Exhibits 5A-5II
Chapter 5: Certification
MN WIC Operations Manual
- Exhibit 5-A: Minnesota WIC Program Income Guidelines - revised 04/2013 (PDF: 55KB/1 page)
- Exhibit 5-B: ***DELETED****
- Exhibit 5-C: ***DELETED***
- Exhibit 5-D: ***DELETED***
- Exhibit 5-E: ***DELETED***
- Exhibit 5-F: Weight Gain Guidelines (PDF: 84KB/2 pages)
- Exhibit 5-G: Prenatal Weight Gain Grid for Underweight Women (PDF: 55KB/1 page)
- Exhibit 5-H: Prenatal Weight Gain Grid for Normal Weight Women (PDF: 52KB/1 page)
- Exhibit 5-I: Prenatal Weight Gain Grid for Overweight Women (PDF: 53KB/ 1 page)
- Exhibit 5-J: HemoCue Instrument Calibration Log (PDF: 17KB/1 page)
- Exhibit 5-K: ***DELETED***
- Exhibit 5-L: ***DELETED***
- Exhibit 5-M: ***DELETED***
- Exhibit 5-N: ***DELETED***
- Exhibit 5-O: ***DELETED***
- Exhibit 5-P: ***DELETED***
- Exhibit 5-Q1: ***DELETED***
- Exhibit 5-Q1: ***DELETED****
- Exhibit 5-Q2: ***DELETED***
- Exhibit 5-R: ***DELETED***
- Exhibit 5-S: ***DELETED***
- Exhibit 5-T: Minnesota WIC Risk Criteria - HuBERT - Revised 11/12 (PDF: 168KB/24 pages)
- Exhibit 5-U: Participant Priority System (PDF: 20KB/1 page)
- Exhibit 5-V: Nutrition Risk and Priority Assignment Table - HuBERT - Revised 11/12 (PDF: 52KB/4 pages)
- Exhibit 5-W: Homeless Facility Assessment Form (PDF: 49KB/2 pages)
- Exhibit 5-X: ***DELETED***
- Exhibit 5-Y: Request for Medical Follow-up - Revised 04/08
- Exhibit 5-Z: WIC ID/VOC Folder (PDF: 545KB/4 pages) - Revised 8/12
- Exhibit 5-AA: Local Self Assessment Breastfeeding Checklist (PDF: 57KB/3 pages)
- Exhibit 5-BB: Documentation Education Tool (PDF: 54KB/1 page)
- Exhibit 5-CC: ***DELETED***
- Exhibit 5-DD: ***DELETED***
- Exhibit 5-EE: ***DELETED***
- Exhibit 5-FF: Welcome to WIC Handbook - Revised 5/11 (PDF: 901KB/9 pages)
- Exhibit 5-GG: Sample Letter of Ineligibility
- Exhibit 5-HH: Calculating Gestation - Adjusted Age (PDF: 267KB/1 page)
- Exhibit 5II: Minnesota WIC Program Certification Form (PDF: 89KB/2 pages)
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