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DOH Form 962-985 No Proof of Residency Form (Affidavit for Residency) - Washington State Wic Nutrition Program - Washington
What Is DOH Form 962-985?
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 the DOH Form 962-985?
A: DOH Form 962-985 is the No Proof of Residency Form (Affidavit for Residency).
Q: What is the purpose of the DOH Form 962-985?
A: The purpose of the form is to provide a way for individuals to participate in the Washington State WIC Nutrition Program without providing proof of residency.
Q: What is the Washington State WIC Nutrition Program?
A: The Washington State WIC Nutrition Program is a program that provides nutrition education, healthy food, and support to low-income pregnant women, new mothers, and young children.
Q: Who needs to fill out the DOH Form 962-985?
A: The form needs to be filled out by individuals who do not have proof of residency but still want to participate in the Washington State WIC Nutrition Program.
Q: What does the DOH Form 962-985 affirm?
A: The form affirms that the individual is a resident of Washington state, meets the income eligibility requirements, and intends to reside in Washington for a certain period of time.
Form Details:
- Released on October 1, 2018;
- 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 962-985 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
