This version of the form is not currently in use and is provided for reference only. Download this version of DOH Form 962-933 for the current year.
This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington.
The document is provided in Somali. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DOH Form 962-933?
A: DOH Form 962-933 is the Statement of Income Form for the Washington State WIC Nutrition Program.
Q: What is the purpose of DOH Form 962-933?
A: The purpose of DOH Form 962-933 is to gather information about the income of applicants/participants of the Washington State WIC Nutrition Program.
Q: Who uses DOH Form 962-933?
A: Applicants/participants of the Washington State WIC Nutrition Program use DOH Form 962-933 to report their income information.
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 for pregnant women, new mothers, and young children.
Q: What is the language of this form?
A: This form is in the Somali language.
Q: Is DOH Form 962-933 required?
A: Yes, DOH Form 962-933 is required for applicants/participants of the Washington State WIC Nutrition Program to report their income.
Q: Can I get help in filling out DOH Form 962-933?
A: Yes, you can seek assistance from authorized WIC clinics or contact the Washington State Department of Health for help in filling out DOH Form 962-933.
Q: What other forms are required for the Washington State WIC Nutrition Program?
A: Other forms required for the Washington State WIC Nutrition Program may include eligibility forms, medical documentation, and proof of residency.
Q: Who is eligible for the Washington State WIC Nutrition Program?
A: Pregnant women, new mothers, and young children who meet certain income guidelines and have a nutrition risk are eligible for the Washington State WIC Nutrition Program.
Form Details:
Download a printable version of DOH Form 962-933 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.