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Wisconsin Department of Health Services

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WIC Forms and Publications

The following documents used by local WIC projects are available in PDF, Word-fillable or Excel formats. 

ADMINISTRATIVE

Title Number Format
NEW WIC Budget Form   F-44624 Excel, 80 KB
NEW WIC Budget Form Long F-44624L Excel, 97.5 KB
NEW WIC Budget Instructions F-44624I PDF, 194 KB
NEW WIC Budget Form Example None PDF, 96 KB
NEW WIC Budget Narrative Example None PDF, 36 KB
Immunization MOU 
(02/11)
None PDF, 2 MB
Lead Poisoning Prevention MOU
(11/10) 
None PDF, 2 MB
UW-Extension MOU  
(05/08) 
None PDF, 37 KB
WIC/Pregnancy Risk Assessment Monitoring System (PRAMS) MOU  
(08/07) 
None PDF, 257 KB
WIC/Pregnancy Risk Assessment Monitoring System (PRAMS) MOU Addendum  
(07/10) 
None PDF, 486 KB
WIC/Wisconsin Sound Beginnings (WSB) MOU (07/11) None PDF, 2.75 MB
WIC Time Study for CY 2012 (6/11) F-44623 Excel, 54 KB
WIC Time Study Instructions for CY 2012  (6/11) F-44623I PDF, 46 KB
WIC Time Study Letter for CY 2012 (6/11) None PDF, 48 KB
WIC CARS Expenditure Report Workbook (01/12) F00555 Excel, 99 KB
WIC CARS Expenditure Report Tribal Workbook (01/12) F00555T Excel, 97 KB
WIC Electronic Expenditure Report Certification (01/12) F00554 Word, 20 KB
WIC Fiscal Management - Expenditure Reporting (01/12) F00555I PDF, 240 KB

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Last Revised:  May 16, 2012