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  • Special Issuance Authorization Form - Kansas Wic - Kdheks

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Dear Health Care Professional: Mother?s milk is the preferred food for infants. If infant formula becomes necessary, only certain formulas are available through the WIC Program. The Kansas WIC Program.

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Income Eligibility $33,874 annually for a household of two. $42,606 annually for a household of three. $51,338 annually for a household of four.

Breastfeeding mothers, up to baby's first birthday: $90.00. Breastfed infants up to 6 months old: Priceless breast milk. Breastfed infants 6 - 12 months old: Priceless breast milk + $90.00. Non-breastfeeding mothers, up to 6 months after baby's birth: $53.00.

To apply, call the WIC Office at (785) 251-5607.

WIC foods are chosen because they contain nutrients needed for pregnancy, breastfeeding, infancy, and early childhood. Examples of WIC foods include milk, yogurt, cheese, eggs, juice, fish, whole grains, cereal, peanut butter, beans (dried or canned), fresh fruits and vegetables, infant formula and baby food.

1 Member in Household Income FrequencyMaximum Allowable IncomeAnnual$25,142Monthly$2,096Twice-Monthly$1,048Bi-Weekly$9671 more row

How to Apply. Call your local WIC agency to schedule an appointment. At the appointment, there will be a brief review of foods you eat, medical history, and current health status to determine the medical or nutritional need.

Policy: For WIC income eligibility determination purposes, the Kansas WIC Program will use the Federal Poverty Guidelines. To be income eligible for WIC benefits, an economic unit (household) may earn up to and including 185% of the Federal Poverty Guidelines.

Benefits in a Kansas eWIC account cannot be used in any other state.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232