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DOH Form 962-979 Individual Authorization to Release Wic Information - Washington
What Is DOH Form 962-979?
This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is form DOH 962-979?
A: Form DOH 962-979 is the Individual Authorization to Release WIC Information form for Washington State.
Q: What is the purpose of form DOH 962-979?
A: The purpose of form DOH 962-979 is to authorize the release of WIC information for an individual in Washington State.
Q: Who needs to fill out form DOH 962-979?
A: Any individual in Washington State who wants to authorize the release of their WIC information needs to fill out form DOH 962-979.
Q: Is there a fee to submit form DOH 962-979?
A: No, there is no fee to submit form DOH 962-979.
Form Details:
- Released on November 1, 2017;
- The latest edition provided by the Washington State Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of DOH Form 962-979 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
Download DOH Form 962-979 Individual Authorization to Release Wic Information - Washington
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