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Get WI DCF-F-DWSP2303 2009-2024

1)(m) Wisconsin Statutes]. Participant Name Case Number Date You must give us verification of the items checked below for each named person so that we can decide if you are eligible to receive Wisconsin Works (W-2), FoodShare (FS), Child Care Assistance (CC), BadgerCare Plus (BC+), or Medicaid (MA) and the amount of your benefits or payments. If you do not give us the requested verification by ____/____/___ for W-2, or ____/____/____ for other programs, your application may be denied or your.

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