Free FoodShare Wisconsin Application Registration, HCF 16019AR - Wisconsin

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STATE OF WISCONSIN DEPARTMENT OF HEALTH AND FAMILY SERVICES Division of Health Care Financing HCF16019AR (04/07)

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FoodShare Wisconsin Application ­ Important Information HCF 16019AR (04/07)

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W-2 FoodShare Wisconsin - . W-2 , FoodShare. United States Department of Agriculture « », ( /) , , , , , . , : USDA Director, Office of Civil Rights 1400 Independence Avenue, S.W., Washington D.C. 20250-9410 1-800-795-3272 (202) 720-6382 ( ) USDA « » , . , : Department of Health and Family Services (DHFS) Affirmative Action and Civil Rights Compliance Office 1 W. Wilson, Room 555 Madison, WI 53707-7850 : (1-888-701-1251 () : (608) 267-2147 DHFS -, . (608) 266-9372 1-888-701-1251 (). FAIR HEARING Fair Hearing, , . Fair Hearing, : Department of Administration Division of Hearings and Appeals P.O. Box 7875 Madison, WI 53707-7875 : (608) 266-3096

« Fair Hearing» Department of Administration: http://dha.state.wi.us/home/WFS/WFSHrgRegForm.pdf. . , , Fair Hearing.
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FoodShare Wisconsin Application ­ Important Information HCF 16019AR (04/07)

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FoodShare Wisconsin Application ­ Important Information HCF 16019AR (04/07)

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FoodShare Wisconsin Application ­ Important Information HCF 16019AR (04/07)

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