Skip to main content

All Income Maintenance (IM) Forms and Worksheets

Below is a list of all Income Maintenance (IM) forms and worksheets.

When you are searching for a document, enter the number or a portion of the title in the search box below.

Assigned number Title Release date File type Language Available to order
F-13026 Member / Employer Electronic Funds Transfer for BadgerCare Plus Premiums 05/2024 PDF English No
F-13026S Member / Employer Electronic Funds Transfer for BadgerCare Plus Premiums, Spanish 05/2024 PDF Spanish No
F-16035 Self-Employment Income Worksheet: S Corporation (Schedule K-1 [Form 1120S] and Form 1120S) 04/2024 PDF English No
F-16004R Add or Remove an Authorized Buyer or Alternate Payee for FoodShare Benefits, Russian 04/2024 PDF Russian No
F-16004S Add or Remove an Authorized Buyer or Alternate Payee for FoodShare Benefits, Spanish 04/2024 PDF Spanish No
F-16004 Add or Remove an Authorized Buyer or Alternate Payee for FoodShare Benefits 04/2024 PDF English No
F-16004H Add or Remove an Authorized Buyer or Alternate Payee for FoodShare Benefits, Hmong 04/2024 PDF Hmong No
F-10097 Institutional Medicaid Income Allocation 04/2024 PDF English No
F-10097H Institutional Medicaid Income Allocation, Hmong 04/2024 PDF Hmong No
F-10097S Institutional Medicaid Income Allocation, Spanish 04/2024 PDF Spanish No
F-10126AR Appoint, Change, or Remove an Authorized Representative: Person, Russian 03/2024 PDF Russian No
F-10126APA Appoint, Change, or Remove an Authorized Representative: Person, Pashto 03/2024 PDF Pashto No
F-10126ASO Appoint, Change, or Remove an Authorized Representative: Person, Somali 03/2024 PDF Somali No
F-10126BH Appoint, Change, or Remove an Authorized Representative: Organization, Hmong 03/2024 PDF Hmong No
F-10126BS Appoint, Change, or Remove an Authorized Representative: Organization, Spanish 03/2024 PDF Spanish No
F-10126BR Appoint, Change, or Remove an Authorized Representative: Organization, Russian 03/2024 PDF Russian No
F-10126BPA Appoint, Change, or Remove an Authorized Representative: Organization, Pashto 03/2024 PDF Pashto No
F-10126BL Appoint, Change, or Remove an Authorized Representative: Organization, Laotian 03/2024 PDF Lao No
F-10126AL Appoint, Change, or Remove an Authorized Representative: Person, Laotian 03/2024 PDF Lao No
F-10126BAR Appoint, Change, or Remove an Authorized Representative: Organization, Arabic 03/2024 PDF Arabic No
F-10126B Appoint, Change, or Remove an Authorized Representative: Organization 03/2024 PDF English No
F-10126BCM Appoint, Change, or Remove an Authorized Representative: Organization, Chinese (Simplified) 03/2024 PDF Chinese (Simplified) No
F-10126AH Appoint, Change, or Remove an Authorized Representative: Person, Hmong 03/2024 PDF Hmong No
F-10126BG Appoint, Change, or Remove an Authorized Representative: Organization, German 03/2024 PDF German No
F-10126BDA Appoint, Change, or Remove an Authorized Representative: Organization, Dari 03/2024 PDF Dari (Afghan Persian) No

Glossary

 
Last revised February 20, 2026