Orders will be filled and shipped directly to you from the Washington State Department of Printing Fulfillment Center.
Use the instructions below to order from the Washington State Department of Printing's myFulfillment. Internet orders are shipped approximately 2-3 days after the order is placed.
Washington WIC uses standardized questions when program eligibility is determined at initial and subsequent certifications. The questions are specific to participant category and infant age. These questions support WIC staff in completing the nutrition assessment, determining WIC risk eligibility and starting a dialogue with the participant about what she or he wants and needs related to nutrition and health.
Lost, Stolen, or Damaged Multi-User Breast Pump Report (PDF) - Submit this report when all attempts to recover a breast pump are exhausted.
WIC uses the following growth charts for infants and children from birth to 24 months of age. These are the Center for Disease Control (CDC) growth charts based on the World Health Organization (WHO) growth standards.
WIC policy requires that clients fill out and sign the Grace Period for Proof of Income Form (PDF) when proof of income exists but the person didn't bring it to the clinic. See Volume 1, Chapter 6–Income (PDF) for more information.
This optional Income Intake Tool (PDF) helps staff gather income information in a more confidential manner. The client can fill out the form and staff ask follow-up questions about the information as needed before entering it in Client Services.
The Washington WIC Nutrition Program uses prenatal weight gain grids based on the 2009 Institute of Medicine (IOM) prenatal weight gain guidelines. A pregnant woman's weight is plotted on a prenatal weight gain grid based on her pre-pregnant Body Mass Index (BMI) and if it is a singleton or multiples pregnancy.
This is for State WIC-provided printers.
Staff provide the Race and Ethnicity Tool (PDF) to participants so they can review the definitions of the federal race and ethnicity categories and provide their self-declared information.
See Volume 1, Chapter 18 – Certification (PDF) for more information.
The Rights and Responsibilities form (PDF) was revised to use with Cascades, WIC Cards, and reflect the Participant Violations and Sanctions Table published in the Washington Administrative Code (WAC).
This tool helps WIC staff track time worked in the four WIC cost types.
WIC policy states staff send the We Missed You letter for all categories to clients who miss WIC appointments. A separate letter is required for pregnant women who miss their first scheduled WIC appointment. English and Spanish letters will print from CIMS Client Services. All languages are located here for printing.
WIC policy requires staff to provide the WIC Fair Hearing brochure (PDF) to applicants and participants who feel staff incorrectly or unfairly determined them ineligible for WIC services. See the Washington State WIC Policy and Procedure Manual Chapter 20 (PDF) for more information.
WIC policy requires staff to provide the Not Eligible (Termination) letter (PDF) to applicants who don't qualify for WIC services and to clients that staff take off WIC. See the Washington State WIC Policy and Procedure Manual Chapter 20 (PDF) for more information.
Clients sign the WIC Statement of Income Form (PDF) when proof of income doesn't exist, for example when the person has no income, works for cash or income documentation was destroyed in a house fire or natural disaster. See Volume 1, Chapter 6–Income (PDF) for more information.
For people with disabilities, Web documents in other formats are available on request. To submit a request, please contact us at civil.rights@doh.wa.gov.
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