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Medicaid - Disability Application, F-10112

pursuant to Wis. Stats. § 49.82(2). SSN information will be used for administration of the Wisconsin Medicaid Program. An applicant’s SSN permits a computer check of applicant’s information with government agencies such as the Internal Revenue Service (IRS), Social Security Administration (SSA) and the Department of Workforce Development.

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  Development, Department, Wisconsin, Workforce, Department of workforce development

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