Notice: While unemployment insurance payments have not been impacted by the federal government shutdown at this time, November benefits for FoodShare members have been reduced due to the ongoing shutdown. For questions about using FoodShare benefits, information about benefit delays, or help finding food assistance resources, visit:
Wisconsin Department of Health Services' FoodShare webpage
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Document Number: DVR-18037-E
Description: This form is to be completed by DVR Service Providers to report on supported employment transition to long term support services authorized by DVR.
Comments: Form is protected from modification and enabled for form fill (includes tabbed fields for form completion).
Content Contact: DVR Forms
Document Attachment: DVR-18037-E (Electronic Version - Word/102 KB)
Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.
DWD Contact Information
201 E. Washington Ave
P.O. Box 7946
Madison, WI 53707
(608) 266-3131
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