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Wisconsin Department of Health Services

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FoodShare Wisconsin Home >> FoodShare & FSET Forms and Publications

 

FoodShare & FSET Forms and Publications

Applications | Brochures/Handbooks | Fact Sheets | Forms | Income Limit | Videos

Applications

  • ACCESS Apply Online
  • FoodShare Wisconsin Application Form - Includes the Registration and Important Information, F-16019A (English, Hmong, Spanish) (PDF, 66 KB)
  • FoodShare Wisconsin Application Form - Includes the Registration, Important Information and Application, F-16019B (English, Hmong, Spanish) (PDF, 143 KB)

Brochures/Handbooks

  • FoodShare Makes Wisconsin Healthier, P-16063 (English, Spanish, Hmong) (PDF, 548 KB)
  • ForwardHealth Enrollment and Benefits Handbook - July 2014 P-00079 (English) (PDF 2.6 MB)
    ForwardHealth Enrollment and Benefits Handbook - November 2013 P-00079-P
    (English, Spanish) (PDF 3.3 MB)
    A handbook will be mailed to each family who applies for a ForwardHealth Plan.
  • Guide to Applying for Wisconsin's Health and Nutrition Programs, P-16091 (English, Hmong, Spanish) (PDF, 181 KB)
  • QUEST Card Mailer/Wallet Card Only, P-16075 (English, Hmong, Russian, Spanish) (PDF, 90 KB)

Fact Sheets

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Forms

  • Designation of Authorized  Buyer / Alternate Payee for FoodShare Benefits, F-16004 (English, HmongSpanish) (PDF, 42 KB)

  • FoodShare Change Report Form, F-16006 default; (English, Hmong, Spanish) (PDF, 99 KB)

  • FoodShare Income Change Report Form, F-16066 (English, Hmong, Spanish) (PDF, 23 KB)

  • Medicaid/BadgerCare Plus/FoodShare Wisconsin Authorization of Representative, F-10126 (English, Hmong, Spanish) (PDF, 41 KB)

Income Limits

Current Income Limits

Posters

Your FoodShare Rights, P-00102 (English, Hmong, Spanish) (PDF, 13.4 MB)

Videos

All FoodShare, Electronic Benefits Transfer (EBT) videos can be found at http://www.dhs.wisconsin.gov/em/av/ebt-vids.htm.

Last Revised: September 26, 2014