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Health & Service Center / WIC / Resources

Forms

  • WIC-R-14: What to Bring to Your WIC Appointment
  • WIC 35-3: WIC Income Questionnaire
  • WIC Self-Declaration Form for Identification, Residency, Zero-Income and Proof of Income (Homeless)

  • Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Assistance Documentation Form (Supplement to Application for Income Eligibility)

  • Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Employment Verification Form

  • Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Residency Verification Form for Homeless Family

  • Special Supplemental Nutrition Program for Women, Infants and Children (WIC) Applicant’s Statement of Farm/Self-Employed

 

External Web Resources

  • The USDA’s WIC Site  — Information on the WIC program provided by the United States Department of Agriculture.
  • The DSHS’s WIC Site — Information about the WIC program provided by the Texas Department of State Health Services.
  • ChooseMyPlate.gov — Guidance on food and nutrition from the United States Department of Agriculture.
  • Breastmilk Counts — Information and resources regarding breastfeeding provided by the Texas Department of State Health Services.
  • TexasWIC.org — Complete your WIC classes online.

These educational resources are published by the United States Department of Agriculture. Select a publication to view or print.


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