Wisconsin senior care application 2026

1. Click ‘Get Form’ to open the Wisconsin Senior Care application in our platform's editor.
2. Begin with Section I - Applicant Information. Fill in your name, birth date, and Social Security number. Indicate if you are requesting SeniorCare and provide your race/ethnicity if comfortable.
3. Complete Section II if applicable. If living with a spouse, enter their information similarly, including their consent for SeniorCare.
4. In Section III - Mailing Address, provide your current address and telephone number. Ensure accuracy for correspondence.
5. Proceed to Section IV - Expected Annual Income. Enter total gross income for both you and your spouse across various categories, rounding to the nearest dollar.
6. Finally, sign in Section V to certify the information provided is accurate. If necessary, include witness signatures as outlined.
7. Submit the completed application along with the enrollment fee as specified in Section VI.

Start filling out your Wisconsin Senior Care application today using our platform for free!