WIC Forms – Public Health – Idaho North Central District

Below you will find helpful forms for WIC.

Medical Documentation Form for Medical Formula/Food
WIC PARTICIPANT RIGHTS, RESPONSIBILITIES AND CONSENT
Letter of Ineligibility for WIC Participation in Idaho
No Proof and Temporary (Income) Certification
WIC Rights & Responsibility Signature
DERECHOS, RESPONSIBILIDADES Y CONSENTIMIENTO DEL PARTICIPANTE EN WIC (Spanish)

This institution is an equal opportunity provider. For the full nondiscrimination statement and information to file a complaint, click here.