Salt Lake Valley Health Department
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Women, Infants and Children (WIC) Program
What to bring to your appointment
- Everyone applying for WIC
- Your WIC packet (if you have one)
- Proof of Income – Documentation of your household’s source of income or wages. This applies to all members of the household.
Some examples of documentation include pay check stubs for the last 30 days, current month Medicaid card, unemployment checks, food stamp letter with amount, SSI (social security) and worker’s comp.- Applicants are automatic income eligible if they participate in Medicaid, Food Stamps or the Family Employment Program (TANF).
- Applicants are automatic income eligible if they participate in Medicaid, Food Stamps or the Family Employment Program (TANF).
- Proof of Identification – Documentation for each individual that is applying for WIC benefits and the adult responsible for the benefits.
Examples of acceptable identification documents are a current Medicaid card, birth certificate, hospital bracelet (must have date of birth and last name) or infant crib card (must have date of birth and last name), or WIC packet if you have one. Any of these items will work.
Starting April 1, 2010 a birth certificate or Medicaid card for children that are one year or older will need to be presented. - Proof of Residency – Documentation of where you currently live with your current physical address, such as a current bill (utilities, phone, cable, car payment, medical bill) in your name or the name of the person providing paychecks or a current Medicaid card, rental or mortgage agreement with address or bank statement with address. Any one of these items will work.
- Immunization record for each child/infant.