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Wisconsin Department of Health Services

 

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Forms

  • TEFAP Eligibility Certification

    • F-40059 
      English, Revised 4/11 (Word-fillable) 

    • F-40059H
      Hmong, Revised 04/09 

    • F-40059R
      Russian, Revised 04/09 (Word-fillable) 

    • F-40059S
      Spanish, Revised 04/1 (Word-fillable) 

    • F-40059AS
      Spanish Migrant, Revised 04-09 (Word-fillable) 

  • Emergency Feeding Organization (EFO) Monitoring

  • TEFAP/CSFP Commodity Loss Report

  • TEFAP Outlet Review Report

  • TEFAP/CSFP Commodity Complaint

  • TEFAP Commodities Inventory

  • Transfer of TEFAP Commodities Between EFOs

  • Storage Facility Review Monitoring Report

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Last Revised: July 05, 2011