WIC Online Pre-Application














Mother's Data




Infant/Children Data




















I understand that I need to bring the following items to my appointment (please read and check each):


  • Current pay or unemployment benefits stub
  • Earning Statements
  • Income Tax return
  • Child Support



  • Driver's license
  • Utility bill
  • Rent or mortgage receipts
  • Any document that includes your name and current address


  • Drivers license
  • Birth certificate, hospital record, or crib card
  • Voter Registration card
  • Photo ID
  • Passport