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State Plan Checklist - CERTIFICATION, ELIGIBILITY & COORDINATION OF SERVICES 8/14/2026 Page 8

c. If the applicant does not supply the necessary documentation at the certification appointment, local agencies are generally instructed to do the following: [X] Certification process is terminated, and no food instruments/cash-value vouchers are provided appointment rescheduled [ ] Temporary certification (not to exceed 30 days) for applicants that have one qualifying nutrition risk and are able to present at least two of the three required documents (identification, residency, and income) during a certification appointment is completed and food instruments are provided. However, if applicant does not provide documentation within 30 days, certification expires, and a new eligibility determination must be conducted. [ ] Other

d. The State agency requires on State-wide, or on at local agency discretion (check one), the verification of applicant income information, if determined necessary [ ] No [X] Yes (check all sources required, as appropriate):

e. The State agency has specific policies that define actions to be taken for mid-certification appointment if a participants income eligibility changes. Yes No

f. The State agency allows documentation of alternate income procedures for Indian or Indian Health Service (IHS) operated local agencies. Yes No Not Applicable

g. The State agency has a specific policy that addresses income from benefits provided by a State administered program. Yes No Specify: Refer to WIC PM Ch. 2 Certification sec. 2.2 and Attachment 2-5 Guide to Determining WIC Income Eligibility.