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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

WIC Budget Form   F-44624 Excel, 80 KB
WIC Budget Form Long F-44624L Excel, 97.5 KB
WIC Budget Instructions F-44624I PDF, 194 KB
WIC Budget Form Example None PDF, 96 KB
WIC Budget Narrative Example None PDF, 36 KB
Immunization MOU None PDF, 2 MB
Lead Poisoning Prevention MOU  None PDF, 2 MB
UW-Extension MOU  None PDF, 37 KB
WIC/Pregnancy Risk Assessment Monitoring System (PRAMS) MOU  None PDF, 257 KB
WIC/Pregnancy Risk Assessment Monitoring System (PRAMS) MOU Addendum    None PDF, 486 KB
WIC/Wisconsin Sound Beginnings (WSB) MOU None PDF, 2.75 MB
 WIC Time Study for CY 2013 (6/12) F-44623 Excel, 54 KB
 WIC Time Study Instructions for CY 2013 F-44623I PDF, 46 KB
 WIC Time Study Letter for CY 2013 None PDF, 48 KB
WIC CARS Expenditure Report Workbook F00555 Excel, 99 KB
WIC CARS Expenditure Report Tribal Workbook F00555T Excel, 97 KB
WIC Electronic Expenditure Report Certification F00554 Word, 20 KB
WIC Fiscal Management - Expenditure Reporting F00555I PDF, 240 KB

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Last Revised:  March 19, 2013