Get Wic Application

Completing the WIC application online is a crucial step in accessing essential nutritional support for eligible families. This guide will walk you through each section of the application, ensuring that you provide accurate information to streamline the process.

Follow the steps to effectively complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the applicant's name and date of birth in the designated fields.
3. Provide the street address, city, and zip code. If different, also fill in the mailing address.
4. Input your cell phone number, email address, and home phone number for easy contact.
5. Specify your relationship to the child or children for whom you are applying.
6. List the names and birthdates of all children under 5 years of age that are included in the application.
7. Indicate how you heard about the WIC program and whether you have participated in WIC before.
8. If applicable, provide your due date and indicate if you are breastfeeding.
9. Complete the section on your last benefits received and your pre-pregnancy weight.
10. Answer questions regarding formula use and specify the brand if applicable.
11. Input the number of people receiving income in your household and those living in the household.
12. Indicate whether you receive assistance from programs like TANF, Medicaid, or SNAP.
13. Detail the income information, including relationships, hourly rates, and hours worked per week for each income earner.
14. Review all entered information for accuracy.
15. Finally, save changes, download, print, or share the completed form as needed.

Begin completing your WIC application online today to access the support you need.