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Unavailable Proofs Due To Special Situation - 633B - English/Spanish

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Description: WIC is required to see proof of income, residency, and identity to provide WIC services. Completing this form meets the requirement for the certification period. 

Format: This document is a 2-sided handout, 8.5" x 11" with English on one side and Spanish on the other. There is a "Large Print" version of this available as well in both languages for digital download only.

Packaging: These documents come in shrink wrapped packs of 100.

Languages Available: English/Spanish , Large Print English, Large Print Spanish

Form number:  633B

Revision date: 01/2025


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