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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 Sample FoodShare Interview Scripts – Work Registration Requirements and ABAWD Requirements 10/2020 PDF English No
N/A Sample FoodShare Supplement Letter 07/2020 PDF English No
N/A Sample FSET Disenrollment Letter 07/2017 PDF English No
N/A Sample FSET Employment Plan Summary 07/2017 PDF English No
N/A Sample HCBW Denial Notice of Decision 07/2017 PDF English No
N/A Sample I-A Report 07/2015 PDF English No
N/A Sample Institutional Medicaid Approval Notice of Decision 07/2017 PDF English No
N/A Sample Letter Indicating Temporary Enrollment Has Been Extended 08/2016 PDF English No
N/A Sample Letter Indicating Temporary Enrollment Has Ended 08/2016 PDF English No
N/A Sample Level 1-A Report 11/2019 Word English No
N/A Sample Level of Care Termination Letter 09/2016 Word English No
N/A Sample Medicaid Purchase Plan Premiums Letter for COVID-19 04/2020 PDF English No
P-01787 Sample Medical Guideline - Law Enforcement Guidelines: Intranasal Narcan (Naloxone) Administration 04/2017 PDF English No
N/A Sample Medical Guidelines for Wisconsin Emergency Medical Services 08/2015 Word English No
P-01909 Sample Medications 04/2022 PDF English No
N/A Sample News Article (less than 250 words) - CLPP Week 2017 09/2017 Word English No
N/A Sample News Article (more than than 250 words) - CLPP Week 2017 09/2017 Word English No
N/A Sample Notice of Decision for FoodShare, Health Care, and Caretaker Supplement 02/2018 PDF English No
N/A Sample Notice of Decision for Wisconsin Shares and Wisconsin Works 02/2018 PDF English No
N/A Sample notices of pending 07/2020 PDF English No
N/A Sample One-Time Letter 07/2016 PDF English No
P-03039 Sample Patient Assessment Script: Cough 06/2021 PDF English No
P-03046 Sample Patient Assessment Script: Dysuria 06/2021 PDF English No
P-03047 Sample Patient Assessment Script: Sinus 06/2021 PDF English No
N/A Sample Program Manager Level I-B Decision - PDF 06/2016 PDF English No

Glossary

 
Last revised August 16, 2024