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Family or Participant ID# State of Connecticut WIC ProgramDepartment of Public Health MEDICAL DOCUMENTATION FOR WIC FORMULA AND APPROVED WIC FOODS INFANTS AND CHILDRENPatients Name: Date of Birth
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How to fill out wic program application

How to fill out wic program application
01
To fill out a WIC program application, follow these steps:
02
Contact your local WIC office to schedule an appointment or find out if you can apply online.
03
Gather the necessary documents, including proof of identity, residency, and income.
04
Complete the application form with accurate and detailed information about yourself and your household members.
05
Provide the required documentation to support the information provided on the application.
06
Submit the application and wait for the WIC office to review and process it.
07
Attend the scheduled appointment or follow any additional instructions provided by the WIC office.
08
If approved, you will receive a WIC EBT card or paper vouchers that can be used to purchase nutritious foods at authorized stores.
09
Follow the guidelines and restrictions of the WIC program when making purchases.
10
Keep your eligibility up to date by providing updated information to the WIC office when necessary.
11
Renew your WIC benefits before they expire to continue receiving support.
Who needs wic program application?
01
The WIC program application is intended for low-income pregnant or postpartum women, infants, and children up to the age of five who are at nutritional risk. This includes:
02
- Pregnant women
03
- Breastfeeding women (up to one year after giving birth)
04
- Non-breastfeeding women (up to six months after giving birth)
05
- Infants
06
- Children up to the age of five
07
These individuals and families who meet the income eligibility criteria can benefit from the WIC program by receiving supplemental nutritious foods, nutrition education, breastfeeding support, and referrals to other health and social services.
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