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GEORGIA WIC PROGRAM ASSESSMENT/CERTIFICATION FORM CHILD CLINICNAMECase Client PLASTIC ID NUMBER FIRSTADDRESSMIDDLE INITIALCITYBIRTHDATEZIP EMIGRANT TELEPHONE(GENDER) COUNTY OF RESIDENCYMALEHISPANIC/LATINO
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How to fill out dphgeorgiagovsitesdphgeorgia wic program assessmentcertification

01
Go to the dphgeorgiagovsitesdphgeorgia WIC Program website.
02
Click on the 'Assessment/Certification' tab.
03
Fill out the required information, such as your personal details, income information, and household information.
04
Answer any additional questions or assessments as prompted.
05
Review and submit your application.
06
Wait for the WIC Program to review and process your application.
07
If approved, you will receive your WIC Program assessment/certification.

Who needs dphgeorgiagovsitesdphgeorgia wic program assessmentcertification?

01
Individuals who are eligible for the dphgeorgiagovsitesdphgeorgia WIC Program and want to apply for the assessment/certification.
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The dphgeorgiagovsitesdphgeorgia wic program assessmentcertification is an evaluation process for the WIC program in Georgia.
All WIC program participants in Georgia are required to file the assessment/certification.
The form can be filled out online on the dphgeorgiagov website or in person at a WIC program office.
The purpose is to ensure that participants are still eligible for the WIC program and to assess their nutritional needs.
Participants must report changes in income, household composition, and any updates to their medical history.
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