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COMMONWEALTH of VIRGINIA Department of Health Dear Heath Care Professional: The Virginia Women, Infants, and Children (WIC) Program promotes breastfeeding as the optimal feeding method for infants.
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How to fill out virginia wic 395 form

How to fill out virginia wic 395 form
01
Obtain a copy of the Virginia WIC 395 form from your local WIC office or website.
02
Fill out your personal information, including name, address, phone number, and date of birth.
03
Provide information about your household members, including their names, ages, and relationship to you.
04
Complete the income section by providing details about your monthly income and household size.
05
Sign and date the form to certify that the information provided is true and accurate.
06
Submit the completed form to your local WIC office for processing.
Who needs virginia wic 395 form?
01
Individuals who are applying for benefits from the Virginia WIC program.
02
Households with children under the age of five who meet the income guidelines for WIC assistance.
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What is virginia wic 395 form?
Virginia WIC 395 form is a document used by the Virginia Women, Infants, and Children (WIC) program to collect information on participants' income and household size.
Who is required to file virginia wic 395 form?
Participants of the Virginia WIC program are required to file the WIC 395 form.
How to fill out virginia wic 395 form?
To fill out the Virginia WIC 395 form, participants must provide information about their household size, income, and other eligibility criteria as outlined in the form.
What is the purpose of virginia wic 395 form?
The purpose of the Virginia WIC 395 form is to determine eligibility for the WIC program and ensure accurate distribution of benefits.
What information must be reported on virginia wic 395 form?
Information such as household size, income, and any other eligibility criteria must be reported on the Virginia WIC 395 form.
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