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A WIC-35 and WIC-35-3 form shall be used to document income. The forms shall be easily accessible for audit/review. Nutrition Services Department of State Health Services Effective July 1 2012 Policy No. CS 14. 0 Completion of the WIC Income Questionnaire and the Family Certification/WIC Program Income Screening Form Purpose To provide instructions on completing the WIC Income Questionnaire WIC35-3 and the Family Certification/WIC Program Income Screening Form WIC-35. Authority State Policy...

How to fill out form wic 35 3

How to fill out form wic 35 3?

1. Start by reading the instructions provided on the form. Make sure you understand the purpose of the form and the information it requires.
2. Gather all the necessary documents and information that are required to complete the form. This may include personal identification, income statements, and any relevant supporting documents.
3. Carefully fill out each section of the form. Pay close attention to the instructions for each field and provide accurate and up-to-date information.
4. Double-check your entries to ensure there are no errors or omissions. It is important to provide accurate information to avoid any delays or complications in processing your form.
5. Sign and date the form as required. Make sure your signature is legible and matches the name provided on the form.

Who needs Form WIC 35 3?

Form WIC 35 3 may be required by individuals who are applying for or receiving benefits through the Women, Infants, and Children (WIC) program. The WIC program provides nutrition education, healthy food, and support to low-income pregnant women, new mothers, and young children.

If you are a participant or applicant of the WIC program, you may need to fill out Form WIC 35 3 to provide or update personal information, income details, and other eligibility criteria required for program enrollment.

It is important to consult the specific guidelines and instructions provided by your local WIC program office to determine if Form WIC 35 3 is applicable to your situation.

Video instructions and help with filling out and completing form wic 35 3

Instructions and Help about form wic 35 3

Rachelle>> My name's Rachelle, and I am a new mom, and I was told about the WIC program, especially the breastfeeding program, um, and so I started coming to get advice and help, and I met Mary at the, uh, meeting and the Love and Weigh, and that's about 7 months ago that I met her. Mary>> Rochelle was having a really hard time with breastfeeding Landon at that time, so we were able to figure out what was going on and help get breastfeeding off to a good start. So the Love and Weigh program, we have at each of the county clinics every week, so each, it's a different day at each clinic, and I go to all three clinics and help moms. They can walk in, or they can make an appointment to get breastfeeding support, assurance and, um, if they're having difficulties help them through those difficulties. Rochelle>> I was having severe pain and severe problems and just really doubted myself, and I didn't want to continue, because it's hurting so bad, and I didn't know who else would be here, and it's just kind of intimidating as a mom. You're just going through so many emotions and so many things all at once. Over trial and error we were able to pinpoint what my issue was, Since all these different professionals have looked in the mouth, I kept reassuring them like oh no, it's not a tongue-and-lip tie, it's not a tongue-and-lip tie. Well finally, Mary looked in his mouth and then sure enough it was a tongue-and-lip tie, so went to the specialist and went up from there. It's been better ever since then. It's been a lot better, so I really appreciate all the help that they've given me and my family, 'cause when you're, when the mom's stressed out, then oftentimes it creates stress in the household. Mary>> I think it's one of my favorite parts of this job is helping moms through issues and then seeing them being successful and coming back, and it's, um, such a wonderful program to help moms achieve their breastfeeding goals and have them successful. In Oregon, we have wonderful initiation breastfeeding rates. A lot of moms start out, that's a goal they want to breastfeed, and they get support in the hospital, but then when they leave, there's not as much support outside the hospital. Um, some insurances only cover one or two lactation visits, and with Love and Weigh, they can come in anytime when they're nursing for that whole year to get support and help and, and knowledge to get them through those difficult times that can come up, so, um, I feel like it's really helped moms be more successful maintaining the breastfeeding that, um, they're hoping to do.

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What is form wic 35 3?

Form WIC 35 3 is a specific form used by the Women, Infants, and Children (WIC) program to collect necessary information for the eligibility and enrollment of participants.

Who is required to file form wic 35 3?

Healthcare providers, WIC program staff, and individuals seeking WIC services are typically required to file Form WIC 35 3 to ensure proper documentation and compliance with program requirements.

How to fill out form wic 35 3?

To fill out Form WIC 35 3, the individual or authorized staff must complete all required fields with accurate information about the applicant's demographics, income, health status, and other necessary details as specified in the form instructions.

What is the purpose of form wic 35 3?

The purpose of Form WIC 35 3 is to gather key information needed to assess eligibility for WIC services and to maintain records for participants in the program.

What information must be reported on form wic 35 3?

Required information on Form WIC 35 3 typically includes personal details such as name, address, income level, family size, and health information relevant to the eligibility criteria for WIC benefits.