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Warrenchd wp-contentuploadsOhio Department of Health WIC Program Application 2026
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- Click ‘Get Form’ to open the application in our editor.
- Begin by filling out the top portion of the form. Enter the parent, guardian, or applicant’s name, along with the other parent's or guardian's name. Ensure you provide accurate contact information including telephone numbers and addresses.
- Indicate if anyone in your household is pregnant, has recently had a baby, or has children under the age of 5 by selecting 'Yes' or 'No'. This information is crucial for eligibility assessment.
- Review the authorization section carefully. By signing, you agree to allow relevant departments to exchange information regarding your eligibility. Make sure to read this section thoroughly before proceeding.
- Sign and date the application at the bottom. If someone assisted you in completing this form, they should also sign and date it.
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