| Access Business Card
|
P-16077
|
PDF
|
9/1/2010
|
English
|
| Access Business Card - Spanish
|
P-16077S
|
PDF
|
9/1/2010
|
Spanish
|
| Access Participant Brochure
|
P-16080
|
PDF
|
5/1/2008
|
English
|
| Access Participant Brochure - Spanish
|
P-16080S
|
PDF
|
5/1/2008
|
Spanish
|
| Access Poster
|
P-16084
|
PDF
|
9/1/2010
|
English
|
| Access Poster - Spanish
|
P-16084S
|
PDF
|
9/1/2010
|
Spanish
|
| Access Poster Tear Off Sheet
|
P-16084A
|
PDF
|
9/1/2010
|
English
|
| Access Poster Tear Off Sheet - Spanish
|
P-16084AS
|
PDF
|
9/1/2010
|
Spanish
|
| Administrative Disqualification Hearing Notice
|
F-16038
|
PDF
|
10/1/2011
|
English
|
| Affidavit of Return or Exchange of Food Coupons
|
F-19002
|
PDF
|
12/1/1997
|
English
|
| Agency Response to the State Quality Assurance (QA) FoodShare (FS) Finding
|
F-16050
|
PDF
|
7/1/2008
|
English
|
| BadgerCare Plus Supplement to FoodShare Wisconsin Application
|
F-10138
|
PDF
|
7/1/2008
|
English
|
| Designation of Authorized Buyer / Alternate Payee for FoodShare Benefits
|
F-16004
|
PDF
|
7/1/2008
|
English
|
| Designation of Authorized Buyer / Alternate Payee for FoodShare Benefits - Hmong
|
F-16004H
|
PDF
|
7/1/2008
|
Hmong
|
| Designation of Authorized Buyer / Alternate Payee for FoodShare Benefits - Russian
|
F-16004R
|
PDF
|
7/1/2008
|
Russian
|
| Designation of Authorized Buyer / Alternate Payee for FoodShare Benefits - Spanish
|
F-16004S
|
PDF
|
7/1/2008
|
Spanish
|
| Disaster FoodShare Program Notice
|
F-16105
|
Word
|
11/1/2010
|
English
|
| Disaster FoodShare Wisconsin Assistance Application
|
F-16060
|
PDF
|
7/1/2008
|
English
|
| Disaster FoodShare Wisconsin Assistance Application - Spanish
|
F-16060S
|
PDF
|
7/1/2008
|
Spanish
|
| Disqualification Consent Agreement
|
F-16025
|
PDF
|
11/1/2011
|
English
|
| Disqualification Consent Agreement - Spanish
|
F-16025S
|
PDF
|
11/1/2011
|
Spanish
|
| Employment Verification of Earnings
|
F-10146
|
Word
|
7/1/2008
|
English
|
| Facts about FoodShare (SNAP) for
Seniors and People with Disabilities
|
P-16013
|
PDF
|
6/1/2010
|
English
|
| Facts about FoodShare Wisconsin for
Senior Citizens and People with Disabilities - Spanish
|
P-16013S
|
PDF
|
8/1/2007
|
Spanish
|
| FoodShare and/or Child Care Six Month Report
|
F-16076
|
PDF
|
7/1/2008
|
English
|
| FoodShare and/or Child Care Six Month Report - Spanish
|
F-16076S
|
PDF
|
7/1/2008
|
Spanish
|
| FoodShare and/or Child Care Six Month Report Form Instructions
|
F-16076A
|
PDF
|
7/1/2008
|
English
|
| FoodShare and/or Child Care Six Month Report Form Instructions - Spanish
|
F-16076AS
|
PDF
|
7/1/2008
|
Spanish
|
| FoodShare Employment and Training (FSET) Participation Agreement
|
F-00136
|
PDF
|
7/1/2009
|
English
|
| FoodShare Employment and Training (FSET) Participation Agreement - Hmong
|
F-00136H
|
PDF
|
7/1/2009
|
Hmong
|
| FoodShare Employment and Training (FSET) Participation Agreement - Spanish
|
F-00136S
|
PDF
|
7/1/2009
|
Spanish
|
| FoodShare Makes Wisconsin Healthier Brochure
|
P-16063
|
PDF
|
10/1/2009
|
English
|
| FoodShare Makes Wisconsin Healthier Brochure - Spanish
|
P-16063S
|
PDF
|
10/1/2009
|
Spanish
|
| FoodShare Makes Wisconsin Healthier Fact Sheet
|
P-16062
|
PDF
|
10/1/2009
|
English
|
| FoodShare Makes Wisconsin Healthier Fact Sheet - Hmong
|
P-16062H
|
PDF
|
10/1/2009
|
Hmong
|
| FoodShare Makes Wisconsin Healthier Fact Sheet - Russian
|
P-16062R
|
PDF
|
10/1/2009
|
Russian
|
| FoodShare Makes Wisconsin Healthier Fact Sheet - Spanish
|
P-16062S
|
PDF
|
10/1/2009
|
Spanish
|
| FoodShare Renewal Request for a Closed Case
|
F-00363
|
Word
|
1/1/2011
|
English
|
| FoodShare Renewal Request for a Closed Case - Hmong
|
F-00363H
|
Word
|
1/1/2011
|
Hmong
|
| FoodShare Renewal Request for a Closed Case - Spanish
|
F-00363S
|
Word
|
1/1/2011
|
Spanish
|
| FoodShare Wisconsin Application / Registration
|
F-16019B
|
PDF
|
6/1/2011
|
English
|
| FoodShare Wisconsin Application / Registration - Hmong
|
F-16019BH
|
PDF
|
2/1/2011
|
Hmong
|
| FoodShare Wisconsin Application / Registration - Spanish
|
F-16019BS
|
PDF
|
2/1/2011
|
Spanish
|
| FoodShare Wisconsin Change Report
|
F-16006
|
PDF
|
8/1/2008
|
English
|
| FoodShare Wisconsin Change Report - Hmong
|
F-16006H
|
PDF
|
7/1/2008
|
Hmong
|
| FoodShare Wisconsin Change Report - Russian
|
F-16006R
|
PDF
|
7/1/2008
|
Russian
|
| FoodShare Wisconsin Change Report - Spanish
|
F-16006S
|
PDF
|
7/1/2008
|
Spanish
|
| FoodShare Wisconsin Fact Sheet - FoodShare and / or Child Care Six Month Report Form
|
P-16078
|
PDF
|
2/1/2009
|
English
|
| FoodShare Wisconsin Fact Sheet - FoodShare and / or Child Care Six Month Report Form - Spanish
|
P-16078S
|
PDF
|
2/1/2009
|
Spanish
|
| FoodShare Wisconsin Fact Sheet - Quality Assurance and Your Review - Hmong
|
P-16000H
|
PDF
|
2/1/2009
|
Hmong
|
| FoodShare Wisconsin Fact Sheet - Quality Assurance and Your Review - Russian
|
P-16000R
|
PDF
|
2/1/2009
|
Russian
|
| FoodShare Wisconsin Fact Sheet - Quality Assurance and Your Review - Spanish
|
P-16000S
|
PDF
|
2/1/2009
|
Spanish
|
| FoodShare Wisconsin Fact Sheet - Quality Assurance Review
|
P-16000
|
PDF
|
2/1/2009
|
English
|
| FoodShare Wisconsin Fact Sheet - Transitional FoodShare
|
P-16074
|
PDF
|
2/1/2011
|
English
|
| FoodShare Wisconsin Fact Sheet - Transitional FoodShare - Spanish
|
P-16074S
|
PDF
|
2/1/2009
|
Spanish
|
| FoodShare Wisconsin Income Change Report
|
F-16066
|
PDF
|
10/1/2011
|
English
|
| FoodShare Wisconsin Income Change Report - Hmong
|
F-16066H
|
PDF
|
10/1/2008
|
Hmong
|
| FoodShare Wisconsin Income Change Report - Spanish
|
F-16066S
|
PDF
|
10/1/2008
|
Spanish
|
| FoodShare Wisconsin Nonfinancial Worksheet
|
F-16073
|
PDF
|
8/1/2008
|
English
|
| FoodShare Wisconsin Registration / Important Information
|
F-16019A
|
PDF
|
2/1/2011
|
English
|
| FoodShare Wisconsin Registration Important Information - Hmong
|
F-16019AH
|
PDF
|
2/1/2011
|
Hmong
|
| FoodShare Wisconsin Registration Important Information - Spanish
|
F-16019AS
|
PDF
|
2/1/2011
|
Spanish
|
| FoodShare Wisconsin Repayment Agreement
|
F-16029
|
PDF
|
7/1/2008
|
English
|
| FoodShare Wisconsin Repayment Agreement - Spanish
|
F-16029S
|
PDF
|
7/1/2008
|
Spanish
|
| FoodShare Wisconsin Under / Over Issuance Worksheet
|
F-16030
|
PDF
|
7/1/2011
|
English
|
| FoodShare Worksheet
|
F-16033
|
PDF
|
7/1/2011
|
English
|
| ForwardHealth Enrollment and Benefits Handbook
|
P-00079
|
PDF
|
10/1/2011
|
English
|
| ForwardHealth Enrollment and Benefits Handbook - Spanish
|
P-00079S
|
PDF
|
6/1/2009
|
Spanish
|
| Guide to Applying for Wisconsin Health and Nutrition Programs
|
P-16091
|
PDF
|
5/1/2011
|
English
|
| Guide to Applying for Wisconsin's Health and Nutrition Programs - Hmong
|
P-16091H
|
PDF
|
1/1/2011
|
Hmong
|
| Guide to Applying for Wisconsin's Health and Nutrition Programs - Spanish
|
P-16091S
|
PDF
|
1/1/2011
|
Spanish
|
| Income Maintenance Quality Assurance (IMQA) Web Request
|
F-16083
|
PDF
|
8/1/2011
|
English
|
| Life Insurance Inquiry
|
F-10144
|
Word
|
7/1/2008
|
English
|
| Local Agency Customer Feedback
|
F-16104
|
PDF
|
11/1/2009
|
English
|
| Local Agency Customer Feedback - Spanish
|
F-16104S
|
PDF
|
11/1/2009
|
Spanish
|
| Medicaid / BadgerCare Plus / FoodShare Wisconsin Authorization of Representative
|
F-10126
|
PDF
|
7/1/2008
|
English
|
| Medicaid / BadgerCare Plus / FoodShare Wisconsin Authorization of Representative - Hmong
|
F-10126H
|
PDF
|
7/1/2008
|
Hmong
|
| Medicaid / BadgerCare Plus / FoodShare Wisconsin Authorization of Representative - Spanish
|
F-10126S
|
PDF
|
7/1/2008
|
Spanish
|
| MilES Contact Poster
|
P-00084
|
Paper
|
1/1/2010
|
English
|
| MilES Contact Poster - Hmong
|
P-00084H
|
Paper
|
1/1/2010
|
Hmong
|
| MilES Contact Poster - Spanish
|
P-00084S
|
Paper
|
1/1/2010
|
Spanish
|
| MilES Contact Poster Tear Off Sheets
|
P-00084A
|
Paper
|
1/1/2010
|
English
|
| MilES Contact Poster Tear Off Sheets - Hmong
|
P-00084AH
|
Paper
|
1/1/2010
|
Hmong
|
| MilES Contact Poster Tear Off Sheets - Spanish
|
P-00084AS
|
Paper
|
1/1/2010
|
Spanish
|
| MilES Key Contacts
|
P-00087
|
HTML
|
12/1/2009
|
English
|
| MilES Key Contacts - Hmong
|
P-00087H
|
PDF
|
12/1/2009
|
Hmong
|
| MilES Key Contacts - Spanish
|
P-00087S
|
PDF
|
12/1/2009
|
Spanish
|
| My Access Account Brochure
|
P-00219
|
PDF
|
9/1/2010
|
English
|
| My Access Account Brochure - Spanish
|
P-00219S
|
Paper
|
9/1/2010
|
Spanish
|
| Negative Notice
|
F-16001
|
PDF
|
7/1/2008
|
English
|
| Negative Notice
|
F-16001
|
Word
|
7/1/2008
|
English
|
| Negative Notice - Spanish
|
F-16001S
|
PDF
|
7/1/2008
|
Spanish
|
| Notice of Disqualification
|
F-16024
|
PDF
|
7/1/2008
|
English
|
| Notice of Disqualification - Spanish
|
F-16024S
|
PDF
|
7/1/2008
|
Spanish
|
| Notice of FoodShare Over issuance
|
F-16028
|
PDF
|
7/1/2008
|
English
|
| Notice of FoodShare Overissuance - Spanish
|
F-16028S
|
PDF
|
7/1/2008
|
Spanish
|
| Notice of Program Violation
|
F-16014
|
PDF
|
7/1/2008
|
English
|
| Positive Notice
|
F-16015
|
PDF
|
7/1/2008
|
English
|
| Positive Notice
|
F-16015
|
Word
|
7/1/2008
|
English
|
| Positive Notice - Spanish
|
F-16015S
|
PDF
|
7/1/2008
|
Spanish
|
| Prosecution Diversion Agreement
|
F-16026
|
PDF
|
7/1/2008
|
English
|
| Quality Assurance (QA) Sample Check List
|
F-16011
|
PDF
|
7/1/2008
|
English
|
| QUEST Card Mailer / Wallet Card Only
|
P-16075
|
PDF
|
11/1/2007
|
English
|
| QUEST Card Mailer / Wallet Card Only - Hmong
|
P-16075H
|
PDF
|
11/1/2007
|
Hmong
|
| QUEST Card Mailer / Wallet Card Only - Russian
|
P-16075R
|
PDF
|
11/1/2007
|
Russian
|
| QUEST Card Mailer / Wallet Card Only - Spanish
|
P-16075S
|
PDF
|
11/1/2007
|
Spanish
|
| Request for Replacement FoodShare Benefits
|
F-00330
|
PDF
|
11/1/2010
|
English
|
| Self-Employment Income Report
|
F-00107
|
PDF
|
5/1/2010
|
English
|
| Self-Employment Income Report (Worksheet)
|
F-00107W
|
PDF
|
5/1/2010
|
English
|
| Self-Employment Income Report - Farmer
|
F-00219
|
PDF
|
5/1/2010
|
English
|
| Self-Employment Income Report - Farmer (Worksheet)
|
F-00219W
|
PDF
|
5/1/2010
|
English
|
| Self-Employment Income Report - Farmer - Hmong
|
F-00219H
|
PDF
|
5/1/2010
|
Hmong
|
| Self-Employment Income Report - Farmer - Spanish
|
F-00219S
|
PDF
|
5/1/2010
|
Spanish
|
| Self-Employment Income Report - Hmong
|
F-00107H
|
PDF
|
5/1/2010
|
Hmong
|
| Self-Employment Income Report - Spanish
|
F-00107S
|
PDF
|
5/1/2010
|
Spanish
|
| Self-Employment Income Worksheet - Corporation
|
F-16034
|
PDF
|
2/1/2010
|
English
|
| Self-Employment Income Worksheet - Partnership
|
F-16036
|
PDF
|
5/1/2009
|
English
|
| Self-Employment Income Worksheet - Sole Proprietor Farm and Other Business
|
F-16037
|
PDF
|
5/1/2009
|
English
|
| Self-Employment Income Worksheet - Subchapter S Corporation
|
F-16035
|
PDF
|
5/1/2009
|
English
|
| Social Security Number Referral
|
F-16022
|
PDF
|
7/1/2008
|
English
|
| Social Security Number Referral - Hmong
|
F-16022H
|
PDF
|
7/1/2008
|
Hmong
|
| Social Security Number Referral - Spanish
|
F-16022S
|
PDF
|
7/1/2008
|
Spanish
|
| Striker Evaluation
|
F-16023
|
PDF
|
7/1/2008
|
English
|
| Summary of Information Letter
|
F-00098
|
Word
|
6/1/2009
|
English
|
| Supplemental Disaster FoodShare Program (DFSP) Affidavit
|
F-00325
|
PDF
|
11/1/2010
|
English
|
| Supplemental Disaster FoodShare Program (DFSP) Affidavit - Spanish
|
F-00325S
|
PDF
|
11/1/2010
|
Spanish
|
| Waiver of Administrative Disqualification Hearing
|
F-16039
|
PDF
|
10/1/2011
|
English
|
| Waiver of Administrative Disqualification Hearing - Spanish
|
F-16039S
|
PDF
|
10/1/2011
|
Spanish
|
| Wisconsin Medicaid Supplement to FoodShare Wisconsin Application
|
F-10140
|
PDF
|
7/1/2008
|
English
|
| Wisconsin Medicaid Supplement to FoodShare Wisconsin Application - Spanish
|
F-10140S
|
PDF
|
7/1/2008
|
Spanish
|
| Your FoodShare Rights Poster
|
P-00102
|
Paper
|
10/1/2009
|
English
|
| Your FoodShare Rights Poster (Hmong)
|
P-00102H
|
Paper
|
10/1/2009
|
Hmong
|
| Your FoodShare Rights Poster (Spanish)
|
P-00102S
|
Paper
|
10/1/2009
|
Spanish
|
| Your Rights and Responsibilities for Wisconsin Works (W-2) Services, Child Care Assistance, Medicaid / BadgerCare Plus and FoodShare Wisconsin
|
F-10150
|
PDF
|
7/1/2008
|
English
|
| Your Rights and Responsibilities for Wisconsin Works (W-2) Services, Child Care Assistance, Medicaid / BadgerCare Plus and FoodShare Wisconsin - Spanish
|
F-10150S
|
PDF
|
7/1/2008
|
Spanish
|
