DOH Form 962-933 Statement of Income Form (Affidavit for Income) - Washington State Wic Nutrition Program - Washington

DOH Form 962-933 Statement of Income Form (Affidavit for Income) - Washington State Wic Nutrition Program - Washington

What Is DOH Form 962-933?

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 962-933 Statement of Income Form?A: It is a form used for the Washington State WIC Nutrition Program to provide information about income.

Q: What is the purpose of the DOH Form 962-933?A: The form is used to determine eligibility for the Washington State WIC Nutrition Program based on income.

Q: Who uses the DOH Form 962-933?A: Individuals applying for or receiving benefits from the Washington State WIC Nutrition Program.

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Form Details:

  • Released on November 1, 2018;
  • The latest edition provided by the Washington State Department of Health;
  • Easy to use and ready to print;
  • Available in Somali;
  • 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 962-933 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 962-933 Statement of Income Form (Affidavit for Income) - Washington State Wic Nutrition Program - Washington

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