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N EW YORK 5TATE DEPARTMENT OF H EALTH Authorization Form Division of Nutrition/WlC Program If you would like to authorize another person to represenl you at times when you are unable to attend WIC appointments or redeem food instruments please check either Parent/Spouse/Partner Representative or Proxy. You are allowed to have up to two persons to ForOffice Use Only Validation Date represent you but this is not required. Void Date This form does not allow for the release of WIC records. Participant s Initials Participant Name sl lndividuat WIC ID Numbers. has the same rights under the WIC program as Representative the enrolting parent/spouse/partner can authorize a Representative or Proxy. Can sign all required forms. can represent you at your chitdren s certification appointments. can pick up and redeem yourfood instruments can sign a required forms appoi ntments a must be someone responsibte forthe primary care ofthe participant and able to provide information on the eating habits and....

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Who is eligible for this program? Household Size*Maximum Income Level (Per Year)1$26,9732$36,4823$45,9914$55,5004 more rows

A proxy is a person designated by the WIC Authorized Person to obtain WIC services for members of the authorized person's family and/or to purchase WIC food benefits. a. Up to two proxies may be designated to obtain WIC services for members of the authorized person's family.

Foods for Infants (Birth-12 Months) The Michigan WIC program contracts with one formula company to provide formula at a reduced price. Standard infant formulas available from the Michigan WIC program are: Similac Advance, Similac Sensitive, Similac Soy Isomil, Similac Spit-up, and Similac Total Comfort.

INFANTS– FULLY FORMULA FED (4-5 months): 884 fl oz reconstituted liquid concentrate or 896 fl oz RTF or 960 fl oz reconstituted powder. (6-11 months): 624 fl oz reconstituted liquid concentrate or 640 fl oz RTF or 696 fl oz reconstituted powder.

The three most significant weaknesses are (1) selection bias, (2) simultaneity bias, and (3) lack of generalizeability. The resulting uncertainty places WIC's possible impacts on infant mortality, prematurity, and birthweight on a range from zero to substantial.

Please see the Appointment Checklist to make sure you have everything you need for you appointment. Your WIC benefits can only be used in the State of Michigan. Spend your benefits only at stores that have been approved to accept WIC. Your local WIC office has a list of these stores.

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© Copyright 1997-2025
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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