PDF Hmong No
P-03478CS Medicaid Renewals for Older Adults - Pharmacy, Spanish 07/2023 PDF Spanish No
P-03478 Medicaid Renewals for Older Adults - Poster 07/2023 PDF English No
P-03478H Medicaid Renewals for Older Adults - Poster, Hmong 07/2023 PDF Hmong No
P-03478S Medicaid Renewals for Older Adults - Poster, Spanish 07/2023 PDF Spanish No
N/A Medicaid State Plan - 3.1A Supplement 1 Case Management 11/2018 PDF English No
N/A Medicaid State Plan - 3.1A Supplement 1A 11/2018 PDF English No
N/A Medicaid State Plan - 3.1A Supplement 2 09/2022 PDF English No
N/A Medicaid State Plan - 3.1A Supplement 3 07/2021 PDF English No
N/A Medicaid State Plan - 3.1B 07/2021 PDF English No
N/A Medicaid State Plan - 3.1B Supplement 1 07/2021 PDF English No

Glossary

 
Last revised August 16, 2024