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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-00330G Request for Replacement FoodShare and/or Summer EBT Benefits, German 06/2024 PDF German No
F-00330H Request for Replacement FoodShare and/or Summer EBT Benefits, Hmong 06/2024 PDF Hmong No
F-00330L Request for Replacement FoodShare and/or Summer EBT Benefits, Laotian 06/2024 PDF Laotian No
F-00330R Request for Replacement FoodShare and/or Summer EBT Benefits, Russian 06/2024 PDF Russian No
F-00330SO Request for Replacement FoodShare and/or Summer EBT Benefits, Somali 06/2024 PDF Somali No
F-00330S Request for Replacement FoodShare and/or Summer EBT Benefits, Spanish 06/2024 PDF Spanish No
F-20572 Request for State Public Funding for Non-Residents 05/2020 Word English No
F-62608 Request for Use of Medical Restraints 03/2017 Word English No
F-62608 Request for Use of Medical Restraints 03/2017 PDF English No
F-00926A Request for Use of Medical Restraints - CLTSS 02/2017 PDF English No
F-00926A Request for Use of Medical Restraints - CLTSS 02/2017 Word English No
F-62607 Request for Use of Restraints, Isolation, or Protective Equipment as Part of a Behavior Support Plan 03/2017 Word English No
F-62607 Request for Use of Restraints, Isolation, or Protective Equipment as Part of a Behavior Support Plan 03/2017 PDF English No
F-00569 Request for Waiver of Administrative Rule for Licensure 09/2019 Word English No
F-03282 Request for Waiver of Administrative Rule—Trauma Care Services 06/2024 PDF English No
F-01149 Request for Waiver of Physical Therapist Assistant and Occupational Therapy Assistant Supervision Requirements 07/2012 PDF English No
F-01149 Request for Waiver of Physical Therapist Assistant and Occupational Therapy Assistant Supervision Requirements 07/2012 Word English No
F-00054A Request for Waiver of Requirements Relating to Co-Location of an ADRC and ICA/MCO or ADRC and Staff Subcontracted to an ICA/MCO 07/2016 Word English No
F-00054B Request for Waiver of Requirements Relating to Organizational Separation when MCO Care Management is Subcontracted to the Same Agency Responsible for ADRC 07/2016 Word English No
F-22539 Request for Waiver of State SSI or Caretaker Supplement Overpayment Recovery or Change in Repayment Rate 06/2015 PDF English No
F-00054D Request for Waiver of the 0.5 Full-Time Equivalent Requirement for ADRC Staff 07/2016 Word English No
F-02068 Request to Establish a Children's COP Risk Reserve 04/2017 Word English No
F-03266 Request to Lower Your FoodShare Overpayment 02/2024 PDF English No
F-03266H Request to Lower Your FoodShare Overpayment, Hmong 02/2024 PDF Hmong No
F-03266S Request to Lower Your FoodShare Overpayment, Spanish 02/2024 PDF Spanish No

Glossary

 
Last revised August 16, 2024