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SECTION: SUBJECT: DATE: POLICY: PURPOSE: RELEVANT REGULATIONS: OREGON WIC PPM REFERENCES: DEFINITIONS: Local Program Operations CONFIDENTIALITY April 23, 2012 (Revised) 450 Local WIC programs shall
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How to fill out Oregon WIC Policy 450:

01
Obtain a copy of Oregon WIC Policy 450 from the official website or request it from your local WIC office.
02
Read through the policy thoroughly to understand its requirements and guidelines.
03
Begin by entering your personal information in the designated fields, such as your name, address, phone number, and WIC identification number.
04
Provide information about your household, including the number of people in your household, their names, ages, and relationships to you.
05
Fill out the income section by providing details about your household's income, including any government assistance or benefits you receive.
06
Indicate whether you have any special dietary requirements or restrictions that may affect your eligibility for certain WIC benefits.
07
Complete the section related to your medical history, including any medical conditions, allergies, or pregnancy information if applicable.
08
Sign and date the form to certify that the information provided is accurate and true to the best of your knowledge.
09
If you have any questions or need assistance with filling out the form, contact your local WIC office for guidance.

Who needs Oregon WIC Policy 450:

01
Pregnant women who qualify for the WIC program and wish to benefit from the nutrition and support services provided under Oregon WIC.
02
New mothers who are breastfeeding or have recently given birth and require nutritional assistance.
03
Infants and young children up to the age of five who are at nutritional risk and meet the eligibility criteria for WIC benefits.
04
Families with low income who meet the income guidelines established by the Oregon WIC program.
05
Individuals with certain medical conditions or dietary requirements that can be addressed through the WIC program.
Note: It is essential to consult the official Oregon WIC program guidelines or contact your local WIC office for specific eligibility requirements and information about filling out Policy 450 accurately.
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