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.
Q: What is form DOH 960-170?
A: Form DOH 960-170 is a worksheet for pregnant individuals seeking WIC services in the state of Washington.
Q: Who is the form for?
A: The form is for pregnant individuals who are applying for WIC services in Washington.
Q: What are WIC services?
A: WIC services are a special supplemental nutrition program for women, infants, and children, providing nutritional support and education.
Q: What is the purpose of the worksheet?
A: The worksheet helps determine if the pregnant individual is eligible for WIC services and provides information for their nutritional assessment.
Form Details:
Download a printable version of DOH Form 960-170 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.