WIC Eligibility Requirements
Documentation of Income:
Please bring in proof of income for everyone living in the household, even if they are not part of your family.
A person who currently receives Medicaid, Food Stamps, or WAGES automatically meets the income eligibility criteria for WIC.
Items that are counted as income and documents accepted as proof are:
- Alimony and/or Child Support
- Court order or divorce decree including amount of alimony and/or child support, or
- Computer printout from the court, or signed and dated letter from the court or person making the payments showing current amount of alimony and/or child support
- Employment (For ALL Jobs) - Salary; Wages; Fees; Tips; Bonuses; Overtime Pay; Commissions
- One current pay stub received sometime during the past 30 days showing gross* amount and timeframe, such as weekly, biweekly, monthly, or
- Signed/dated letter (on company letterhead) from employer(s) indicating gross* earnings for a specified pay period, or
- 1040 ES quarterly tax form, dated within 90 days, or
- 1040 form or W-2 form for past year (can be used only in months of Janurary of February)
- Foster Child and Shelter Child Payments:
- Copy of most recent check to the foster/shelter parent for this foster/shelter child, or
- Signed/dated foster/shelter child placement letter from Department of Children and Families (on letterhead) with amount and frequency for foster/shelter care, or
- Court Order for foster/shelter child placement with amount and frequency for care
- Interest or Dividends:
- Bank statements or other company documents showing dates and amount paid out regularly, cashed or withdrawn from savings, investments, trusts, estates, bonds, etc.
- Living Off Savings:
- Savings book or bank statement showing regular and/or irregular withdrawals
- Lump Sum(s):
- Check stub or signed/dated letter or other document showing the total amount received and any amounts owed by the applicant for lost assets or injuries
- Military:
- Most recent Leave and Earnings Statement (LES)
- Rental Income:
- 1040 ES quarterly tax form, dated within 90 days, or
- Ledger or other records showing dates and total amount received, or
- 1040 form for the past year
- Retirement:
- Most recent check stub showing current amount and frequency, or
Statement showing current pension, annuity or retirement amount and frequency
- Most recent check stub showing current amount and frequency, or
- Self-Employment:
- Company accounting books, updated to the current month, or
- 1040 ES quarterly tax form, dated within 90 days, or
- 1040 form for past year (updated to the month prior to certification); may be used to show amount for "business loss or income"
- Social Security; SSI (Supplemental Security Income):
- Most recent check stub, check or copy of most recent check showing current amount and frequency, or
- Signed/dated award letter from Social Security office showing current amount and frequency, or
- Bank statement showing direct deposit amount, or
1099 tax form for past year
- Student Grant/Loan:
- Scholarship letter (signed/dated) showing current amount and frequency, or
- Financial Aid transcript form for current semester/school year (for U.S. students), or
- I-20 Certification of Finances (for foreign students) for current semester/school year Unemployment
- Worker's Compensation:
- Most recent check stub showing current amount and frequency, or
- Signed/dated letter or document from Unemployment office or insurance company showing current amount and frequency
- Veteran Benefits:
- Signed/dated letter or document from Veteran's Administration showing current amount and frequency
- Regular Cash Contributions:
- Signed/dated letter from the person (not living in the household) who is regularly contributing income to the household, showing current amount contributed
* Gross Income = Income before taxes and deductions are taken out