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A. Eligibility, Determination, and Documentation 1. Application Process a. The State agency requires all local agencies to use a standardized application process for all persons applying for the WIC Program ☒Yes ☐No b. The State agency shares ☒Statewide or ☐at local agency (check one), a common income application or certification form with (check all that apply): ☒No other benefit programs ☐Medicaid ☐TANF ☐SNAP ☐Maternal and Child Health (MCH) ☐Other reduced-price health care program(s) ☐Other (specify): N/A. ADDITIONAL DETAIL: Certification and Eligibility Appendix and/or Procedure Manual (citation): Policy and Procedure 2.01 Certification of Participants; 2.06 Income Eligibility Requirements 2. Residency, Identity and Physical Presence Requirements a. The State agency requires documentation of residency ☒Yes ☒Signed statement that documentation of residency information is not available and why (e.g., homeless, theft, fire) ☐No (Specify why, e.g., ITOs and Alaska natives who are exempt from this requirement): N/A. b. The State agency has reciprocal agreements concerning residency with other State agencies ☐Yes; list States: N/A. ☒No Describe any reciprocal agreements: N/A. c. The State agency has special residency policies and procedures for how the following special categories should be treated (check all that apply): ☒Homeless applicants ☐Institutionalized applicants 3