FoodShare Help
To see if you may be eligible or to apply, go to access.wi.gov.
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.
Guide
to Applying for Wisconsin's Health and Nutrition Programs Publication
P-16091: Available in English,
Hmong
or Spanish
(PDF, 181 KB).
ForwardHealth Enrollment and Benefits Publication P-00079: Currently
available in English
(PDF, 667 KB). This handbook is mailed to each family who applies for a
ForwardHealth Plan. Translations will be available in the near future.
Income Change Report Form F-16006: Available in English
(PDF, 111KB). Use this form to report changes in your income. You can
also report
changes online at access.wi.gov.
Change Report Form F-16006: Available in English
(PDF, 110 KB). 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.wi.gov.
Designation
of Authorized Buyer or Alternate Payee Form F-16004: Available in English
(PDF, 100KB). Use this form to appoint someone to be able to help you
use your benefits.
EBT
Videos- To see Electronic Benefit Transfer (EBT) videos that explain
the use of the QUEST card.
Authorization of Representative Form F-10126:
Available in English,
Hmong
or Spanish
(PDF, 600 KB). Use this form to appoint
someone to apply for BadgerCare Plus for you.
Fair Hearing Request Form DHA-28: Available in English
(PDF, 100 KB; exit DHS). Use this form to request a
hearing if you don't agree with a decision about your benefits.
Fair Hearing Voluntary Withdrawal Form DHA-17: Available in English
(PDF, 10 KB; exit DHS). Use
this form to withdraw your request for a hearing.
Self-Employment Income Report (SEIRF) Form F-00107:
Available in English
(PDF, 54 KB). Use this form to report self-employment income.
Other Links
Agency
Directory: Locate the telephone number and address of your local agency.
FoodShare:
Visit the web site for more information.
Income
Limits: To find current income limits.
Legal
Services: Find the name and telephone number of someone who is in your
area and can provide you with legal help. You may also go to:
Last Revised:
July 29, 2010
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