If you are a Wisconsin property owner, you will want to be aware of the Wisconsin Form F 40052A. This form is used to calculate the amount of property tax that is owed on a piece of real estate. The form can be difficult to complete if you are not familiar with the tax code, so it is important to seek assistance if needed. In this blog post, we will provide an overview of the Form F 40052A and explain how to complete it. We also offer advice on how to reduce your property tax bill. Let's get started!
| Question | Answer |
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| Form Name | Wisconsin Form F 40052A |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | F40052A breast pump rental spokane wa form |
DEPARTMENT OF HEALTH SERVICES |
STATE OF WISCONSIN |
Division of Public Health |
Bureau of Community Health Promotion |
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WISCONSIN WIC BREAST PUMP ORDER
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Order Period and Due Date (check one) |
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Project Number: |
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1st |
Quarter |
2nd Quarter |
3rd Quarter |
4th Quarter |
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December 7 |
March 7 |
June 7 |
September 7 |
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Project Name:
Completion of this form is voluntary. Information collected will be used to order and ship client material. Mail the completed form to Wisconsin WIC Program, Nutrition Section, PO Box 2659, Madison, WI
Manufacturer/Product |
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Product Name |
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Quantity |
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M E D E L A |
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Lactina Select |
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Units |
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► Order unit: each |
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Personal Electric Pump |
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WIC Personal Double Pump Advanced |
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Case |
► Order unit: per case (3 per case) |
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Battery Pack for Personal Electric Pump |
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Battery Pack |
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Units |
► Order unit: each |
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Double Pumping Accessory Kit |
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Lactina Double Kit with two 24 mm and |
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Case |
► Order unit: per case (20 per case) |
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two 27 mm Personal Fit breastshields |
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Manual Pump |
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WIC Harmony with one 24 mm and one |
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Case |
► Order unit: per case (20 per case) |
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27 mm Personal Fit breastshields |
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O p t i o n a l A c c e s s o r i e s |
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Large |
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Case |
► Order unit: per case (12 per case) |
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Extra Large [36 mm] Breastshields |
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Case |
► Order unit: per case (12 per case) |
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A M E D A |
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Reconditioned Elite |
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Units |
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► Order unit: each |
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Personal Electric Pump with internal battery |
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Purely Yours |
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Units |
► Order unit: each |
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Double Pumping Accessory Kit |
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Dual Hygienikit with Custom Fit Flanges |
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Case |
► Order unit: per case (20 per case) |
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(25, 28.5 and 30.5 mm) |
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Manual Pump |
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Ameda |
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Case |
► Order unit: per case (20 per case) |
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Flanges (22.5, 25, 28.5 and 30.5 mm) |
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O p t i o n a l A c c e s s o r i e s |
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Large Flange (30.5 mm/28.5 mm inserts) |
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Case |
► Order unit: per case (12 per case) |
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Extra Large Flange (36 mm/32.5 mm inserts) |
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Case |
► Order unit: per case (12 per case) |
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Project No. |
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HYGEIA |
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EnJoye LBI (with internal battery and |
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Case |
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► Order unit: per case (2 per case) |
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personal accessory kit) |
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Personal Electric Pump |
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EnRiche Q with personal accessory kit |
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Case |
► Order unit: per case (2 per case) |
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External Battery Pack |
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External Battery Pack |
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Case |
► Order unit: per case (10 per case) |
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EnJoye/EnRiche Accessory Kit |
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Personal Accessory Kit with Flanges |
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Case |
► Order unit: per case (20 per case) |
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(2) 27- 28 mm and (2) |
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Manual Pump |
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Piston hand pump with Flanges |
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Case |
► Order unit: per case (20 per case) |
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(1) 27- 28 mm and (1) |
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O p t i o n a l A c c e s s o r i e s |
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Extra Large Flange (36 mm) |
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Case |
► Order unit: per case (20 per case) |
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Provide your shipping information ONLY if it has changed since your last order.
Street Address: |
City: |
Zip Code: |
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Primary Contact Person:
Area Code and Telephone:
Email form to: WIC Nutrition Program