Get the free WIC Order Form 508 (08-12-09) - vchca

STATE OF CALIFORNIA Office of State Publishing WIC Fulfillment Customer Service WIC VENDOR MATERIALS DSP 508 (Rev. 08/12/09) Phone: (800) 585-7341; FAX: (916) 928-4759 WIC VENDOR MATERIALS ITEM #

How to fill out wic order form 508

How to fill out WIC order form 508?

1. Begin by carefully reading the instructions: Start by thoroughly reading the instructions provided on the WIC order form 508. This will help you understand the requirements and guidelines for filling out the form correctly.
2. Provide the recipient's information: Fill in the recipient's details accurately, including full name, address, and contact information. Ensure that all the information is up-to-date and correctly spelled.
3. Enter the participant's certification number: Include the participant's WIC certification number. This number helps identify the individual and ensures the correct allocation of benefits.
4. Specify the category and description of each food item requested: The WIC order form 508 typically includes sections for different food categories such as vegetables, fruits, whole grains, milk, cheese, and more. Fill in the specific details for each item requested, including the brand, size, quantity, and any additional description required.
5. List any prescribed formulas, medical foods, or special formulas: If there are any prescribed formulas or medical foods recommended by a healthcare professional, make sure to include them in the designated section of the form. Provide all relevant details, including the brand, size, and quantity needed.
6. Confirm the pick-up location: Indicate the preferred WIC clinic or authorized vendor where the recipient wishes to pick up their order. This ensures a smooth and convenient process for receiving the WIC benefits.
7. Sign and date the form: Once you have completed filling out the WIC order form 508, sign and date it. This signature verifies that the information provided is accurate to the best of your knowledge.

Who needs WIC order form 508?

The WIC order form 508 is necessary for individuals who are part of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). It is used by WIC participants to order specific food items and other products that are covered under the WIC program. Eligible individuals who are receiving WIC benefits can utilize the form to request their preferred food options based on their dietary needs and restrictions. It is crucial for WIC participants to fill out and submit the order form in order to access their authorized food choices and ensure proper nutrition for themselves and their families.

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What is wic order form 508?

WIC Order Form 508 is a document used to request food items through the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) program.

Who is required to file wic order form 508?

WIC participants who are eligible to receive benefits and want to purchase specific food items must file WIC Order Form 508.

How to fill out wic order form 508?

To fill out WIC Order Form 508, participants need to provide their personal information, list the food items they want to purchase, and have the form signed by an authorized WIC staff member.

What is the purpose of wic order form 508?

The purpose of WIC Order Form 508 is to allow participants to choose the specific food items they want to purchase using their WIC benefits.

What information must be reported on wic order form 508?

Participants must report their personal information, including their name, address, and WIC ID number, as well as the food items they wish to purchase.