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WIC Formula and Food Authorization Form (FAFAF)

Download the applicable form. Please fill it out completely and give it to the WIC participant. You may also fax the form to the WIC clinic. View WIC clinic locations. 

Infants 0-11 months of age FAFAF
Children 1 to 5 years of age and women FAFAF

Information about Utah WIC-approved infant formulas

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WIC clinic fax numbers

Clinic list by agency with fax
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