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Social Services Forms

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Minor Guardianship effective 8/1/2020


BadgerCare Plus Premium Information / Payment


Employment Verification of Earnings (EVFE)


Fair Hearing Request


Juvenile in Need of Protections or Services (J.I.P.S.)


Release of Information (SHELL)


Self Employement Income Report Form (SEIRF)



Social Services Director
Tom Slaney
tom.slaney@iowacounty.org

General Information
Staff Directory
Email
icdss@iowacounty.org
Phone Numbers
(608) 930-9801
Fax: (608) 935-0371
Emergencies: Dial 911
Location
303 W. Chapel St.
Suite 2300
Dodgeville,
WI
53533
Get Directions

8:00 a.m. - 4:30 p.m.
Monday - Friday