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Utah WIC Program Formula and Food Authorization Infants up to 12 Months of Age Please complete each section below or formula/foods cannot be issued. Only complete one row for formula amount. If specific
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How to fill out infant formula authorization form

01
To fill out an infant formula authorization form, follow these steps:
02
Begin by filling out your personal information, such as your name, address, and contact details.
03
Provide the name and date of birth of the infant for whom the authorization form is being filled.
04
Specify the type and brand of infant formula that you are authorizing the use of.
05
Indicate the reason for requiring the use of infant formula, such as medical or dietary needs.
06
If applicable, provide any additional details or instructions for the caregiver or healthcare professional.
07
Review the completed form for any errors or omissions.
08
Sign and date the form to indicate your consent.
09
Submit the filled-out form to the relevant authority or organization as instructed.

Who needs infant formula authorization form?

01
The infant formula authorization form is typically needed by parents or legal guardians of infants who require the use of specialized formula due to medical or dietary reasons.
02
It may also be required by healthcare professionals or caregivers responsible for the infant's nutrition and feeding.
03
In some cases, organizations or authorities overseeing the distribution or supply of infant formula may also require this form for documentation and authorization purposes.
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Infant formula authorization form is a document that allows manufacturers to produce and distribute infant formula products legally.
The manufacturers of infant formula products are required to file the authorization form.
The form can be filled out online or by submitting a physical copy with all the required information and supporting documents.
The purpose of the form is to ensure that infant formula products meet the necessary safety and quality standards before being marketed.
The form requires information such as ingredients, manufacturing processes, labeling, and compliance with regulations.
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