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Wisconsin Judicare, Inc.
300 Third Street, Suite 210
Wausau, Wisconsin 54403
1-715-842-1681
1-800-472-1638
info@judicare.org
Wisconsin Judicare Application |
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IMPORTANT - PLEASE SCROLL DOWN TO THE BOTTOM OF THIS PAGE AFTER YOU PRINT, SIGN and MAIL YOUR FORM.STEP 1 To start the application process, please double click one of the two options in red below. Then print, fill out, sign and mail the Authorization and Certification Form to: Authorization and Certification Form (Adobe PDF) Authorization and Certification Form (Word Document) Wisconsin Judicare Inc. Once you have finished STEP 1 please return to this page to continue. Your Judicare Application is not complete until our office receives a completed and signed Authorization and Certification Form and we have your signed original form on file at our offices. If you are unable to print the form for any reason please call us at 1-800-472-1638. If you have not heard from our office within 5 business days after mailing your Authorization and Certification form please call us at 1-800-472-1638. |
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STEP 2 I have completed and sent the Authorization and Certification Form to the WI Judicare office. |
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Disclaimer of Liability
Wisconsin Judicare, Inc. provides the information on this Web site as a public service to low-income persons in northern Wisconsin, our participating attorneys, outreach partners, and other Internet users. While the information on this site is about legal issues, it is not legal advice. Laws vary from state to state and even federal laws may be applied differently in different states. Moreover, due to the rapidly changing nature of the law and our reliance upon information provided by outside sources, Wisconsin Judicare makes no warranty or guarantee concerning the accuracy or reliability of the content at this site or at other sites to which judicare.org links.
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