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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-01009BH Wisconsin Medicaid Election of Hospice Benefit for Members 21 and Older, Hmong 12/2010 PDF Hmong No
F-01009BH Wisconsin Medicaid Election of Hospice Benefit for Members 21 and Older, Hmong 12/2010 Word Hmong No
F-01009BS Wisconsin Medicaid Election of Hospice Benefit for Members 21 and Older, Spanish 12/2010 PDF Spanish No
F-01009BS Wisconsin Medicaid Election of Hospice Benefit for Members 21 and Older, Spanish 12/2010 Word Spanish No
F-10101 Wisconsin Medicaid for the Elderly, Blind, or Disabled Application Packet 03/2024 PDF English Yes
F-10101DA Wisconsin Medicaid for the Elderly, Blind, or Disabled Application Packet, Dari 03/2024 PDF Dari (Afghan Persian) No
F-10101H Wisconsin Medicaid for the Elderly, Blind, or Disabled Application Packet, Hmong 03/2024 PDF Hmong No
F-10101PA Wisconsin Medicaid for the Elderly, Blind, or Disabled Application Packet, Pashto 03/2024 PDF Pashto No
F-10101S Wisconsin Medicaid for the Elderly, Blind, or Disabled Application Packet, Spanish 03/2024 PDF Spanish No
F-13152 Wisconsin Medicaid HIPAA Privacy Complaint 08/2018 PDF English No
F-13147 Wisconsin Medicaid HIPAA Privacy Restriction Request 07/2008 PDF English No
F-01008 Wisconsin Medicaid Notification of Hospice Benefit Election 05/2023 PDF English No
F-01008 Wisconsin Medicaid Notification of Hospice Benefit Election 05/2023 Word English No
N/A Wisconsin Medicaid Nursing Facility Payment Methods Meeting Agenda - July 24, 2023 07/2023 PDF English No
F-01011 Wisconsin Medicaid Physician Certification / Recertification of Terminal Illness 08/2019 PDF English No
F-01011 Wisconsin Medicaid Physician Certification / Recertification of Terminal Illness 08/2019 Word English No
F-01477 Wisconsin Medicaid Program Nursing Home Cost Report Website User Request 02/2017 Word English No
P-01254 Wisconsin Medicaid Promoting Interoperability Program Syndromic Surveillance Measure Guidance for Eligible Professionals 12/2020 PDF English No
F-03263 Wisconsin Medicaid Provider Self-Audit Overpayment Report 01/2024 PDF English No
P-00181 Wisconsin Medicaid Purchase Plan (MAPP) Consumer Guide 07/2024 PDF English No
P-00181H Wisconsin Medicaid Purchase Plan (MAPP) Consumer Guide, Hmong 07/2024 PDF Hmong No
P-00181S Wisconsin Medicaid Purchase Plan (MAPP) Consumer Guide, Spanish 07/2024 PDF Spanish No
P-01148 Wisconsin Medicaid School-Based Services 10/2008 PDF English No
P-02497 Wisconsin Medicaid Scorecard on Serving Children with Disabilities and/or Delays 2016-2018 07/2020 PDF English No
P-10063 Wisconsin Medicaid Spousal Impoverishment Protection 01/2024 PDF English No

Glossary

 
Last revised August 16, 2024