TITLE 12. HEALTH
DEPARTMENT OF HEALTH
Chapter 195
Forms
REGISTRAR'S NOTICE: A form used in administering the following regulation has been filed by the Department of Health. The form is not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name of the form to access it. The form is also available from the agency contact or may be viewed at the Office of the Registrar of Regulations, General Assembly Building, 2nd Floor, Richmond, Virginia 23219.
Title of Regulation: 12VAC5-195. Virginia WIC Program.
Contact Information: Susan Puglisi, Policy Analyst, Department of Health, 109 Governor Street, Richmond, VA 23219, telephone (804) 864-7175, or email susan.puglisi@vdh.virginia.gov.
FORMS (12VAC5-195)
Food application contact form, an online form available at http://www.vahealth.org/DCN/Publications/pubswic.htm.
Virginia WIC Program UPC Update Request Form (eff. 1/2014)
VA.R. Doc. No. R17-4853; Filed August 18, 2016, 4:13 p.m.