Get the free WIC 200-13 Supplement to Infant and Children Certification Form ...

WIC 20013 Supplement to Infant and Children Certification Form August 2020Cert Form #1a1b22a2bUSDA #103103115113114.01Category/ Priority InfantsCategory/ Priority ChildrenUnderweightUnderweight (Infants

How to fill out wic 200-13 supplement to

How to fill out wic 200-13 supplement to

1. To fill out the WIC 200-13 supplement, follow these steps:
2. Begin by entering your personal information at the top of the form, including your name, address, city, state, zip code, and phone number.
3. Next, indicate the date of the appointment for which the supplement is being completed.
4. On the first section of the form, provide details about the person for whom the supplement is needed, including their name, WIC ID number, and the month during which they are receiving benefits.
5. In the second section, specify the additional food package requested and the reason for the request.
6. If applicable, complete the third section to indicate any food package modification or medical documentation.
7. Finally, review the completed form for accuracy, sign it, and date it before submitting it to the appropriate WIC office.
8. Note: It's important to consult the WIC program guidelines or contact your local WIC office for specific instructions or additional information.

Who needs wic 200-13 supplement to?

1. The WIC 200-13 supplement is needed by individuals who are participating in the WIC (Women, Infants, and Children) program and require a supplemental food package or modification to their existing package.
2. This supplement form is typically used when requesting additional food items or documenting medical conditions/needs that warrant a modified food package.
3. To determine if you need to fill out the WIC 200-13 supplement, consult the WIC program guidelines or reach out to your local WIC office for further assistance.

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What is wic 200-13 supplement to?

The WIC 200-13 supplement is an official form used to provide additional information related to the Women, Infants, and Children (WIC) program.

Who is required to file wic 200-13 supplement to?

Organizations and agencies that participate in the WIC program, such as state and local health departments, are required to file the WIC 200-13 supplement.

How to fill out wic 200-13 supplement to?

To fill out the WIC 200-13 supplement, follow the provided instructions, ensuring all relevant fields are completed accurately, including participant information, program details, and any required signatures.

What is the purpose of wic 200-13 supplement to?

The purpose of the WIC 200-13 supplement is to collect necessary data that supports the administration and monitoring of the WIC program.

What information must be reported on wic 200-13 supplement to?

The form must report participant demographics, food benefits issued, nutrition education provided, and any other required program-related information.