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NEW YORK STATE DEPARTMENT OF HEALTH DIVISION OF Nutrition WIC Use:Date Mailed/ Glendale Recast Date WIC ID #WIC MEDICAL REFERRAL FORM FOR WOMEN Last Name (Print): First Name: Street: Apt: City: Phone:
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To fill out the New York State Department form, follow these steps: 1. Visit the official website of the New York State Department.
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The New York State Department is a government agency responsible for overseeing various regulations and services in the state of New York.
Certain businesses and individuals may be required to file with the New York State Department depending on the type of activity or transaction.
Filing can typically be done online through the department's website, or through mail using the required forms.
The purpose of the New York State Department is to regulate and oversee various industries and activities to ensure compliance with state laws and regulations.
The specific information required to be reported will depend on the type of filing being made, but typically includes details about the business or individual involved.
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