Get Wisconsin Estate Recovery Program

This guide provides a clear and supportive approach to completing the Wisconsin Estate Recovery Program form online. By following the outlined steps, users can ensure all necessary information is accurately provided.

Follow the steps to successfully fill out the form online.

1. Press the ‘Get Form’ button to access the Estate Recovery Program form and open it for editing.
2. In Section I, enter the date this form is completed, followed by the agency name, your name, and your telephone number.
3. Proceed to Section II by inputting the applicant's name, address, CARES case/RFA number, birthdate, and social security number.
4. Move to Section III to indicate if the spouse is also an applicant by checking ‘Yes’ or ‘No’. Then, enter the spouse's name, address, CARES case/RFA number, birthdate, and social security number.
5. In Section IV, respond to whether there are children who are blind, disabled, or under age 21. If yes, fill in the additional details for each child.
6. In Section V, provide information regarding any joint assets and indicate the dollar value of the applicant's ownership.
7. Complete Section VI to provide details about the guardian or power of attorney for finance and property, including their name, address, and telephone number.
8. In Section VII, ensure the applicant, guardian, or power of attorney signs the form. Enter the date signed and note whether the applicant agreed to sign.
9. Lastly, include any comments regarding the data review with the applicant or their representative.
10. After reviewing all entered information, save changes, download, print, or share the completed form as needed.

Encourage others to complete their forms online to ensure a smooth process for the Wisconsin Estate Recovery Program.