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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-16001L Notice of Denial of Benefits/Negative Change in Benefits, Laotian 05/2018 PDF Laotian No
F-16001R Notice of Denial of Benefits/Negative Change in Benefits, Russian 05/2018 PDF Russian No
F-16001SO Notice of Denial of Benefits/Negative Change in Benefits, Somali 05/2018 PDF Somali No
F-16001S Notice of Denial of Benefits/Negative Change in Benefits, Spanish 05/2018 Word Spanish No
F-00950A Notice of Denial of Medical Coverage - PACE 06/2020 Word English No
F-00950AAR Notice of Denial of Medical Coverage - PACE, Arabic 06/2020 Word Arabic No
F-00950ACM Notice of Denial of Medical Coverage - PACE, Chinese (Simplified) 06/2020 Word Chinese (Simplified) No
F-00950AH Notice of Denial of Medical Coverage - PACE, Hmong 06/2020 Word Hmong No
F-00950AAL Notice of Denial of Medical Coverage - PACE, Laotian 06/2020 Word Laotian No
F-00950ASE Notice of Denial of Medical Coverage - PACE, Serbo-Croatian 06/2020 Word Serbian (Serbo-Croatian) No
F-00950ASO Notice of Denial of Medical Coverage - PACE, Somali 06/2020 Word Somali No
F-00950AS Notice of Denial of Medical Coverage - PACE, Spanish 06/2020 Word Spanish No
F-00950 Notice of Denial of Medical Coverage for Partnership 04/2024 Word English No
F-00950AR Notice of Denial of Medical Coverage for Partnership, Arabic 04/2024 Word Arabic No
F-00950CM Notice of Denial of Medical Coverage for Partnership, Chinese (Simplified) 04/2024 Word Chinese (Simplified) No
F-00950H Notice of Denial of Medical Coverage for Partnership, Hmong 04/2024 Word Hmong No
F-00950L Notice of Denial of Medical Coverage for Partnership, Laotian 04/2024 Word Laotian No
F-00950R Notice of Denial of Medical Coverage for Partnership, Russian 04/2024 Word Russian No
F-00950SE Notice of Denial of Medical Coverage for Partnership, Serbo-Croatian 04/2024 Word Serbian (Serbo-Croatian) No
F-00950SO Notice of Denial of Medical Coverage for Partnership, Somali 04/2024 Word Somali No
F-00950S Notice of Denial of Medical Coverage for Partnership, Spanish 04/2024 Word Spanish No
P-44545 Notice of Exclusion 08/2016 PDF English No
P-44545H Notice of Exclusion, Hmong 08/2016 PDF Hmong No
P-44545SO Notice of Exclusion, Somali 08/2016 PDF Somali No
P-44545S Notice of Exclusion, Spanish 08/2016 PDF Spanish No

Glossary

 
Last revised August 16, 2024