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IF PLAIN WATER WAS FED A8a iii YES ASK A8c ELSE GO TO B1 A8c. Section B WIC Program Experiences During Pregnancy INTRO B1. What is your baby s date of birth Infant date of birth / / GO TO A2. mm dd yyyy REFUSED GO TO A1a DON T KNOW GO TO A1a A1a. Was your baby born on or after DUE DATE A2. CHECK ONE. C7. Less than 24 hours About 1 day About 2-3 days About 1 week About 1 month or longer Did BABY S NAME come home with you when you left the hospital YES GO TO D1 C7a. AND CONFIRM ANSWER PROVIDED...
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How to fill out appendix a2 wic participant
How to fill out appendix a2 wic participant
01
Step 1: Gather all the necessary information and documents required to fill out Appendix A2 WIC Participant form.
02
Step 2: Start by entering the participant's personal details such as name, address, date of birth, and social security number.
03
Step 3: Provide information about the participant's household, including the number of family members and their relationship to the participant.
04
Step 4: Indicate the participant's income details, including sources of income and the amount received from each source.
05
Step 5: Fill out the nutrition risk assessment section by answering the questions regarding health conditions, dietary habits, and nutrition concerns.
06
Step 6: If the participant is a breastfeeding mother, provide information about the infant's details and breastfeeding practices.
07
Step 7: Review the completed form for accuracy and ensure all required fields are filled out.
08
Step 8: Sign and date the form to certify that the provided information is true and accurate.
09
Step 9: Submit the filled out Appendix A2 WIC Participant form to the relevant authority or WIC office.
Who needs appendix a2 wic participant?
01
Appendix A2 WIC Participant is needed by individuals or households who wish to apply for the WIC (Special Supplemental Nutrition Program for Women, Infants, and Children) program.
02
This form helps determine the eligibility of participants for WIC benefits based on income, household size, and nutrition risk assessment.
03
Therefore, pregnant women, postpartum women, breastfeeding mothers, infants, and children up to age five who meet the program's criteria may need to fill out Appendix A2 WIC Participant form.
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What is appendix a2 wic participant?
Appendix A2 WIC participant is a form used to report participant information for the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).
Who is required to file appendix a2 wic participant?
WIC vendors and participants are required to file Appendix A2 WIC participant.
How to fill out appendix a2 wic participant?
Appendix A2 WIC participant can be filled out by providing the required participant information as per the guidelines provided by the WIC program.
What is the purpose of appendix a2 wic participant?
The purpose of Appendix A2 WIC participant is to accurately report participant data for the WIC program for record-keeping and compliance purposes.
What information must be reported on appendix a2 wic participant?
Information such as participant name, address, contact details, household income, and qualifying criteria must be reported on Appendix A2 WIC participant.
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