How To Apply

To receive WIC benefits you must complete the following:

  1. Family Information Form (only one per household)
  2. Application for each person applying for WIC
  3. Proof of income, residency, and identification
  4. Appointment with a WIC counselor (completed via telephone)
WIC benefits will not be issued until the appointment with the WIC counselor is completed. Request an appointment below.
  • Family Information Form - All applicants need to fill out this form, one per family.
  • Pregnant Women Application - Application to be completed by women who are pregnant.
  • Infant Application - Fill out an application for every infant in the family who is less than 12 months old.
  • Child Application - Fill out an application for every child in the family who is one-year to five-years old.
  • Post Partum Women Application - Application for women with a baby (less than six months old) taking formula or women who are breastfeeding a baby (that is less than one year old.)

 

Request Appointment


Proof of Income Accepted:

  • Denali KidCare
  • Medicaid
  • Last 30 Days of Pay Stubs
  • ATAP
  • LES
  • Unemployment Papers
  • Permanent Fund Dividend
  • Child Support
  • OCS Fostercare Paperwork