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  • Ohio Department Of Health Wic Program Application

Get Ohio Department Of Health Wic Program Application

Ohio Department of Health WIC Program Application A. Parent, guardian or applicants name Telephone Street address Mailing address (if not the same as street address) State City B Home B Work B Cell.

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How to fill out the Ohio Department Of Health WIC Program Application online

This guide provides step-by-step instructions on how to complete the Ohio Department Of Health WIC Program Application online. By following these instructions, you can ensure that your application is filled out accurately and efficiently.

Follow the steps to successfully complete your application.

  1. Click ‘Get Form’ button to obtain the application form and access it in the editor.
  2. Fill in the personal details in section A, including the name, street address, telephone numbers, and county. Ensure the information is complete and accurate.
  3. In section B, list all individuals living in your home. Include their full names, indicate if they are Hispanic/Latino, and provide their relationship to you. Repeat this for all individuals in your household.
  4. If applicable, answer questions regarding pregnancy and breastfeeding status, including providing due dates and doctor’s information where requested.
  5. Indicate whether anyone in your home is currently receiving assistance such as Ohio Works First Cash, Medicaid, or Food Assistance. Provide names where required.
  6. Document the income sources for each person in your household. List the name, source of income, gross amounts, and how often it is received.
  7. Ensure that you and any individuals who assisted you sign the form as required. This includes signing on the back of the application.
  8. Once all sections are complete, you can save the changes, download the application, print it, or share it as needed.

Take the next step and complete your Ohio Department Of Health WIC Program Application online today.

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Who is eligible? Pregnant, postpartum and breastfeeding women, infants, and children up to age five are eligible. They must meet income guidelines, a state residency requirement, and be individually determined to be at "nutritional risk" by a health professional.

Privacy policy. Total monthly household income before taxes, including job, self-employment, and other income like social security, disability, child support, worker's comp, unemployment, and pension income. The gross income limit for WIC is 185% of the federal poverty level.

To apply for WIC benefits, please visit a WIC clinic near you....To find your local WIC clinic, you can: Download the WIC Clinic Directory. Call 1-844-601-6881. Call 1-800-755-GROW (4769). Text: wic + your zip code to 1-844-601-6881 (example: wic43215).

Ohio WIC Program Income Guidelines Economic UnitAnnuallyMonthly1$25,142$2,096233,8742,823342,6063,551451,3384,2794 more rows • Jul 1, 2021

WIC helps eligible pregnant and breastfeeding women, women who recently had a baby, infants, and children up to 5 years of age.

Income Eligibility Guidelines (effective 07/01/2023 - 06/30/2024) AnnuallyMonthlyFamily of 1$26,973$2,248Family of 236,4823,041Family of 345,9913,833Family of 455,5004,6255 more rows

1 Member in Household Income FrequencyMaximum Allowable IncomeMonthly$2,248Twice-Monthly$1,124Bi-Weekly$1,038Weekly$5191 more row

What to Bring to Appointment WIC Nutrition Card. Proof of household income (check stubs, letter from employer, government assistance benefits statement) Identification (ID) that includes birth date (preferably photo ID) Children under age 5 with ID that includes birth date (birth certificate, crib card, shot record)

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Get Ohio Department Of Health WIC Program Application
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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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
Ohio Department Of Health WIC Program Application
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