The Rights and Responsibilities form (PDF) lets you know what to expect as a WIC client and what your rights are on the program. It also informs you about WIC program rules.
WIC staff will go over this form with you to make sure you understand your rights and responsibilities and the WIC rules before you sign.
You must sign the Rights and Responsibilities form at each certification to show you understand and agree to follow WIC rules.
The Rights and Responsibilities form is also available in the following languages:
- Amharic (PDF)
- Arabic (PDF)
- Burmese (PDF)
- Chinese (PDF)
- Korean (PDF)
- Oromo (PDF)
- Russian (PDF)
- Somali (PDF)
- Spanish (PDF)
- Tigrinya (PDF)
- Vietnamese (PDF)
Need more information?
Call the WIC Nutrition Program at 1-800-841-1410
- If you have questions or need help.
- To report suspected WIC fraud.