General forms

•  WIC FI Stock Order Form
•  Employee Signature Form (form 57-200)
•  TWIST Complaint Data Entry Document (form 57-500)
•  TWIST Certification Data Entry Document (form 57-615)
• Lost/Stolen Voucher Report (form 57-910)   English   Spanish
• Voiding Vouchers Due To Category Change (form 57-911, 8/2009)   English   Spanish 
• Voter Registration forms and information (links to an external site)
•  SEL 504: Agency Voter Registration Reporting Form
•  SEL 504c: NVRA Site Coordinator Change Form
•  SEL 500: Voter Registration Form  
•  World Health Organization (WHO) growth charts

Assessment forms

• Health questionnaires
• Infants and children    English   Spanish
• Pregnant women    English   Spanish
• Postpartum women    English   Spanish
• Diet questions
• Baby    English   Spanish
• Child    English   Spanish
• Women    English   Spanish

Participant Forms

• Rights and Responsibilities for WIC Participants (form 57-630) 
   English   Spanish   Russian   Vietnamese   Chinese   Somali 
• Participant Signature Form for WIC Participants (form 57-629) 
   English   Spanish   Russian   Vietnamese   Chinese   Somali
• What Proof to Bring to WIC (form 57-632)
   English/Spanish   English/Chinese   English/Russian   English/Somali   English/Vietnamese
• WIC proofs checklist (form 57-634)
   English     Spanish coming soon

Review tools

•  WIC review tool
•  Client record review tool
•  Observation review tool - certification 
•  Observation review tool - group education
•  Observation review tool - mid-certification 
•  Farm Direct Nutrition Program (FDNP) review tool
•  Breastfeeding Peer Counseling (BFPC) Program review tool
•  BFPC client record review tool

Medical documentation

• Providence special medical formula request form (WIC staff use only)  Fillable Word document      PDF
•  Procedures for ordering special medical formulas from Providence Home Medical Equipment 
•  Providence formulary
•  WIC Medical Documentation Form
•  Oregon WIC formulary 
• Optional tools (MS Word documents)
•  Client instruction sheet regarding Medical Documentation Form (English and Spanish)
•  Medical Request for Soy Beverage Children 13 to 60 Months (English)
•  Request for Special Medical Formula/Food (English) 

Shopper education materials for participants

• How to shop with your WIC vouchers - participant education 
•  English Flipbook (PDF, 6.6 MB) effective 9/2011
•  English Powerpoint (PPT, 19.6 MB) effective 9/2011
•  Spanish Flipbook (PDF, 7.2 MB) effective 9/2011
•  Spanish Powerpoint (PPT, 18.1 MB) effective 9/2011