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 Sort descending Release Date File Type Language Available to Order
F-62274A Personal Care Agency Consent for Home Visit 05/2013 PDF English
F-62274AH Personal Care Agency Consent for Home Visit, Hmong 05/2013 PDF Hmong
F-62274AS Personal Care Agency Consent for Home Visit, Spanish 05/2013 PDF Spanish
F-62652A Personal Care Agency Home Visit Guide 06/2010 PDF English
F-62652A Personal Care Agency Home Visit Guide 06/2010 Word English
F-00261 Personal Care Agency Personnel Record Review 11/2022 PDF English
F-00261 Personal Care Agency Personnel Record Review 06/2010 Word English
N/A Personal Care Agency Provider Directory 09/2024 PDF English
N/A Personal Care Agency Provider Directory in Excel 09/2024 Excel English
F-00263 Personal Care Agency Record Review 10/2022 PDF English
F-00263 Personal Care Agency Record Review 10/2022 Word English
F-62648A Personal Care Agency Sample Selection 06/2010 PDF English
F-62648A Personal Care Agency Sample Selection 06/2010 Word English
F-00909 Personal Care Consumer Survey 11/2013 HTML English
F-11134 Personal Care Prior Authorization Provider Acknowledgement 07/2012 Word English
F-11134 Personal Care Prior Authorization Provider Acknowledgement 07/2012 PDF English
F-11271 Personal Care Provider Addendum 09/2019 PDF English
F-11271 Personal Care Provider Addendum 09/2019 Word English
F-11133 Personal Care Screening Tool (PCST) 08/2017 Word English
F-11133 Personal Care Screening Tool (PCST) 08/2017 PDF English
P-01672 Personal Care Terms of Reimbursement 10/2021 PDF English
P-03161 Personal Continuous Glucose Monitoring Survey 12/2021 PDF English
F-02645 Personal Protective Equipment (PPE) Reserve Request 04/2020 Word English
F-02645 Personal Protective Equipment (PPE) Reserve Request 04/2020 PDF English
P-02630 Personal Protective Equipment (PPE) Reserve Request Process 04/2020 PDF English

Glossary

 
Last revised August 16, 2024