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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

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.

We protect your documents and personal data by following strict security and privacy standards.
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 SizeAnnualTwice-Monthly 1 $27,861 $1,161 2 $37,814 $1,576 3 $47,767 $1,991 4 $57,720 $2,4056 more rows
WIC staff may request further documentation, such as a letter from a benefactor who is providing resources to the applicant (i.e. church, shelter). Exception If an applicant fails to bring proof of income to the WIC appointment, the local agency may certify the participant for a temporary (30 day) certification.
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
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 .”
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.