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WIC Income Statement WIC Income Statement Form - dhs wisconsin 2026
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- Click ‘Get Form’ to open the WIC Income Statement in the editor.
- Begin by entering the employee's name in the designated field at the top of the form.
- Next, provide the gross income amount. Ensure this is the most current income available for accuracy.
- Indicate the date this income was provided to maintain a clear record.
- Fill in the hourly wage and hours worked per week to calculate weekly income accurately.
- If applicable, complete the employer section by entering the business name, address, and telephone number.
- Finally, both the employer and employee should sign and date where indicated to validate the information provided.
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What is the maximum you can make to qualify for WIC?
Am I Eligible? Household SizeAnnualWeekly Family of 2 $39,128 $753 Family of 3 $49,303 $949 Family of 4 $59,478 $1,144 Family of 5 $69,653 $1,3405 more rows May 5, 2025
How do I check my WIC balance in Wisconsin?
Checking your balance: Download the Wisconsin MyWIC app through your play store and apple store. Call eWIC automated phone line (877) 231-3452.
What is the income limit for WIC in Wisconsin?
Income guide Number of Person(s) in HouseholdWeeklyAnnual 2 $753 $39,128 3 $949 $49,303 4 $1,144 $59,478 5 $1,340 $69,9535 more rows Aug 5, 2025
Whats the maximum income to qualify for WIC?
Am I Eligible? Household SizeAnnualMonthly Family of 2 $39,128 $3,261 Family of 3 $49,303 $4,109 Family of 4 $59,478 $4,957 Family of 5 $69,653 $5,8055 more rows May 5, 2025
How long does WIC last in Wisconsin?
#how-long-does-wic-last. You can stay in the WIC program for as long as you meet all the eligibility requirements listed above. Moms who are breastfeeding receive WIC benefits for one year after your baby is born. Moms who arent breastfeeding receive WIC benefits for six months after your baby is born.
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What is the Wisconsin foodshare income limit?
Typical Wisconsin WIC food packages contain the following foods: Fruits and Vegetables. Can be purchased fresh, canned or frozen. Fruit Juices. Only unsweetened juices. Beans, Peas and Lentils. Any plain canned or dried beans. Peanut Butter. Cereals. Whole Grain Breads, Pasta and Tortillas; Brown Rice: Milk.
Related links
Mar 4, 2025 Our report contains the auditors reports on internal control and compliance related to financial reporting and federal program administration,
Proof of income is needed for enrollment in the WIC Program. Employer Please complete the information below, sign and return the original to the employee.