Form F-40041H Certification and Food Package Pick-Up - 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 Form F-40041H?
A: Form F-40041H is a certification form for food package pick-up in Wisconsin.

Q: Who is this form for?
A: This form is for Hmong residents in Wisconsin who are eligible for the food package pick-up.

Q: What is the purpose of this form?
A: The purpose of this form is to certify your eligibility for the food package pick-up program.

Q: What documents do I need to bring for pick-up?
A: You will need to bring your completed Form F-40041H and your identification documents.

Q: Is the food package free?
A: Yes, the food package is provided free of charge to eligible Hmong residents.

Q: How often can I pick up the food package?
A: The food package can be picked up once a month.

Q: Are there any income requirements to be eligible?
A: Yes, there are income requirements to be eligible for the food package program. Please refer to the form for more details.

Q: Can someone else pick up the food package on my behalf?
A: Yes, someone else can pick up the food package on your behalf, but they will need to present your completed Form F-40041H and your identification documents.