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To report Damaged / Breakage or Outdated special formula. This form must be submitted with the Special Formula Replacement Form WIC-397.
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How to fill out wic-394 - vahealth

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How to fill out WIC-394

01
Gather required information: Collect your personal details, such as name, address, and contact information.
02
Complete the participant information section: Provide details about each individual in your family who will be applying for WIC benefits.
03
Indicate income information: Fill out the income verification section accurately, using your most recent pay stubs or proof of income.
04
List any nutrition risks: Identify any health or nutritional concerns that you or your family members may have.
05
Review and verify: Go through the completed form to ensure all information is correct and legible.
06
Submit the form: Return the filled WIC-394 form to your local WIC office or the specified submission method.

Who needs WIC-394?

01
Anyone who is a pregnant woman, breastfeeding mother, postpartum woman, infant, or child under the age of five who meets specific income and nutritional eligibility requirements.
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People Also Ask about

Women, Infants and Children (WIC) - Acronyms.
The Women, Infants and Children (WIC) Division administers the California WIC program.
□ (31) 2.5 oz (71 g) jars. *Exclusively breastfeeding infants only. Infant Formula ctr = container Refer to benefits list for can size and amount.
SNAP and WIC are both government-funded programs improving access to food for low-income families. WIC is specifically designed for pregnant, postpartum, and breastfeeding individuals, infants, and kids who need help eating healthy. About 42 million people in the United States use SNAP benefits.
The Women, Infants and Children (WIC) Division administers the California WIC program. This program helps families across the state by providing nutrition education, breastfeeding support, healthy foods and referrals to health care and other community services.
SNAP and WIC are both government-funded programs improving access to food for low-income families. WIC is specifically designed for pregnant, postpartum, and breastfeeding individuals, infants, and kids who need help eating healthy. About 42 million people in the United States use SNAP benefits.
The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) has been improving pregnancies and preparing kids to learn for 40 years.

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WIC-394 is a form used for the Women's, Infants', and Children's (WIC) program to document compliance with program requirements.
Participants in the WIC program who are receiving benefits and need to report income and household information are required to file WIC-394.
To fill out WIC-394, one should provide accurate information about household size, income, and other required personal details as specified in the instructions that accompany the form.
The purpose of WIC-394 is to ensure that households participating in the WIC program meet eligibility criteria and to document any changes in income or household conditions.
Required information on WIC-394 includes household size, total household income, names of household members, and any changes in circumstances that may affect eligibility for benefits.
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