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Wisconsin Department of Health Services

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Eligibility Management (Income Maintenance) Home >> Customer Help >> FoodShare Help >> 

FoodShare Help

To see if you may be eligible or to apply, go to access.wi.gov.

Application Registration, (HCF 16019A) (PDF, 410KB) —  A short form to get you started with with your FoodShare request.

Application, (HCF 16019B) (PDF, 472KB) — A full application for FoodShare.

Guide to Applying for Wisconsin's Health and Nutrition Programs, PHC 16091, (English, Hmong, Spanish), (PDF, 181KB)  

Enrollment and Benefits handbook, (English, Hmong, Spanish), (PDF, 276KB) — To learn more about your FoodShare benefits.

Income Change Report, (HCF 16066) (PDF, 111KB) — To report changes in your income.  You can also report changes online at access.wisconsin.gov.

Change Report for people who are age 60 or over, blind or a person with a disability, (HCF 16066) (PDF, 110KB) — To report changes.  You can also report changes online at access.wisconsin.gov.

Designation of Authorized Buyer or Alternate Payee, (HCF 16004) (PDF, 100KB) — To appoint someone to be able to help you use your benefits. 

Authorization of Representative (HCF 10126) (PDF, 600KB) — To appoint someone to apply for FoodShare for you.

Fair Hearing Request, (DHA 28) (exit DHS; PDF, 100KB) — To request a hearing if you don't agree with a decision about your benefits.

Fair Hearing Voluntary Withdrawal (DHA 17) (PDF, 10KB) — If you want to withdraw your request for a hearing.

Other Links

Agency Directory - To find the telephone number and address of your local agency.

Income Limits - To find current income limits.

More information about Foodshare can be found at dhfs.wisconsin.gov/foodshare/.

Legal Services - To find the name and telephone number of who in your area can provide you with legal help.  You may also go to:

 

Last Revised: July 02, 2008