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Wisconsin Supplemental Security Income, A picture of a girl with a disability at the pool

Fact Sheets and Other Publications

Publications and Forms for Supplemental Security Income (SSI) found on this website:

Policy Handbooks

Forms, Worksheets, and Instructions - all PDF files

Interim Assistance Reimbursement (IAR) Letter Formats

Copy and paste text from the browser versions into a word processing file or print off and use the PDF versions of appropriate letters.

INITIAL PAYMENT
Authorization for Reimbursement of Interim Assistance - 
Initial Payment

Use this language when emergency assistance is provided to individuals whose initial application for SSI is pending.
IAR Letter Format A - Browser IAR Letter Format A - PDF
(PDF, 13 KB)
INITIAL POST-ELIGIBILITY PAYMENT

Authorization for Reimbursement of Interim Assistance -
Initial Post-Eligibility Payment
Use this language when emergency assistance is provided to individuals whose eligibility for SSI was suspended by SSA and retroactive SSI benefits are anticipated.

IAR Letter Format B - Browser IAR Letter Format B - PDF  
(PDF, 12 KB)
INITIAL PAYMENT OR INITIAL POST-ELIGIBILITY PAYMENT
Authorization for Reimbursement of Interim Assistance - 
Initial Payment or Initial Post-Eligibility Payment

This format combines the language in Letter Formats A and B and may be used by agencies that wish to limit the number of forms they have in use.

IAR Letter Format C - Browser

IAR Letter Format C - PDF
(PDF 17 KB)

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Last Revised: April 21, 2014