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WIC Clinic: Children age 1 to 5 Certificate for Medical Necessity for Formula and WIC Food Exceptions Clinic Fax number: Exception to WIC foods requests: Complete Sections A, C and D Exempt formula.

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for the first month of your baby's life, if you need to supplement breastfeeding with formula, WIC can provide 1 can of powdered formula.

Contact your local WIC clinic to make an appointment and bring: Proof of income. If you get food stamps (SNAP), Medicaid, or cash assistance (TANF), you're automatically eligible for WIC from the financial perspective. ... Proof of identity. ... Your child or proof of pregnancy. ... Immunization records for children.

The WIC Program provides supplemental foods, nutrition education and referrals to health care, at no cost, to low-income pregnant, breastfeeding and postpartum women, infants, and children up to age 5 who are determined to be at nutritional risk.

Bring ONE proof of identification for you and ONE proof of identification for any infant or child applying for WIC. Forms of identification include: birth certificate, driver's license, crib card, military ID, photo ID, Social Security Card, voter registration or hospital record.

Have a household income at or below 185 percent of the poverty level. Meet income guidelines OR have a Kentucky medical card, receive Kentucky Transitional Assistance Program (K-TAP) benefits or food stamps (SNAP), or have a pregnant woman or infant in the family who receives Medicaid or K-TAP. Be a resident of ...

Eligibility Family Size12Bi-Weekly$967$1,303Twice monthly$1,048$1,412Monthly$2,096$2,823Annual$25,142$33,8741 more row • May 1, 2022

The gross income limit for WIC is 185% of the federal poverty level. Your household must contain a categorically WIC-eligible member to be eligible for WIC.

To be eligible for this benefit program, you must be a resident of Kentucky and one of the following: Pregnant, or. Breastfeeding, or. Postpartum, or....Kentucky Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Household Size*Maximum Income Level (Per Year)1$26,9732$36,4823$45,9915 more rows

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232