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Wic form
Wic form












Whole grains (bread, rice or tortillas).Some examples of the foods you may receive are: Proof of identity, such as a current driver's license, birth certificate, social security card, shot record OR current medical card.Proof of residence, such as current bill with your address, a current bank statement, lease agreement, mortgage agreement OR a current medical card.Proof of household income, such as pay stubs, W-2 forms OR a current medical card.When you come to your appointment, make sure you bring the following items: You can set up an appointment to apply for WIC by calling Richmond Clinic (85) or Berea Clinic (85).

wic form

Click here to view current income guidelines for WIC.

  • Have a pregnant woman or infant in the family who receives Medicaid or KTAPĮven if you work, you may still be eligible to participate in the WIC program.
  • Have a medical card, KTAP, or food stamps OR.
  • Have a household income at or below 185% of the Federal Poverty Level.
  • Have infants or children under the age of 5 years.
  • Be pregnant, breastfeeding, or postpartum OR.
  • It also provides nutrition tips and breastfeeding education and support at no cost. It provides monthly benefits to buy roughly $45 worth of healthy foods for each eligible person in your family. WIC is funded by the United States Department of Agriculture. For example, a family of four can make up to $47,638 a year and still qualify for WIC.

    wic form wic form

    Many people don't know that even working families can get WIC. WIC Works! Does your food budget need a boost? To protect, promote and improve the health of our community WIC (Women, Infants and Children) Program














    Wic form