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How do I fill this out?
To fill out this form, gather your federal tax return for the applicable year. Locate the line that indicates total income, which may vary by form. Ensure you reference this line accurately when submitting your information.

How to fill out the Income Verification using Tax Return Forms?
1
Collect your federal tax return forms for the relevant tax year.
2
Identify the line that lists total income.
3
Make sure to include all sources of income as indicated.
4
Document this information in the appropriate section of the form.
5
Submit the completed form to the designated authority.
Who needs the Income Verification using Tax Return Forms?
1
WIC staff need this file to verify participant eligibility accurately.
2
Families applying for WIC benefits require this form to ensure they meet income criteria.
3
Healthcare providers must access this file to assist patients with income verification.
4
Financial advisors might need this form to provide guidance regarding WIC applications.
5
Tax professionals may use this file to help clients understand their income verification needs.
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What are the instructions for submitting this form?
To submit this form, email it to health.wic@state.mn.us or send it via fax to 1-800-657-3942. You can also submit the physical form directly to the Minnesota Department of Health at 625 Robert St N, PO BOX 64975, ST PAUL MN, 55164-0975. Ensure to keep a copy for your records and submit before the applicable deadline.
What are the important dates for this form in 2024 and 2025?
For income verification in 2024, ensure to use the latest tax return available. Dates for new submissions typically align with tax filing deadlines each year. Check yearly updates for any changes in procedures or requirements.

What is the purpose of this form?
The purpose of this form is to provide a structured approach for verifying participant income through federal tax returns. It helps WIC staff to accurately assess eligibility based on documented income sources. Ensuring proper submission is vital for maintaining program integrity and compliance.

Tell me about this form and its components and fields line-by-line.

- 1. Total Income: This field captures the total income from the federal tax return.
- 2. Wages: Specify the total wages earned as reported on tax documents.
- 3. Other Income Sources: This field includes dividends, pensions, and social security benefits.
What happens if I fail to submit this form?
Failing to submit this form can result in delays in eligibility determination for WIC benefits. It may also lead to denial of services if income cannot be verified promptly. Accurate and timely submissions are crucial to avoid any interruptions in services.
- Eligibility Loss: Participants may lose their eligibility for programs if income is not verified.
- Delays in Processing: Incomplete submissions can cause significant delays in processing applications.
- Increased Scrutiny: Repeated failures to submit proper documentation may lead to increased scrutiny of future applications.
How do I know when to use this form?

- 1. Annual Income Verification: Submit this form each year during tax season for continued benefits.
- 2. Change in Income: Utilize this form when there are significant changes in annual income.
- 3. Initial Application: New applicants must submit this form to validate their eligibility.
Frequently Asked Questions
How do I verify my income using this form?
You will need to reference the total income line on your federal tax return.
Can I edit the PDF once I download it?
Yes, you can edit the PDF using our PrintFriendly tools before downloading.
What should I do if I don't have my tax return?
Contact your tax advisor or the IRS to obtain a copy of your tax return.
How do I share this PDF after editing?
Utilize the share options on PrintFriendly to send it via email or social platforms.
Can I sign this document electronically?
Yes, our platform allows for electronic signatures directly on the PDF.
What if I need to check my income eligibility?
Refer to the guidelines provided in this document for comprehensive income eligibility criteria.
Is there a support contact for questions?
Yes, you can reach out to your State WIC Consultant for assistance.
Does this file have any submission deadlines?
Check the important dates section for specific submission timelines.
Can I print this document after editing?
Absolutely! You can print your edited document directly from PrintFriendly.
How often should I submit this form?
Submission frequency varies by program requirements; consult your guidelines.
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