Office of the Assistant Secretary for Civil Rightsģ. Submit your completed form or letter to USDA by: To request a copy of the complaint form, call (866) 632-9992. To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at:, 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. Additionally, program information may be made available in languages other than English. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Persons with disabilities who require alternative means of communication for program information (e.g. 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. In accordance with Federal civil rights law and U.S.
Private Insurance Adult and Adolescent Behavioral Health Forms.Adolescent Medical Assistance Behavioral Health Forms.Adult Medical Assistance Behavioral Health Forms.Immunizations, Infectious, Communicable Diseases.Infectious Disease (Medical Providers ONLY).An Animal Bite or Possible Rabid Animal This form allows someone else to participate in the WIC certification process and/or pick up WIC checks with your permission.
#WIC FORM UPDATE#
Main (Bel Air): 41 WIC (Havre de Grace): 41 Swan Creek (Havre de Grace): 41 Click here to read Maryland Department of Health Update on Investigation of Network Security Incident Main Office (Bel Air): 41 Environmental Health (Bel Air): 41 Behavioral Health (Bel Air): 41 Woodbridge (Edgewood): 41 Dental (Edgewood): 44 1 N. Please call ahead before your appointment or coming in. Some of our services are not able to be offered at this time. The investigation is ongoing, potentially affected employees and partners have been informed, and we will provide additional information as circumstances warrant.
#WIC FORM OFFLINE#
Certain systems have been taken offline out of an abundance of caution and other precautions have and will be taken. Bring a favorite toy or books to help make the appointment easier for both you and your child. Please plan approximately 2 hours for your visit. The Maryland Department of Information Technology, the Maryland Department of Health, and the Maryland Department of Emergency Management are working closely with federal and state law enforcement partners to address the incident and to gather additional information. 81272 to determine eligibility and make an appointment. The Maryland Security Operations Center is investigating a network security incident involving the Maryland Department of Health. Para información en español haga clic aquí
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