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DEPARTMENT OF HEALTH SERVICES Division of Public Health F40076 (08/2018)STATE OF WISCONSINWOMEN, INFANTS, AND CHILDREN (WIC) NUTRITION PROGRAM EMPLOYER STATEMENT Employee Completion of this form is.

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How to fill out the WI F-40076 online

The WI F-40076 is an important form utilized by the Women, Infants, and Children (WIC) Nutrition Program in Wisconsin. This guide will provide you with a comprehensive overview of how to complete this document online, ensuring a smooth process for submitting proof of income.

Follow the steps to effectively complete the WI F-40076 form.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the employee's full name in the designated space at the top of the form. Ensure the name is spelled correctly as it will be used for identification purposes.
  3. Provide the gross income, which should reflect the most current income information available for the employee. Be as accurate as possible for WIC Program verification.
  4. In the section for the date, input the date when the income information was provided. This helps in maintaining an accurate record.
  5. Fill in the employee's hourly wage. This is crucial for calculating their income accurately.
  6. Enter the business name of the employer. This identifies the company that the employee is affiliated with.
  7. Specify the number of hours the employee works per week. This information contributes to understanding the employee's income potential.
  8. Calculate and document the weekly income derived from the hourly wage and hours worked. This will be reviewed by the WIC program.
  9. Include a telephone number with area code for the employer. This allows for easy contact if further verification is needed.
  10. Provide the employer's address, ensuring it is complete and accurate for documentation purposes.
  11. The employer must print their name, sign, and date the form at the bottom. This signature confirms the information provided is correct.
  12. Once all fields are completed and reviewed for accuracy, save changes, download, or print the form. Ensure the form is returned to the employee after signing.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232