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This document serves as a budget summary for local agencies applying to the WIC (Women, Infants, and Children) program, detailing various costs and funding allocations.
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How to fill out NYS WIC Summary Budget Form

01
Gather all financial documentation, including income statements, expenses, and receipts.
02
Open the NYS WIC Summary Budget Form on your device or obtain a physical copy.
03
Fill in your personal information at the top of the form, including your name, address, and contact details.
04
List all sources of income, such as wages, salary, and any other financial support.
05
Detail your monthly expenses in the designated section, including housing, utilities, food, and transportation costs.
06
Calculate the total income and total expenses and enter these amounts in the provided areas.
07
Review the completed form for accuracy and ensure all fields are filled out correctly.
08
Sign and date the form at the bottom.
09
Submit the form according to the instructions provided by your local WIC office.

Who needs NYS WIC Summary Budget Form?

01
Individuals and families who are applying for or participating in the New York State WIC program to demonstrate their financial need and eligibility.
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The NYS WIC Summary Budget Form is a document used by organizations participating in the New York State Women, Infants, and Children (WIC) program to report their budget and funding information for the program.
Organizations that receive funding from the NYS WIC program, including local health departments and community organizations, are required to file the NYS WIC Summary Budget Form.
To fill out the NYS WIC Summary Budget Form, organizations need to provide detailed information on their projected expenses and revenues related to the WIC program, following the guidelines provided by the New York State WIC program.
The purpose of the NYS WIC Summary Budget Form is to ensure transparency and accountability in the use of WIC funds, as well as to facilitate the planning and management of WIC resources by the organizations.
The NYS WIC Summary Budget Form must report information such as anticipated income, expenses, funding sources, and detailed budget lines specific to WIC services provided by the organization.
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