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Utah WIC Program Formula and Food Authorization Children at 12 Months of Age or Older and Women Please complete each appropriate section below or formula/foods cannot be issued. A. Patient s Name:
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How to fill out the Utah WIC program formula:

01
Gather the necessary documents: You will need to provide proof of identification, proof of residence in Utah, and proof of income for your household.
02
Find a WIC clinic near you: Use the online locator or call the Utah WIC program to find the closest clinic to your location.
03
Schedule an appointment: Contact the WIC clinic and set up an appointment for your formula certification.
04
Attend the appointment: Bring all the required documents and arrive on time for your appointment.
05
Complete the application: Fill out the WIC application form with accurate information about your household and income.
06
Provide necessary documentation: Show your identification, residency proof, and income proof to the WIC staff.
07
Meet the income guidelines: Ensure that your household meets the income requirements set by the Utah WIC program.
08
Consult with a nutritionist: Meet with a WIC nutritionist to discuss your formula needs and receive appropriate recommendations.
09
Receive formula certification: If you meet the eligibility criteria, you will be certified for the WIC program and provided with a Utah WIC program formula card.

Who needs the Utah WIC program formula?

01
Pregnant women: The Utah WIC program provides formula and nutrition support for pregnant women to ensure the healthy development of their unborn child.
02
New mothers: WIC offers formula and nutrition guidance for new mothers who may be unable to breastfeed or choose formula feeding for their infants.
03
Infants and young children: The WIC program assists infants and young children up to the age of five to ensure they receive adequate nutrition through approved formulas.
04
Low-income families: The Utah WIC program primarily serves low-income households who may struggle to afford formula and nutritious foods for their infants and young children.
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The Utah WIC program formula is a specific calculation used to determine eligibility and benefits for the Women, Infants, and Children (WIC) program in Utah.
Those applying for the WIC program in Utah are required to fill out the WIC program formula.
The Utah WIC program formula can be filled out by providing information about income, family size, and other relevant details as per the program guidelines.
The purpose of the Utah WIC program formula is to assess eligibility for the WIC program and calculate the benefits provided to participants.
Information such as income, family size, and nutritional risk factors must be reported on the Utah WIC program formula.
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