Form F-40076 Employer Statement - Women, Infants, and Children (Wic) Nutrition Program - Wisconsin

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Form F-40076 Employer Statement - Women, Infants, and Children (Wic) Nutrition Program - Wisconsin

What Is Form F-40076?

This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form F-40076?
A: Form F-40076 is the employer statement for the Women, Infants, and Children (WIC) Nutrition Program in Wisconsin.

Q: What is the WIC Nutrition Program?
A: The WIC Nutrition Program is a federally-funded assistance program that provides nutrition education, healthy food, and support for low-income pregnant women, new mothers, and young children.

Q: What is the purpose of the Form F-40076?
A: The purpose of Form F-40076 is for employers to verify the employment status and income of WIC applicants or participants.

Q: Who needs to complete Form F-40076?
A: Employers need to complete Form F-40076 for their employees who are applying for or participating in the WIC Nutrition Program.

Q: What information is required on Form F-40076?
A: Form F-40076 requires information such as the employee's name, employment status, hours worked, and income.

Q: How should Form F-40076 be submitted?
A: Form F-40076 should be completed by the employer and submitted directly to the WIC office.

Q: Is Form F-40076 confidential?
A: Yes, the information on Form F-40076 is confidential and will only be used for determining WIC eligibility and benefits.

Q: What happens if Form F-40076 is not submitted?
A: If Form F-40076 is not submitted, it may delay or affect the applicant's or participant's eligibility and benefits for the WIC Nutrition Program.

Q: Are there any fees associated with Form F-40076?
A: No, there are no fees associated with Form F-40076. It is provided free of charge by the WIC program in Wisconsin.

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Form Details:

  • Released on August 1, 2018;
  • The latest edition provided by the Wisconsin Department of Health Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form F-40076 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-40076 Employer Statement - Women, Infants, and Children (Wic) Nutrition Program - Wisconsin

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