Form F-40103 Senior Farmers' Market Nutrition Program (Sfmnp) Eligibility Agreement - Wisconsin

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Form F-40103 Senior Farmers' Market Nutrition Program (Sfmnp) Eligibility Agreement - Wisconsin

What Is Form F-40103?

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.

FAQ

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.

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Form Details:

  • Released on May 1, 2023;
  • The latest edition provided by the Wisconsin Department of Public Instruction;
  • 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 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.

Download Form F-40103 Senior Farmers' Market Nutrition Program (Sfmnp) Eligibility Agreement - Wisconsin

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