Form F-00851 Six-Month Verification - AIDS / HIV Drug Assistance and Insurance Assistance Program - Wisconsin

What Is Form F-00851?

This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form F-00851?
A: Form F-00851 is the Six-Month Verification form for the AIDS/HIV Drug Assistance and Insurance Assistance Program in Wisconsin.

Q: What is the purpose of this form?
A: The purpose of this form is to verify eligibility and continuation of benefits for the AIDS/HIV Drug Assistance and Insurance Assistance Program.

Q: Who needs to complete this form?
A: Individuals who are currently enrolled in the AIDS/HIV Drug Assistance and Insurance Assistance Program in Wisconsin need to complete this form.

Q: What information is required on this form?
A: The form requires personal information such as name, address, Social Security number, and eligibility criteria information.

Q: When should this form be completed?
A: This form should be completed every six months to ensure continued eligibility for the program.

Q: Are there any fees associated with this form?
A: No, there are no fees associated with completing Form F-00851.

Q: What should I do with the completed form?
A: The completed form should be submitted to the designated address provided on the form or as instructed by program authorities.

Q: What happens if I don't complete this form?
A: Failure to complete and submit this form within the specified timeframe may result in the discontinuation of benefits from the AIDS/HIV Drug Assistance and Insurance Assistance Program.

Q: Who can I contact for assistance or more information?
A: For assistance or more information, you can contact the AIDS/HIV Drug Assistance and Insurance Assistance Program authorities in Wisconsin.