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    • Marathon County
    • Portage County
    • Oneida County
    • Langlade County

IM Central Consortium

Serving Marathon, Portage, Oneida, and Langlade Counties

Welcome

  • Home
    • Economic Support
    • BadgerCare
    • Caretaker Supplement
    • Medicaid/Medical Assistance
    • FoodShare
    • Wisconsin Shares Child Care Subsidy
    • Forms
  • About Us
    • Marathon County
    • Portage County
    • Oneida County
    • Langlade County

Forms

Applies To Multiple Programs

  • Appoint, Change or Remove an Authorized Representative (F-10126)
  • Employment Verification Form (F-10146)
  • Fair Hearing Request
  • Information Change Report (F-10183)
  • Self-Employment Income Report (F-00107)
  • Statement of Citizenship And/Or Identity (F-10160)

BadgerCare

  • BadgerCare Plus Application Packet (F-10182)

FoodShare/SNAP

  • Add or Remove an Authorized Buyer or Alternate Payee for FoodShare Benefits (F-16004)
  • FoodShare Six-Month Report (F-16076)
  • FoodShare Wisconsin Change Report Form (F-16066)
  • FoodShare Wisconsin Registration Form (F-16019a)
  • Medical Exemption From Work Requirement for Able-Bodied Adults Without Dependents (F-01598)

Medicaid/Medical Assistance

  • Medicaid Change Report
  • Wisconsin Medicaid for the Elderly, Blind, or Disabled Application Packet

 

 

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