Description
Form (REV 12/23) Restricted for WIC Use Only Use Section A when an applicant or any individual of the applicant’s household is self-employed. Use Section B when an applicant or any individual of the applicant’s household is a farmer.
Form (REV 12/23) Restricted for WIC Use Only Use Section A when an applicant or any individual of the applicant’s household is self-employed. Use Section B when an applicant or any individual of the applicant’s household is a farmer.