Request for Special Formula and Authorization for Wic Supplemental Foods - New Hampshire

Request for Special Formula and Authorization for Wic Supplemental Foods - New Hampshire

Request for Special Formula and Authorization for Wic Supplemental Foods is a legal document that was released by the New Hampshire Department of Health and Human Services - a government authority operating within New Hampshire.

FAQ

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

Q: Who is eligible for WIC?
A: Pregnant women, breastfeeding women, postpartum women (up to 6 months after giving birth), infants, and children up to age 5 are eligible for WIC if they meet income guidelines and have a nutritional need.

Q: How do I apply for WIC in New Hampshire?
A: To apply for WIC in New Hampshire, you can call your local WIC clinic to schedule an appointment. During the appointment, you will complete an application form and provide proof of income, residency, and identification.

Q: What are WIC supplemental foods?
A: WIC supplemental foods are specific nutritious food items provided to participants at no cost. These include fruits, vegetables, whole grains, dairy products, and protein foods like eggs, peanut butter, and canned fish.

Q: Can I get special formula through WIC?
A: Yes, special formulas for infants with medical conditions or special dietary needs can be provided through WIC. You will need a prescription from a healthcare provider.

Q: Do I need to be a U.S. citizen to qualify for WIC?
A: No, U.S. citizenship is not a requirement to qualify for WIC. Non-U.S. citizens, including undocumented immigrants, can still be eligible if they meet the income guidelines and have a nutritional need.

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Form Details:

  • Released on January 1, 2016;
  • The latest edition currently provided by the New Hampshire Department of Health and Human Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services.

Download Request for Special Formula and Authorization for Wic Supplemental Foods - New Hampshire

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