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Get the free APPLICATION AND AGREEMENT FOR FARMERS TO PARTICIPATE IN THE WIC

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4. Provide official clarification of the FMNP Handbook and applicable FMNP rules when requested. 5. Type or clearly print all information. Complete both sides of this form. Send the completed form to Indiana State Department of Health ATTN FMNP Coordinator Indiana WIC FMNP 2 North Meridian St. Sec. 5E Indianapolis IN 46204. 12. Do not seek restitution from FMNP participants for checks not paid by the Indiana WIC Program. 13. 16. Provide any information the ISDH may require for its periodic...
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The application and agreement is for applying for a specific program or service and agreeing to the terms and conditions set forth.
Any individual or organization that wishes to participate or receive benefits from the program or service.
The application and agreement form can usually be completed online or submitted in person with all required information and signatures.
The purpose is to formally request to be a part of the program or service and to agree to the terms and conditions outlined.
Typically, the application will require personal or organizational details, contact information, and agreement to comply with program rules.
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