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Utah WIC Program Formula and Food Authorization Children at 12 Months of Age or Older and Women Please complete each section below or formula/foods cannot be issued. Only complete one row for formula
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How to fill out utah wic program formula

01
Step 1: Gather the necessary information and documents such as proof of identity, residency, income, and medical documentation.
02
Step 2: Contact your local WIC clinic in Utah to schedule an appointment.
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Step 3: Attend the scheduled appointment and meet with a WIC program representative.
04
Step 4: Provide all the required information and documents during the appointment.
05
Step 5: Answer any questions or provide additional information as requested by the WIC program representative.
06
Step 6: Once your eligibility is determined, the WIC program representative will help you fill out the appropriate formula form.
07
Step 7: Review and double-check the completed formula form for accuracy.
08
Step 8: Submit the completed formula form to the WIC program representative.
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Step 9: Follow any additional instructions or requirements provided by the WIC program representative.
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Step 10: Receive approval and start receiving Utah WIC program formula benefits.

Who needs utah wic program formula?

01
Utah WIC program formula is designed for low-income pregnant women, breastfeeding women up to one year postpartum, non-breastfeeding women up to six months postpartum, infants, and children up to five years of age who meet the income and nutritional need criteria.

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