Please fill out the Family Information Form and an additional application for each person applying for WIC. 

Fill out and send applications to start your enrollment process to :

We will call to set up a phone appointment once applications are received.

  • Family Information Form - All applicants need to fill out this form, one per family.
  • 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.)
  • Child Application - Fill out an application for every child in the family who is one-year to five-years old.
  • 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.

WIC income guidelines 19-20

* Infant Special Prescription form. Please print and have your physician complete the form. Find the ENPR form HERE.

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