This site is a demonstration project and for example purposes only. To view the staff portal, please visit this accompanying example site . If you'd like to apply for WIC, please visit .

How it works

  1. Answer questions about who is recertifying in your household

    We only need to collect information about WIC participants who have a recertification appointment.

  2. Upload any needed documents

    We will help you figure out which ones you need. If you usually have to show income information, like paystubs or tax returns, have those documents accessible before you start.

  3. Later, attend your recertification appointment

    Your local WIC clinic staff will confirm the information and documents you sent.

Note: This form does not guarantee your enrollment in WIC. Your eligibility will be confirmed when you have your recertification appointment with WIC.