WIC Eligibility

Are you pregnant, recently had a baby, been pregnant in the last six months, breastfeeding an infant, have a child younger than 5 years old (including foster children) or a father/grandparent raising children?

YesNo
Do you live in the state of Michigan?

YesNo
If you answered yes to both questions, you may be eligible for the WIC (Women, Infant, Children) Program. Submit your information below and one of our staff will contact you!
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty:

If you answered yes to both questions, you may be eligible for the WIC (Women, Infant, Children) Program. Submit your information below and one of our staff will contact you!