Get the free www.doh.wa.govPortals1WIC Statement of Income Form

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WIC SelfDeclaration Form for Identification, Residency, ZeroIncome (Cash on Hand) and Proof of Income (Homeless) This form is valid for one certification period only. A reassessment shall be done

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How to fill out wwwdohwagovportals1wic statement of income

01

Visit the website www.doh.wa.gov/portals/1/WIC.

02

Locate the section for the statement of income.

03

Download the statement of income form.

04

Fill out the form with accurate and up-to-date information about your income.

05

Include all sources of income, such as employment, benefits, and other financial resources.

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Provide supporting documentation if required, such as pay stubs or bank statements.

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Submit the completed statement of income form according to the instructions provided on the website.

Who needs wwwdohwagovportals1wic statement of income?

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Individuals who are applying for the Women, Infants, and Children (WIC) program may need to fill out the statement of income form.

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The form helps determine eligibility for WIC benefits by assessing the household's income level.

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People who are unsure about their eligibility should check the specific requirements on the WIC program website or contact the relevant authorities for clarification.

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