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Wic application form pdf 2025

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The document is a WIC application form that collects personal information, household details, and pregnancy or breastfeeding status to determine eligibility for the WIC Program. It includes sections for the applicant's name, contact information, household income, and details about children under five years old. Instructions for submission via mail or email are also provided.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the maximum income to qualify for WIC?

Verification of income would only be done when staff have reason to believe the family has other sources of income that were not reported or the familys income or family size was under reported. The following table lists what is included as gross income, and the corresponding examples of acceptable proof.

What is the income limit for WIC in KY?

Eligibility. To be eligible for WIC, you must: Be a pregnant, breastfeeding or postpartum womanOR have an infant/child up to 5 years old. Have a household income at or below 185 percent of the federal poverty level (see the chart below).

What formula does WIC cover in Delaware?

WIC will provide only contract infant formulas: Similac Advance Early Shield. Similac Soy Isomil (Effective January, 29, 2019)

What is the income limit for WIC in SC?

Income Eligibility Guidelines (effective 07/01/2024 - 06/30/2025) Household SizeAnnuallyWeekly Family of 1 $27,861 $536 Family of 2 37,814 728 Family of 3 47,767 919 Family of 4 57,720 1,1105 more rows

Does WIC actually verify income?

WIC is the Special Supplemental Nutrition Program for Women, Infants, and Children. WIC provides free, healthy foods and personalized nutrition education, breastfeeding support, referrals to other services and more. WIC now uses Electronic Benefit Transfer (EBT) cards! The WIC EBT card works just like a debit card.