Alimony, Pay Stub, Child Support Payments, Trust, Medicaid, Unemployment Compensation, Social Security
What is Proof of Income?
300
This item can not be issue to proxy
What is WIC Folder?
300
Failure to pick up vouchers for 2 consecutive months
What is Term E
400
A group of related or non-related individuals who are living together as one economic unit.
What is Family?
400
Post Partum Non-Breastfeeding Women, Children
What is 20 days?
400
Cable TV Bill, Electric Bill, Gas Bill, Water Bill, Telephone Bill, Rent/Mortgage Receipt, Medicaid
What is Proof of Residency(Address)
400
Illness of the Guardian;
Imminent or recent childbirth;
Guardian's inability to come to the clinic site during business hours
What is Reasons for Proxies
400
Failure to return with proof on 30 day certificiation
What is Term L
500
Pregnant women(through pregnancy up to 6 months post partum;
Breastfeeding women(up to the infants 1st birthday);
Non-breastfeeding postpartum women(up to 6 months post partum);
Infants(up to 1st birthday);
Children(up to their 5th birthday)
What is Eligibility for WIC Services?
500
Draw one line thru the error. Make the correction. Initial & date.
What is Error Corrections
500
Birth Certificate, Immunization Record, Health Records
Driver License, Social Security Card, Work ID, Hospital Discharge Papers
What is Proof of Identifications?
500
Age--A proxy must be a least sixteen (16) years old;
Staff- State, District Health Department and local staff, may not act as proxies;
Vendors- Vendors must not be used as a proxy.