Get the free California WIC Program Self Declaration Statement. CDPH 4130 - California WIC Progra...

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State of California Health and Human Services AgencyCalifornia Department of Public Health WIC ProgramCalifornia WIC Program Self Declaration Statement Proof of Income (Check applicable situation)

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How to fill out california wic program self

01

Gather required documents such as proof of income, identification, and residency.

02

Contact your local WIC office to schedule an appointment.

03

Attend the appointment and fill out the necessary forms with the help of a WIC representative.

04

Provide all necessary information and documentation to determine eligibility.

05

If approved, receive benefits and follow the program guidelines for purchasing approved food items.

Who needs california wic program self?

01

Pregnant women

02

New mothers

03

Breastfeeding women with infants up to one year old

04

Non-breastfeeding women with infants up to six months old

05

Infants and children up to five years old

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What is california wic program self?

California WIC Program Self refers to the self-reporting system used by participants of the WIC (Women, Infants, and Children) program in California to submit information about their income, household composition, and other eligibility criteria.

Who is required to file california wic program self?

Participants of the WIC program in California are required to file California WIC Program Self in order to continue receiving benefits.

How to fill out california wic program self?

California WIC Program Self can be filled out online through the designated platform provided by the WIC program in California. Participants need to provide accurate information regarding their income, household members, and other eligibility requirements.

What is the purpose of california wic program self?

The purpose of California WIC Program Self is to assess the eligibility of participants for continued benefits under the WIC program. It helps in determining the level of assistance that individuals and families may receive.

What information must be reported on california wic program self?

Participants must report information such as their income, household composition, changes in circumstances, and any additional information requested by the WIC program in California.

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