WIC Documents Form
This form is secure and can be used to submit required documents to the Flathead WIC Program.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
For enrollment we will need proof of ID, proof of all household income, and proof of current residency. If you have documents proving ID, household income, and/or current residency, you can upload them here. This form is secure. If you do not have all of these documents available right now, we will collect them from you later in the enrollment process.
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