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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-10093 Wisconsin Medicaid and BadgerCare Plus Overpayment Notice 09/2019 Word English No
P-10022 Wisconsin Medicaid and BadgerCare Plus Tuberculosis-Related Only Services 01/2024 PDF English No
P-10022BU Wisconsin Medicaid and BadgerCare Plus Tuberculosis-Related Only Services, Burmese 01/2024 PDF Burmese No
P-10022DA Wisconsin Medicaid and BadgerCare Plus Tuberculosis-Related Only Services, Dari 01/2024 PDF Dari (Afghan Persian) No
P-10022H Wisconsin Medicaid and BadgerCare Plus Tuberculosis-Related Only Services, Hmong 01/2024 PDF Hmong No
P-10022RN Wisconsin Medicaid and BadgerCare Plus Tuberculosis-Related Only Services, Kirundi 01/2024 PDF Rundi (Kirundi) No
P-10022R Wisconsin Medicaid and BadgerCare Plus Tuberculosis-Related Only Services, Russian 01/2024 PDF Russian No
P-10022S Wisconsin Medicaid and BadgerCare Plus Tuberculosis-Related Only Services, Spanish 01/2024 PDF Spanish No
P-10022UK Wisconsin Medicaid and BadgerCare Plus Tuberculosis-Related Only Services, Ukrainian 01/2024 PDF Ukrainian No
F-01003 Wisconsin Medicaid Certification of Public Expenditures 07/2008 PDF English No
F-13150 Wisconsin Medicaid Confidential or Alternative Communication Request 04/2019 PDF English No
F-11079A Wisconsin Medicaid Cost Report for Independent and Provider-Based (Affiliated Hospital Having More Than 50 Beds)Rural Health Clinics Completion Instructions 07/2017 PDF English No
F-00312 Wisconsin Medicaid CRS Benefit Provider Agreement and Acknowledgement of Terms of Participation 08/2016 Word English No
F-00312A Wisconsin Medicaid CRS Benefit Provider Agreement and Acknowledgement of Terms of Participation for Individual or Non-Specified Community Recovery Services Providers 08/2016 Word English No
P-10058 Wisconsin Medicaid Divestment 01/2024 PDF English No
P-10058H Wisconsin Medicaid Divestment, Hmong 01/2024 PDF Hmong No
P-10058S Wisconsin Medicaid Divestment, Spanish 01/2024 PDF Spanish No
F-01009A Wisconsin Medicaid Election of Hospice Benefit for Members 20 and Under 12/2010 PDF English No
F-01009A Wisconsin Medicaid Election of Hospice Benefit for Members 20 and Under 12/2010 Word English No
F-01009AH Wisconsin Medicaid Election of Hospice Benefit for Members 20 and Under, Hmong 12/2010 PDF Hmong No
F-01009AH Wisconsin Medicaid Election of Hospice Benefit for Members 20 and Under, Hmong 12/2010 Word Hmong No
F-01009AS Wisconsin Medicaid Election of Hospice Benefit for Members 20 and Under, Spanish 12/2010 Word Spanish No
F-01009AS Wisconsin Medicaid Election of Hospice Benefit for Members 20 and Under, Spanish 12/2010 PDF Spanish No
F-01009B Wisconsin Medicaid Election of Hospice Benefit for Members 21 and Older 12/2010 Word English No
F-01009B Wisconsin Medicaid Election of Hospice Benefit for Members 21 and Older 12/2010 PDF English No

Glossary

 
Last revised August 16, 2024