Skip to main content

Submit a WIC program interest form.

Applicants must meet the following criteria to be eligible for WIC:

  • Live in Washington or Oregon.
  • Be a pregnant, postpartum or breastfeeding individual, an infant, or a child under 5 years old.
  • Meet income requirements.
  • Application Type * Required
  • Self/Parent/Guardian Name * Required
  • Date Format: MM slash DD slash YYYY
  • How would you like to be contacted?
  • Are you pregnant?
  • Do you have children under the age of 5 years old? * Required
  • This field is for validation purposes and should be left unchanged.

The Special Supplemental Nutrition Program for Women, Infant, and Children (WIC), is a program that helps pregnant women, new mothers, and young children eat well, learn about nutrition, and stay healthy. WIC provides nutrition education and counseling, breastfeeding support, nutritious foods, and help to access health care. Nutrition education is the cornerstone of the WIC Program.

Thank you for your interest in the WIC program. Call to see if you qualify. For Washington, call (855) 942-4622. For Oregon, call (855) 942-9420. If you would like someone to contact you, please fill out the form on this page and one of our WIC team members will contact you shortly.