WIC OUTREACH MATERIALS Order Form BROCHURE: ‘WIC: Healthy Foods, Healthy Kids, Healthy Families ¡Dé un vistazo al WIC!
¿Cuáles out son los alimentos Check WIC! incluidos en el WIC?
Dial 211 toll-free or • Leche • Cereal t “health” to 898211 to find a • Queso • Jugo 100 % WIC clinic near you. de frutas • Huevos TY Relay: call 800-735-2900 •or 711) Mantequilla • Frijoles o • Pan integral,
bebés
• Pescado enlatado
Published
Form Number
________
English
3/2017
57-400 ENG
________
Spanish
3/2017
57-400 SPA
tortillas de maíz o arroz integral
ance with Federal civil rights law and U.S. Department lture (USDA) civil rights regulations and policies, the s Agencies, offices, and employees, and institutions ing in or administering USDA programs are prohibited riminating based on race, color, national origin, sex, salidas de for prior civil rights age, ¡Las or reprisal or retaliation n any compras program or activity conducted or funded by para el WIC son ersons with disabilities who require alternative means rápidas y fáciles con la unication for program information (e.g. Braille, large tarjeta eWIC! iotape, American Sign Language, etc.), should contact cy (State or local) where they applied for benefits. ls who are deaf, hard of hearing or have speech alimentos Con la tarjeta, puede comprar es may contact USDA through the Federal Relay WICAdditionally, a medidaprogram que los necesite. En la t (800)del 877-8339. information ade available in languages other than English. mayoría de las tiendas, ni siquiera tiene que
¡Comprar es fácil con eWIC!
rogram complaint of discrimination, separar sus compras delcomplete WIC.theSimplemente ogram Discrimination Complaint Form, (AD-3027) dígale al cajero que está usando su tarjeta ine at: http://www.ascr.usda.gov/complaint_filing_ del , and at anyWIC. USDA office, or write a letter addressed to d provide in the letter all of the information requested m. To request a copy of the complaint form, call (866) un teléfono inteligente? . Submit ¿Tiene your completed form or letter to USDA by: U.S. Department of Agriculture, Office of the Assistant nuestra aplicación “WIC for Civil¡Pruebe Rights, 1400 Independence Avenue, SW, on, D.C.Shopper”! 20250-9410; (2) fax: (202) 690-7442; or (3) Puede utilizarla para
[email protected]. This institution an equal buscar alimentos elegiblesis para ity provider.
De conformidad con la Ley Federal de Derechos Civiles y los reglamentos y políticas de derechos civiles del Departamento de Agricultura de los EE. UU. (USDA, por sus siglas en inglés), se prohíbe que el USDA, sus agencias, oficinas, empleados e instituciones que participan o administran programas del USDA discriminen sobre la base de raza, color, nacionalidad, sexo, discapacidad, edad, o en represalia o venganza por actividades previas de derechos civiles en algún programa o actividad realizados o financiados por el USDA. Las personas con discapacidades que necesiten medios alternativos para la comunicación de la información del programa (por ejemplo, sistema Braille, letras grandes, cintas de audio, lenguaje de señas americano, etc.), deben ponerse en contacto con la agencia (estatal o local) en la que solicitaron los beneficios. Las personas sordas, con dificultades de audición o discapacidades del habla pueden comunicarse con el USDA por medio del Federal Relay Service [Servicio Federal de Retransmisión] al (800) 877-8339. Además, la información del programa se puede proporcionar en otros idiomas. Para presentar una denuncia de discriminación, complete el Formulario de Denuncia de Discriminación del Programa del USDA, (AD-3027) que está disponible en línea en: http://www.ascr.usda.gov/complaint_ filing_cust.html y en cualquier oficina del USDA, o bien escriba una carta dirigida al USDA e incluya en la carta toda la información solicitada en el formulario. Para solicitar una copia del formulario de
denuncia, llame al (866) 632-9992. Haga llegar su formulario lleno o healthoregon.org/wic
el WIC y verificar su saldo de
ed this information in del WIC. Encontrará nt or an beneficios alternate esta aplicación en la tienda de lease call 971-673-0040 00-735-2900. aplicaciones de su teléfono. 57-400-ENGL (03/2017)
Language
(Limit of 100)
Servicio de Retransmisión TTY: llame al 800-735-2900 o marque 711
de maní
guisantes (chícharos) secos
• Frutas y verduras • Alimento para
Quantity
Marque el número gratuito 211 o envíe la palabra “health” por mensaje de texto al 898211 para encontrar una clínica del WIC cercana a su domicilio.
carta al USDA por: (1) correo: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW , Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; o (3) correo electrónico:
[email protected]. Esta institución es un proveedor que ofrece igualdad de oportunidades.
healthoregon.org/wic
Si necesita esta información impresa en letra grande o en un formato alternativo, llame al 971-673-0040 o comuníquese por TTY 800-735-2900. 57-400-SPAN (03/2017)
For electronic versions of these brochures, as well as versions in Chinese, Russian, Somali, Arabic or Vietnamese, please download and print from this link: https://public.health.oregon.gov/HealthyPeopleFamilies/wic/Pages/publications.aspx
11” x 17” POSTER: ‘WIC: You Got This” Quantity
• Answers to your nutrition questions • Fruits and vegetables, whole grains, eggs, milk, yogurt, cheese, juice, cereal and more • Breastfeeding support • Help getting other services
Published
Form Number
________
English
5/2017
57-401 ENG
________
Spanish
5/2017
57-401 SPA
(Limit of 10)
Pregnant? Breastfeeding? Family with a child under age 5? What you get with WIC:
Language
WIC Income Guidelines as of May 1, 2017
Household size
Monthly
1 person(s)
$1,860
2
2,504
3
3,149
4
3,793
876
5
4,437
1,024
6
5,082
1,173
Weekly $430 578 727
For current income guidelines, visit: www.healthoregon.org/wic
Your local WIC office:
Getting WIC will not affect your immigration status.
Call 211 for a WIC clinic near you or visit healthoregon.org/wic If you need this information in large print or an alternate format, please call 971-673-0040 or TTY 800-735-2900. In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English. To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email:
[email protected]. This institution is an equal opportunity provider. 57-401-ENGL (05/2017)
ORDERED BY: Name:_______________________________________
Phone: _____________________________
Organization: _________________________________
Fax: _______________________________
Address: ________________________________________________________________________________ Email: ____________________________________________________________________________
SUBMIT TO: Mail:
Diane Arnold Oregon WIC Program 800 N.E. Oregon St., Suite 865 Portland, OR 97232-2162
Rev. 5/2017
Fax: 971-673-0071 Email:
[email protected] Phone: 971-673-0081
You can submit this form electronically here:
SUBMIT FORM