WIC Eligibility and Application

Are You Eligible?

Those eligible for WIC include

• Pregnant woman
• Woman who recently delivered a baby, or miscarried
• Infant/child under the age of five

Call us at 907-463-4099 today to see if you meet the income guidelines.

You automatically qualify for WIC if you currently receive any of
the following

• Medicaid
• Denali Kid Care
• Food Stamps
• Free or reduced-price school lunches

Apply for WIC

Step 1

Complete an application. One “Family Information Form” is needed
per household.


Please click a link below to download an application.

Pregnant woman (PDF form 485KB)

Woman who recently delivered a baby, or miscarried (PDF form 502KB)

Infant - 0 to 11 months old (PDF form 343KB)

Child - age: 1, 2, 3, or 4 years old (PDF form 501KB)

(If you live in Juneau, Sitka or Metlakatla a “Referral Form” is not needed 
if you will be coming into your WIC office in person.)

PDF files require Acrobat Reader

Step 2

If you live in Juneau, Sitka or Metlakatla:

Visit your local WIC Office and bring your
• Application
• Infant or child
• Proof of Income (i.e. Medicaid, Denali Kid Care, Food Stamps, ATAP, free/reduced price school lunch, or recent pay stubs)

If you live in a surrounding community:
Visit your healthcare provider to complete the “REFERRAL FORM(S)”. 
Then mail your application to your WIC Office.

Call us at 907-463-4099 with any questions!


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