Form F-40096 Ewic Program Repayment Agreement - Wisconsin (Hmong)

This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin.

The document is provided in Hmong. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form F-40096 Ewic Program Repayment Agreement?
A: The Form F-40096 is an agreement for the Ewic Program Repayment in Wisconsin (Hmong language).

Q: What does the Ewic Program Repayment Agreement entail?
A: The Ewic Program Repayment Agreement outlines the terms and conditions of repaying any outstanding balance in the Ewic Program.

Q: Who is required to sign this agreement?
A: Participants in the Ewic Program in Wisconsin (Hmong language) who have an outstanding balance are required to sign this agreement.

Q: What language is the agreement in?
A: The agreement is in the Hmong language.

Q: What is the purpose of the Ewic Program?
A: The Ewic Program is an electronic system that provides benefits for purchasing approved food items for eligible women, infants, and children.

Q: What happens if I don't sign the agreement?
A: If you don't sign the agreement, you may be disqualified from participating in the Ewic Program or face other consequences determined by the program.

Q: Can I negotiate the terms of this agreement?
A: The terms of the Ewic Program Repayment Agreement are typically non-negotiable. However, you can contact the program office for any concerns or questions you may have.