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State of Connecticut
Department of Public Health
The Special Supplemental Nutrition Program
for Women, Infants, and Children WIC Program WIC Transactions Manual
Stateside Equipment1Contents
WIC Documents
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What is form special supplemental nutrition?
Form Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) is a federal assistance program that provides nutritious foods, education, and healthcare referrals to low-income women, infants, and children who are at nutritional risk.
Who is required to file form special supplemental nutrition?
Individuals who meet the eligibility requirements for the WIC program are required to file Form Special Supplemental Nutrition. This includes low-income pregnant women, breastfeeding women, postpartum women, infants, and children up to the age of 5.
How to fill out form special supplemental nutrition?
Form Special Supplemental Nutrition can be filled out at WIC clinics, local health departments, or online through the WIC program's website. Applicants will need to provide information about their household income, family size, and nutritional risk.
What is the purpose of form special supplemental nutrition?
The purpose of Form Special Supplemental Nutrition is to determine eligibility for the WIC program and to provide participants with access to nutritious foods, nutrition education, and healthcare referrals to improve their overall health and well-being.
What information must be reported on form special supplemental nutrition?
Applicants must report their household income, family size, and any nutritional risk factors for themselves or their children. This information is used to determine eligibility for the WIC program.
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