WIC Application

APPLY

WIC is a federally-funded health and nutrition program for women, infants, and children. WIC helps families by providing nutrition education, breastfeeding help, issuing checks for healthy foods, and making referrals to healthcare and other community services.

If you’re interested in applying for WIC for the first time or again, please fill out the application below and we will contact you soon.

Or call us at (916) 876-5000

Are you a California resident? *

Please apply for WIC services in your state. Sacramento County WIC cannot provide services to out of state residents.

Have you ever received WIC? *

If Yes, where and when?

Are you a Foster Care family? *

First Name *

Last Name *

Phone Number *

Email Address *

Is it OK to leave a voicemail? *

Is it OK to send a text? *

Address *

City *

Zip Code *

State *

Please apply for WIC services in your state. Sacramento County WIC cannot provide services to out of state residents.

Is your Home and Mailing Address the same? *

If No, enter your Mailing Address *

City *

Zip Code *

Are you receiving the following programs? Check all that apply: *

Medi-Cal

CalFresh/SNAP

TANF/CalWORKS

None

How many people live in your current household that depend on the same income? (If you are pregnant, include the unborn infant.) *

What is the estimated total monthly income for the entire household before taxes? *

Which office would you like to go to? *

What is your preferred language? *

Please specify *

How did you hear about us? *

I agree to release my personal info to Sacramento County WIC

*

I agree to provide electronically required documentation to finish my WIC enrollment

*

* Proof of address (For example: mail you have received at current address, utility bill with your name on it, Dept. of Human Assistance Aid Summary, Rental Agreement listing you as tenant, Driver License or California ID with current address)

* Proof of household income for one month (For example: Paycheck stub, Dept. of Human Assistance Aid Summary, Unemployment or Social Security Benefits Letter, Disability Income Statement, Previous year's income tax statement)

* Personal Identification for all applicants (For example: Medi-Cal Card, Social Security Card, California Driver's License, ID, or other identification)