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REQUEST FOR STATE WIC AGENCY SANCTION POINT STATUS Store Name Vendor # Mailing Address: County Please provide the WV WIC sanction point status for this store. The vendors sanction point status will
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How to fill out request for state wic

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To fill out a request for state WIC (Women, Infants, and Children) assistance, follow these step-by-step instructions:
01
Gather necessary documents: Make sure you have all the required documents ready, such as identification (for yourself and anyone applying), proof of income, proof of residency, and proof of pregnancy or birth for infants.
02
Locate your nearest WIC office: Use the WIC agency locator on the official website or contact your local health department to find the nearest WIC office where you can submit your request.
03
Schedule an appointment: Contact the WIC office and schedule an appointment to submit your request. This will ensure that you receive proper assistance and guidance throughout the process.
04
Attend the appointment: On the scheduled date and time, visit the WIC office and bring along all the necessary documents. You may be required to fill out additional forms or answer some questions during the appointment.
05
Provide personal information: Fill in your personal information accurately on the provided forms. This may include your name, address, contact information, date of birth, and social security number.
06
Declare household income: Provide detailed information about your household income, including any wages, public assistance, or other sources of income. Be prepared to submit supporting documents, such as pay stubs or benefit statements.
07
Verify residency: Verify your residency in the state where you are applying for WIC assistance. This may require providing documents such as utility bills, lease agreements, or a driver's license.
08
Declare pregnancy or birth: If you are pregnant or applying for a child, provide the necessary documentation to prove pregnancy or the child's birth date. This can include medical records, hospital discharge papers, or birth certificates.
09
Attend the certification process: After submitting your request and necessary documentation, you will be scheduled for a certification process. This includes meeting with a nutritionist or healthcare professional to discuss your dietary and nutritional needs.
10
Receive benefit approval: Once your request is processed and all necessary information is verified, you will receive a notification of your acceptance and approved benefits. These benefits can include nutritious foods, breastfeeding support, and access to healthcare referrals.

Who needs a request for state WIC?

Anyone who meets WIC's eligibility requirements and falls into one of the following categories may need to submit a request for state WIC:
01
Pregnant women
02
Postpartum women (up to 6 months after giving birth)
03
Breastfeeding women (up to 1 year after giving birth)
04
Infants (up to their first birthday)
05
Children (up to their fifth birthday)
WIC is designed to provide nutritious support to low-income individuals and families who may be at nutritional risk. Therefore, individuals falling into the above categories, meeting income guidelines, and residing in the state are typically eligible for state WIC assistance and need to submit a request to access the program's benefits.
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