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WIC Certification Name: ID Number: or Place PEF label here Pregnant (P) Postpartum (PP) Breastfeeding (BF) Priority listed at end of line for each criterion. Priority 1010.201 Low Hematocrit/Low Hemoglobin
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How to fill out wic certification - chfs

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How to fill out WIC certification - CHFS:

01
Start by gathering all the necessary documents and information required for the WIC certification. This may include proof of identity, proof of income, proof of residency, and documentation for any eligible children.
02
Visit the official website of CHFS (Children and Family Health Services) to find the WIC certification application form. Download and print the form, if necessary.
03
Carefully read and understand the instructions provided on the application form. Follow these instructions to accurately complete the form.
04
Begin by filling in your personal information, such as your name, address, contact details, and date of birth. Make sure to provide all the required information accurately and clearly.
05
Move on to the sections requesting information about your household members. Provide the necessary details for each eligible family member, including their name, date of birth, and relationship to you.
06
The next section will require you to provide information about your income. Follow the instructions on the form to accurately report your income from various sources.
07
If you have any questions or need further assistance while completing the application, refer to the contact information provided on the form or reach out to the CHFS office directly. They can guide you through the process and address any queries you may have.
08
After completing the application form, review it carefully to ensure all the information provided is accurate and complete. Make any necessary corrections before submitting the form.
09
Once you are confident that the application form is accurate and complete, submit it to the CHFS office either by mail or in person as directed on the form.
10
Upon submission, the CHFS office will review your application and determine your eligibility for WIC certification. They may contact you for any additional information if needed.

Who needs WIC certification - CHFS:

01
Pregnant women: WIC certification is essential for pregnant women as it provides them with healthy food options and nutrition education to support their health and the growth and development of their unborn child.
02
Postpartum women: New mothers who have recently given birth can benefit from WIC certification as it helps in ensuring their nutrition and overall well-being during the crucial postpartum period.
03
Infants and children: WIC certification is necessary for infants and young children up to the age of five. It provides access to nutritious foods, such as formula, cereal, fruits, vegetables, and more, to support their growth and development.
04
Low-income families: WIC certification is particularly important for low-income families who might face financial challenges in accessing healthy and essential foods. It acts as a valuable resource to ensure the nutritional needs of both children and adults are met.
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WIC certification is a program provided by the Kentucky Cabinet for Health and Family Services (CHFS) that helps eligible low-income individuals and families with nutrition education, breastfeeding support, and access to nutritious foods.
Pregnant women, new mothers, infants, and young children who meet income guidelines are required to file for WIC certification with CHFS.
To fill out WIC certification with CHFS, individuals must contact their local WIC clinic to schedule an appointment and bring proof of income, residency, and identification.
The purpose of WIC certification with CHFS is to ensure that eligible individuals and families have access to nutritious foods and resources for a healthy lifestyle.
Information such as income, family size, nutritional risk, and identity must be reported on WIC certification with CHFS.
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