All Income Maintenance (IM) Forms and Worksheets

Below is a list of all Income Maintenance (IM) forms and worksheets.

When you are searching for a document, enter the number or a portion of the title in the search box below.

Assigned number Title Release date Sort ascending Language Available to order
F-16066AR FoodShare Wisconsin Income Change Report, Arabic (PDF) 10/2026 Arabic
F-16066S FoodShare Wisconsin Income Change Report, Spanish (PDF) 10/2026 Spanish
F-16066CM FoodShare Wisconsin Income Change Report, Chinese (Simplified) (PDF) 10/2026 Chinese (Simplified)
F-16030A FoodShare Wisconsin Overpayment Calculator (Excel) 10/2026 English
F-16066R FoodShare Wisconsin Income Change Report, Russian (PDF) 10/2026 Russian
F-16066SO FoodShare Wisconsin Income Change Report, Somali (PDF) 10/2026 Somali
F-16066L FoodShare Wisconsin Income Change Report, Laotian (PDF) 10/2026 Lao
F-16066H FoodShare Wisconsin Income Change Report, Hmong (PDF) 10/2026 Hmong
F-16066BU FoodShare Wisconsin Income Change Report, Burmese (PDF) 10/2026 Burmese
F-16066G FoodShare Wisconsin Income Change Report, German (PDF) 10/2026 German
F-16066 FoodShare Wisconsin Income Change Report (PDF) 10/2026 English
F-02577S Proof of In-Kind Hours, Spanish (PDF) 09/2026 Spanish
F-02577 Proof of In-Kind Hours (PDF) 09/2026 English
F-10076AL SeniorCare Application Instructions, Laotian (PDF) 07/2026 Lao
F-10076AS SeniorCare Application Instructions, Spanish (PDF) 07/2026 Spanish
F-10076AH SeniorCare Application Instructions, Hmong (PDF) 07/2026 Hmong
F-10076A SeniorCare Application Instructions (PDF) 07/2026 English
F-10126BH Appoint, Change, or Remove an Authorized Representative: Organization, Hmong (PDF) 06/2026 Hmong
F-10126BSO Appoint, Change, or Remove an Authorized Representative: Organization, Somali (PDF) 06/2026 Somali
F-10126BS Appoint, Change, or Remove an Authorized Representative: Organization, Spanish (PDF) 06/2026 Spanish
F-10126BR Appoint, Change, or Remove an Authorized Representative: Organization, Russian (PDF) 06/2026 Russian
F-10126BPA Appoint, Change, or Remove an Authorized Representative: Organization, Pashto (PDF) 06/2026 Pashto
F-10126BCM Appoint, Change, or Remove an Authorized Representative: Organization, Chinese (Simplified) (PDF) 06/2026 Chinese (Simplified)
F-10126BDA Appoint, Change, or Remove an Authorized Representative: Organization, Dari (PDF) 06/2026 Dari (Afghan Persian)
F-10126AH Appoint, Change, or Remove an Authorized Representative: Person, Hmong (PDF) 06/2026 Hmong

Glossary

 
Last revised February 20, 2026