Applying for WIC

Fill out this form or call us at (714) 973-2411 to see if you qualify for WIC benefits.

Once you submit this form, a WIC representative will contact you within a few days to help get the process started.

This website is run by a WIC program administrator. It collects information to help see if you may qualify for WIC benefits. Sharing your information does not mean you will get benefits. The information you share may include personal details protected by law. This information is kept safe with reasonable security, but sending information online always has some risk. We may use your information to check if you qualify and to follow program rules. By sharing your information, you agree to these uses and to being contacted by WIC. If you have questions about your privacy or possible benefits, please contact us.