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Get the free Infant WIC Services Worksheet. Infant Worksheet - doh wa

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Date: ___Infant WIC Services WorksheetInitial CertificationCompleted by: ___Health AssessmentOther:Family Demographics General Information (Parent Guardian) Last Name×Foster Family Participant Proof
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How to fill out infant wic services worksheet

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How to fill out infant wic services worksheet

01
Obtain the infant WIC services worksheet from your local WIC office.
02
Fill out the worksheet with accurate information about the infant, including their name, age, and any special dietary needs.
03
Provide proof of income and other required documents to the WIC office.
04
Submit the completed worksheet and documents to the WIC office for review.

Who needs infant wic services worksheet?

01
Infants who are part of a low-income household and are at nutritional risk are eligible for the infant WIC services worksheet.
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The infant WIC services worksheet is a document used to report information about infant care and nutrition services provided through the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).
Parents or guardians of infants who receive WIC services are required to file the infant WIC services worksheet.
The infant WIC services worksheet can be filled out by providing accurate information about the infant's care and nutrition services received through the WIC program.
The purpose of the infant WIC services worksheet is to track and report the services provided to infants under the WIC program to ensure proper nutrition and care.
The infant WIC services worksheet must report information about the infant's nutrition services, care received, and any other relevant details related to the WIC program.
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