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Memorandum #14063 TO: WIC Regional Directors WIC Local Agency Directors FROM: Linda Crumble, Unit Manager Nutrition Education/Clinic Services Unit Nutrition Services Section DATE: May 13, 2014, SUBJECT:
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How to fill out form - TexasWIC DSHS:

01
Obtain the required form: The first step to fill out the TexasWIC DSHS form is to obtain the necessary document. You can either request the form from the TexasWIC program office or download it from their official website.
02
Provide personal information: Start by filling out the personal information section of the form. This typically includes details such as your name, address, phone number, and date of birth. Make sure to provide accurate and up-to-date information.
03
Specify your family composition: In this section, you will need to indicate the number of people in your household who are applying for WIC benefits. This helps determine eligibility and the appropriate amount of benefits you may receive.
04
Income details: The next step involves providing information about your household income. You will need to provide details about each source of income, including wages, government assistance, child support, or any other relevant income sources.
05
List your expenses: Specify your household expenses, such as rent or mortgage payments, utilities, child care expenses, and any other necessary expenditures. This information helps in assessing your financial situation.
06
Answer eligibility questions: The form may include a section with eligibility questions that you need to answer truthfully. These questions help determine if you meet the criteria for TexasWIC program benefits.
07
Sign and date the form: Once you have completed all the necessary sections, make sure to sign and date the form. Your signature confirms the accuracy of the information provided and your agreement to comply with the program's policies.

Who needs form - TexasWIC DSHS:

01
Pregnant women: Expectant mothers can benefit from the TexasWIC program by receiving nutrition education, healthy food, and support during pregnancy.
02
New mothers: The TexasWIC program also aims to support postpartum women by providing access to nutritious food options and assisting with breastfeeding needs.
03
Infants and young children: Children up to the age of 5 can also receive assistance through the TexasWIC program, ensuring they have access to proper nutrition during crucial developmental stages.
04
Low-income families: The TexasWIC program primarily targets low-income families who meet the eligibility criteria. This program aims to provide essential nutritional support to those who may struggle to afford healthy food options.
Note: The eligibility requirements and specific details of the TexasWIC DSHS form may vary, so it is recommended to consult the official TexasWIC program website or contact their office directly for the most accurate and up-to-date information.
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The form from Texas WIC DSHS is a document used for applying for the Women, Infants, and Children (WIC) program in the state of Texas.
Pregnant women, new mothers, infants, and children under the age of five are required to file the form from Texas WIC DSHS in order to receive benefits from the program.
To fill out the form from Texas WIC DSHS, applicants must provide personal information, income details, and household size, as well as any medical or nutritional needs that may qualify them for WIC benefits.
The purpose of the form from Texas WIC DSHS is to determine eligibility for the WIC program and provide nutrition assistance to pregnant women, new mothers, infants, and children.
Applicants must report personal information, income, household size, as well as any medical or nutritional needs on the form from Texas WIC DSHS.
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