Form Wic-35-3. If section i or section ii do not apply to you, go to the other side and complete section iii. If you do not have this form, you can.
What is WIC? Henderson County North Carolina
La staff shall identify the seu’s household. Web by signing this form, i certify that all information i have provided is correct. Acceptable proof as outlined in cs:06.0 residency as a certification requirement, or 2. Web family certification form pan applicant/parent/guardian (solicitante/padre/tutor) name of applicant or parent/guardian #1 last (apellido) first (primer nombre) middle (segundo. Web wic policy and procedures manual 4. Use get form or simply click on the template preview to open it in the editor. Wic policy and procedures manual 3. All sources of income received by all members of. If you do not have this form, you can. Web • ask to see the current month’s form/letter.
Web click the get form or get form now button on the current page to make your way to the pdf editor. The same dwelling or intends to purchase and prepare food separately after certification. Hold on a second before the wic 35 3 is loaded. Use get form or simply click on the template preview to open it in the editor. Web complete this form before your appointment and bring it with you. Each applicant who receives medicaid, food stamps or tanf benefits shall provide proof. What to bring to your wic appointment; Web effective july 1, 2021 policy no. If you do not have this form, you can. Wic appointment is scheduled for: I certify that i have informed the wic staff about ;
