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Eligibility
Management (Income Maintenance) Home >> Customer
Help >> FoodShare Help >>
FoodShare Help
To see if you may be eligible or to apply, go to access.wi.gov.
Forms
Application Registration
— F-16019A
(PDF, 410KB)
— A short
form to get you started with with your FoodShare request.
Application
— F-16019B
(PDF, 472KB)
— A full application for FoodShare.
Income Change Report
—
F-16066
(PDF, 111KB) — To report changes in your income. You can
also report
changes online at access.wisconsin.gov.
Change Report
— F-16006
(PDF, 110KB) For people who are age 60 or over, blind or a person with a
disability to
report changes. You can also report changes online at access.wisconsin.gov.
Designation
of Authorized Buyer or Alternate Payee — F-16004 (PDF, 100KB)
— To appoint someone to be able to help you
use your benefits.
Authorization of Representative
— F-10126 (English,
Hmong,
Spanish)
(PDF,
600KB) — To appoint someone to apply for FoodShare for you.
Fair Hearing
Request — DHA
28 (exit DHS; PDF, 100KB) *(exit
DHS) — To request a hearing if you don't agree with a decision about
your benefits.
Fair
Hearing Voluntary Withdrawal — DHA
17 (PDF,
10KB) *(exit DHS) — If you want to withdraw your request for a hearing.
Self-Employment
Income Report (SEIRF) form —
F-00107,
(PDF KB) — Use this form to report self-employment income.
Publications
ForwardHealth Enrollment and Benefits handbook, P-00079, (English)
(PDF, 667KB) A handbook will be mailed to each
family who applies for a ForwardHealth Plan. Translations will be
available in the near future.
Guide to Applying for Wisconsin's Health and Nutrition
Programs — P-16091 (English,
Hmong,
Spanish), (PDF, 181KB)
EBT
Videos- To see Electronic Benefit Transfer (EBT) videos that explain
the use of the QUEST card.
Healthy
Start, Grow Smart: Baby's first year — one month at a time
Other Links
More information about Foodshare can be found at dhs.wisconsin.gov/foodshare/.
Agency
Directory - To find the telephone number and address of your local
agency.
Income
Limits - To find current income limits.
Legal
Services - To find the name and telephone number of who in your area
can provide you with legal help. You may also go to:
Last Revised:
May 16, 2012
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