WIC Interest Form

WIC is open!
Your WIC benefits are still available, and WIC offices remain open. Please continue using your benefits, going to your appointments, and accessing services as usual.
Additional Languages

Amharic

WIC ክፍት ነው! 

የእርስዎ የWIC ጥቀማጥቅሞች አሁንም ይገኛሉ፣ እና የWIC ቢሮዎች ክፍት እንደሆኑ ይቆያሉ። እባክዎን ጥቅማጥቅሞቻችሁን መጠቀም፣ ወደ ቀጠሮዎቻችሁ መሄድ እና እንደወትሮው አገልግሎቶችን በመጠቀም ይቀጥሉ። 

Arabic

برنامج WIC مفتوح!

لا تزال مخصصات WIC الخاصة بكِ متاحة، وعيادات WIC لا تزال مفتوحة. يُرجى مواصلة استخدام مخصصاتكِ، والذهاب إلى مواعيدكِ، والوصول إلى الخدمات كالمعتاد.  

Dari

WIC باز میباشد! 

مزایای WIC شما هنوز در دسترس است و دفاتر WIC همچنان باز می‌باشند. لطفاً به استفاده از فواید خود، مراجعه به قرار ملاقات ها و دسترسی به خدمات، طبق روال معمول ادامه دهید.

French

Le WIC est ouvert ! 

Vos prestations WIC restent disponibles et les bureaux WIC restent ouverts. Continuez à utiliser vos prestations, à venir à vos rendez-vous et à accéder à vos services comme d’habitude.

Pashto

WIC پرانیستی دی! 

ستاسو د  WIC ګټې اوس هم د لاسرسي وړ دي او د  WIC دفترونه پرانیستي دي. مهرباني وکړئ د خپلو ګټو کارولو ته دوام ورکړئ، ملاقاتونو ته لاړ شئ او د معمول په څیر خدمتونو ته لاسرسی ومومئ.

Portuguese

O WIC está aberto!

Os seus benefícios WIC ainda estão disponíveis e os escritórios WIC permanecem abertos. Continue usando seus benefícios, comparecendo às suas consultas e acessando os serviços como de costume.  

Spanish

¡WIC está abierto!

Tus beneficios de WIC siguen disponibles y las oficinas de WIC permanecen abiertas. Por favor, sigue usando tus beneficios, acudiendo a tus citas y accediendo a los servicios como de costumbre.

Russian

WIC открыт!

Ваши льготы WIC всё ещё доступны, и офисы WIC продолжают работать. Пожалуйста, продолжайте пользоваться своими льготами, посещать приёмы и получать услуги, как обычно.

Ukrainian

WIC відкрито!

Ваші пільги WIC усе ще доступні, і офіси WIC продовжують працювати. Будь ласка, продовжуйте користуватися своїми пільгами, відвідувати прийоми та отримувати послуги, як зазвичай.

Vietnamese

Chương trình WIC vẫn đang hoạt động!

Quyền lợi WIC của quý vị vẫn còn hiệu lực và các văn phòng WIC vẫn hoạt động bình thường. Vui lòng tiếp tục sử dụng quyền lợi, đến các cuộc hẹn và nhận các dịch vụ như thường lệ.

Thank you for your interest in the Washington Women, Infants and Children (WIC) Nutrition Program!

WIC is for people who are pregnant, recently delivered a baby, breast and chest feeding, and infants and children under 5 years old. Dads, grandparents, foster parents or other guardians may apply for WIC for their children.

If you or your children have state health insurance (Medicaid) or receive SNAP benefits, you may qualify. Many working families and military families are eligible for WIC.

WIC provides:

  • Benefits to buy healthy food each month
  • Health screenings
  • Nutrition education
  • Breastfeeding support
  • Referrals to other health and social services

Interested individuals or referring organizations can submit this form and a local WIC clinic will contact you.

Being on WIC does not make you a public charge and does not affect your immigration status. U.S. citizenship is not required to qualify for WIC.

Use the drop-down list below or WIC Clinic Locator Map to choose your WIC clinic.

Contact Information

If you're currently enrolled in WIC, please contact your WIC clinic to report changes.

Please provide the contact information of the person you are referring.

Please provide your contact information.

Format as ###-###-####.

Preferred Contact Method

Please provide a texting number if different from your phone number above.
Some WIC clinics are not able to text at this time and will call instead.
Verizon, T-mobile, etc.
Primary Language

By submitting this form, you consent to receive communication from WIC and understand we will share your information with local WIC agencies for outreach and enrollment purposes. Please note that WIC related information will be mentioned during outreach attempts (calls, voicemails, text messages, and emails). Do not enter any confidential information such as information about your health. Information collected via this form may be subject to release in accordance with RCW 42.56 (Public Records Act).

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Thank you for your interest in the Washington WIC Program.