Form F-82009II Wic Confidential Information Release Authorization - Wisconsin (Hmong)

Form F-82009II Wic Confidential Information Release Authorization - Wisconsin (Hmong)

This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin.

The document is provided in Hmong. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form F-82009II?A: Form F-82009II is a WIC Confidential Information Release Authorization form specific to Wisconsin for Hmong individuals.

Q: What is WIC?A: WIC stands for Women, Infants, and Children. It is a federal assistance program that provides nutrition education, healthy food, and support to low-income women, infants, and children.

Q: What is the purpose of Form F-82009II?A: The purpose of Form F-82009II is to authorize the release of confidential information for individuals enrolled in the WIC program in Wisconsin who are of Hmong descent.

Q: Who needs to complete Form F-82009II?A: Hmong individuals enrolled in the WIC program in Wisconsin need to complete Form F-82009II to authorize the release of their confidential information.

Q: What information is considered confidential in the WIC program?A: Confidential information in the WIC program may include personal identifying information, income and assets, medical information, and other sensitive data.

Q: How long is the authorization valid for?A: The authorization provided by Form F-82009II is typically valid for one year, but it may have a different expiration date specified on the form.

Q: Can I revoke the authorization?A: Yes, you have the right to revoke the authorization provided by Form F-82009II at any time by contacting your local WIC program office in Wisconsin.

Q: Is Form F-82009II required for all individuals enrolled in WIC?A: No, Form F-82009II is specific to Hmong individuals in the WIC program in Wisconsin and is not required for all participants.

Q: Who should I contact if I have questions about Form F-82009II?A: If you have any questions about Form F-82009II or the WIC program, you can contact your local WIC program office in Wisconsin for assistance.

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Form Details:

  • Released on November 1, 2017;
  • The latest edition provided by the Wisconsin Department of Health Services;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form F-82009II by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-82009II Wic Confidential Information Release Authorization - Wisconsin (Hmong)

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  • Form F-82009II Wic Confidential Information Release Authorization - Wisconsin (Hmong), Page 1
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