WIC Forms
When you participate in WIC, staff will ask you for some information. Some forms are required to participate. WIC staff will let you know if you need to fill out any of these forms.
- WIC Rights and Responsibilities form - view all languages
- Individual Authorization to Release WIC Information form – view all languages
- Race and Ethnicity Tool - view all languages
- Statement of Income form (Affidavit for income) - view all languages
- No Proof of Identity Form - view all languages
- No Proof of Residency Form - view all languages
Measurement and Bloodwork Information Form (PDF)
WIC Card Information
Shopping with WIC - Setting up and using a WIC card
Shopping with Your WIC Card tool | Comprando con su tarjeta WIC
WIC Foods and Formula
WIC Medical Documentation Forms
- WICShopper app Information Card - view all languages
Pump Resources for Lactating Families
Breast Pump Resources (PDF): A printer-friendly handout for staff and participants with links to helpful how-to and introduction videos/PDFs about the breast pumps offered through the WA WIC program.
- Breast Pump Resources - View all languages
Nutrition Education
Nutrition Education Handouts
- 0-6 Months–Tips for My First Six Months
- 6-12 Months-Tips for Me As An Older Baby
- Beans: The Bold and Beautiful Book of Bean Recipes
- Healthy Fish Guide - Fish/Seafood Wallet Card
- Healthy Choices for Kids
- Healthy Tips for New Moms
- Healthy Weight Gain During Pregnancy
- I Can Eat Finger Foods
- I'm Ready for a Cup
- I'm Ready! Feeding Family Foods to Your Baby
- I'm 1 – Let's have fun!
- I'm 2 – Look what I can do!
- I'm 3 – Please play with me!
- I'm 4 – Let's explore!
- Iodine information sheet
- My Pregnancy, My Baby, and Me: Gestational Diabetes
- Pump Up the Iron
- Stay Healthy
- The Facts About Constipation
- Tips for a Healthy Pregnancy
- Tips for Feeding Picky Eaters
- WIC Graduation Certificate
- What are you feeding your baby?
- 55 Ways to Add More Fruits and Vegetables Every Day
Nutrition Education Resources for Families
Kid friendly recipes, tips about feeding your children, and ideas to improve your whole family's health and nutrition.
Information for Clinic Staff
- Policies for providing remote services
- Staff Ideas – Computer or Power Outages (PDF)
- Staff Ideas – Schedule Changes (PDF)
Resources for Families
- Help Children Get Well-Child Checks and Immunizations – share flyers and information from the Washington Chapter of the AAP (American Academy of Pediatrics) – Back to Clinic Campaign in multiple languages.
- Help Families Get the Flu Vaccine