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☐ None ☒ Other (specify): victims of theft, loss, or disaster

d. The State agency allows the following as proof of identity; please select all that apply. ☒ Driver’s license ☒ Passport ☒ State issued identification card ☒ Employer issued identity card ☐ Documentation from participation in a means-tested program. ☒ Other (please list all that are accepted) county/tribal/student/military ID, birth certificate, name change court order, alien card, U.S. immigration/naturalization doc. Infant/child only: adoption/hospital/WI Immunization Registry/electronic birth record. Adult only: social security card e. The State agency requires physical presence of the applicant or a valid exception to be documented: ☒ Yes except for the following condition(s): 7 CFR 246.7(o)(2) ☒ Applicant or parent/caretaker is an individual with disabilities which prevent him/her from being physically present at the WIC clinic (e.g., medical equipment, bedrest or serious illness exacerbated by coming into clinic). ☒ Applicant is an infant or child receiving documented ongoing health care from any health care provider, including the local agency; being physically present would pose an unreasonable barrier; and the infant or child was present at his/her initial WIC certification. ☐ Applicant is an infant under 8 weeks of age who cannot be present at the time of certification (for a reason determined appropriate by the local agency) and for whom all necessary certification information is provided. ☒ Applicant is an infant or child who was present at his/her initial certification; was present at certification within the one-year period of the most recent determination; and is under the care of one or more working parent, or under the care of primary working caretakers whose status presents a barrier to bringing the infant or child into the WIC clinic.

3. The State agency requires applicants to submit proof of categorical eligibility for (check all that apply): ☐ All pregnant women ☐ Pregnant women not visibly pregnant ☐ Postpartum women ☒ Children ☒ Infants ☐ Other (specify): Click or tap here to enter text.

4. Income Limits for Eligibility a. The State agency gross income limit for income eligibility is at or below 185% of the federal poverty income guidelines