DOH Form 962-1007 Wic Formula Replacement Form - Washington

DOH Form 962-1007 Wic Formula Replacement Form - Washington

What Is DOH Form 962-1007?

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 962-1007?
A: The DOH Form 962-1007 is the WIC formula replacement form in Washington.

Q: What is WIC?
A: WIC stands for Women, Infants, and Children, and it is a program that provides nutrition assistance to low-income pregnant women, new mothers, and young children.

Q: What is the purpose of the WIC Formula Replacement Form?
A: The purpose of the WIC Formula Replacement Form is to request replacement of WIC-approved infant formula.

Q: Who can use the DOH Form 962-1007?
A: The DOH Form 962-1007 can be used by participants in the WIC program who need to replace their WIC-approved infant formula.

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Form Details:

  • Released on August 1, 2021;
  • 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 962-1007 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 962-1007 Wic Formula Replacement Form - Washington

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