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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

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To apply for WIC benefits, please visit a WIC clinic near you. To find your local WIC clinic, you can: Download the Women, Infants & Children (WIC) Clinic Directory. Call 1-800-755-GROW (4769).
2025 Federal Income Guidelines Household SizeAnnualWeekly 2 37,814 728 3 47,767 919 4 57,720 1,110 5 67,673 1,3025 more rows
Finalize as proposed to provide the CVB in the following base monthly amounts, adjusted annually for inflation: Children $24. Pregnant, postpartum $43. Breastfeeding $47.
CVB levels at the time of rule implementation due to inflation (for FY 2024) will continue at levels states are providing through appropriations language, and will be: Children $26. Pregnant, postpartum $47. Breastfeeding $52.
The temporary increase in CVV amounts - $25 for children, $44 for pregnant and postpartum participants, and $49 for fully and partially breastfeeding participants - runs through September 30, 2023.
The temporary increase in CVV amounts - $25 for children, $44 for pregnant and postpartum participants, and $49 for fully and partially breastfeeding participants - runs through September 30, 2023.
Maximum monthly allowance (MMA): 14 containers of liquid concentrate infant formula x 26 reconstituted fluid ounces = 364 fl. oz.
PediaSure products are WIC-eligible in most states with an appropriate diagnosis and a prescriber's medical referral. Check with your local WIC agency for additional information on which products are available through WIC in your state.
The Women, Infants and Children (WIC) Division administers the California WIC program.
The WIC program is similar in some ways to SNAP but is completely independent. Although you can receive benefits from both programs, you will need to meet different qualification standards to do so.