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Printable Form 8858 Allegheny Pennsylvania: What You Should Know
In order to find your child's WIC application, visit the WIC-PA.org website, telephone numbers (for a list of your local WIC agencies) and select your county and your community area (e.g., Bucks County). Note: All children applying for WIC are also eligible to receive free immunizations. Contact your local WIC. • In the application, write your son's Social Security number or W-4 number (the individual taxpayer identification number assigned to every individual who is self-employed and who has one or more dependent children). For WIC Eligibility Verification, you have several options: 1. You can use the Verification Program Website at a WIC agency to verify your child's WIC status. 2. You can request an application from the State of PA as specified on the “Verification Required” portion of the application. 3. Furthermore, you can request an application from WIC-PA. 4. Furthermore, you can use Form 8858, Information Return of U.S. Persons by Mail, for all or part of the application. 5. Furthermore, you can complete an existing application for WIC from another agency (e.g., the PA Department of Health or the PA State Department of Health or your local Community Action Program in the county in which you live. • Go to —Select “Apply for benefits” in the first sub-menu, then “Find & Apply for Benefits”, under the “Get or renew a Pennsylvania Certificate of Need” menu, then follow the instructions • Click on the “WIC” tab and scroll down through your choices. In the “Choose an area where your child is living” section, choose “Apply and complete an application for benefits here” • Next to your area of living, choose “Apply and complete a WIC application for child here” Submit your completed application and/or proof through mail or your local office to: • PA State Department of Health • PA Department of Health • MICA • PACE • PA Department of Health P.O. Box 949 Harrisburg, PA 17 You may also email this form directly to the following information: • P.O. Box 949 • Harrisburg, PA 17 • P.O. Box 949 • Harrisburg, PA 17 • P.O.
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