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DEPARTMENT OF HEALTH SERVICES Division of Public Health F40103 (04/2021)STATE OF WISCONSINSENIOR FARMERS MARKET NUTRITION PROGRAM (SFMNP) ELIGIBILITY AGREEMENT Completion of this form is voluntary.
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How to fill out senior farmers market nutrition

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Step 1: Locate the senior farmers market nutrition program application form. This can usually be found on the official website of the program or at your local senior center.
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Step 2: Fill out your personal information, including your name, address, phone number, and date of birth.
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Step 3: Provide proof of your age and residency. This can be done by attaching a photocopy of your driver's license or other official identification documents.
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Step 4: Answer the eligibility questions on the application form. These questions will determine if you meet the income and age requirements for the program.
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Step 5: Fill out the income declaration section of the application form. You will need to provide information about your income sources, such as Social Security benefits or pensions.
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Step 6: Sign and date the application form. Make sure to read through all the information you provided to ensure accuracy.
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Step 7: Submit the completed application form either online, by mail, or in person at the designated application center.
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Step 8: Wait for the program administrators to review your application. If you are approved, you will receive your senior farmers market nutrition benefits, which can be used to purchase eligible products at participating farmers markets.

Who needs senior farmers market nutrition?

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Senior farmers market nutrition is intended for individuals who are 60 years or older and have limited income.
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This program specifically targets seniors who may have difficulty accessing fresh and nutritious food due to financial constraints.
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It aims to improve the health and well-being of eligible seniors by providing them with vouchers to purchase fresh fruits, vegetables, honey, and herbs from approved farmers markets.
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Seniors who meet the income requirements and are interested in supporting local farmers while maintaining a healthy diet can benefit from the senior farmers market nutrition program.
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Senior Farmers Market Nutrition is a program that provides low-income seniors with coupons to purchase fresh fruits and vegetables at farmers markets and roadside stands.
Eligible seniors who wish to participate in the Senior Farmers Market Nutrition Program are required to file applications to receive the benefits.
To fill out the Senior Farmers Market Nutrition application, individuals must provide required personal information, proof of age and income, and submit it to their state's administering agency.
The purpose of the Senior Farmers Market Nutrition Program is to enhance the nutrition of low-income seniors by providing them access to fresh produce and to support local farmers.
Participants must report their name, address, proof of age, income, and total number of household members on the application for Senior Farmers Market Nutrition.
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