General forms

•  Employee Signature Form template
•  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 
•  World Health Organization (WHO) growth charts

National Voter Registration Act forms

• Oregon Secretary of State voter registration forms and information (links to an external site)
• SEL 503: Voter Registration Form   English  Spanish
•  SEL 503D: Oregon Voter Registration Declination Form English/Spanish
•  SEL 504: Agency Voter Registration Reporting Form
•  SEL 504c: NVRA Site Coordinator Change Form

Voucher stock and printer supply order forms

•  WIC voucher stock order form
•  Voucher stock receipt form
•  Monthly voucher stock inventory log
•  WIC quarterly voucher audit log
•  WIC cartridge order form 

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

Review tools 

Now located on the WIC Coordinator page. 

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 (revised effective 10/2012)
•  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