This version of the form is not currently in use and is provided for reference only. Download this version of Form F-40103 for the current year.
This is a legal form that was released by the Wisconsin Department of Public Instruction - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form F-40103?
A: Form F-40103 is an eligibility agreement for the Senior Farmers' Market Nutrition Program (SFMNP) in Wisconsin.
Q: What is the Senior Farmers' Market Nutrition Program?
A: The Senior Farmers' Market Nutrition Program (SFMNP) is a program that provides low-income seniors with coupons to purchase fresh fruits, vegetables, honey, and herbs from local farmers' markets.
Q: Who is eligible for the SFMNP in Wisconsin?
A: To be eligible for the SFMNP in Wisconsin, you must be at least 60 years old, have a household income at or below 185% of the federal poverty level, and be a resident of Wisconsin.
Q: What is the purpose of Form F-40103?
A: Form F-40103 is used to determine the eligibility of individuals applying for the SFMNP in Wisconsin.
Q: What information is required on Form F-40103?
A: Form F-40103 requires your name, address, date of birth, household income, and household size.
Q: How can I submit Form F-40103?
A: You can submit Form F-40103 by mail or in person to your local county agency.
Q: What happens after I submit Form F-40103?
A: After you submit Form F-40103, your eligibility will be reviewed by the Wisconsin Department of Health Services. If approved, you will receive SFMNP coupons that can be used at participating farmers' markets.
Form Details:
Download a fillable version of Form F-40103 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Public Instruction.