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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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The following is suggested language for your use: “Buying, selling or otherwise misusing WIC benefits is a crime. To report suspected abuse, call 800-424-9121 or visit .”
The state agency's income standard must be between 100 percent of the federal poverty guidelines (issued each year by the Department of Health and Human Services), but cannot be more than 185 percent of the federal poverty income guidelines. Automatic Income Eligibility.
To be eligible for WIC, applicants must have income at or below an income level or standard set by the state agency or be determined automatically income-eligible based on participation in certain programs.
Gross Income Guidelines Household SizeAnnualMonthly 1 $27,861 $2,322 2 $37,814 $3.152 3 $47,767 $3,981 4 $57,720 $4,8106 more rows
Gross Income Guidelines Household SizeAnnualBi-Weekly 1 $27,861 $1,072 2 $37,814 $1,455 3 $47,767 $1,838 4 $57,720 $2,2206 more rows
What do I bring to my first WIC appointment? Identification for yourself and any children under age 5. Proof of your address (ID, paycheck with address, rent document, or utility bill) Proof of your family's household income (paycheck, tax return, letter from employer, Medi-Cal card) Proof of pregnancy.
Verification of income would only be done when staff have reason to believe the family has other sources of income that were not reported or the family's income or family size was under reported. The following table lists what is included as gross income, and the corresponding examples of acceptable proof.
Proof of gross income – such as a paycheck stub, Medi-Cal card, tax return. Proof of address – such as current mail, utility bill, rent receipt, online bills.
Verification of income would only be done when staff have reason to believe the family has other sources of income that were not reported or the family's income or family size was under reported. The following table lists what is included as gross income, and the corresponding examples of acceptable proof.