What Documents Will I Need to Apply for WIC?

Indentification - Must be current and valid original document (not a photocopy)

• Driver's license
• Medicaid card
• Colorado ID card
• Work/ student/ military ID
• Passport/ U.S. Government ID
• Birth Certificate
• Social Security card
• Foster child papers
• U.S. Immunization Record (Infant/ child)
• U.S. Hospital Documentation (Infants)

Proof of Address - (One item with current address)

• Driver's license (with current address)
• Food Stamp eligibility notice
• Government ID/ document
• Utility or other bill
• Government mail
• Rental agreement/ mortgage receipt/ statement from landlord
• Bank or credit card statement
• Car registration/ title/ insurance
• Pay Stub/ W2

Income - Must be recent/ current.  Important:  bring documentation for all income received by the household members - whether related or not.

• Food Stamp eligibility notice
• Check stubs from employment
• W-2 forms or income tax forms
• Military Leave and Earnings Statement
• SSI letter or check stub
• Written statement from employer
• Self-employment documentation
• Child support/ alimony document
• Student Award letter
• Foster Placement/ Award letter
• Other ___________________

For more information about Teller County's WIC program, please contact Kim Burgess at Teller County Public Health, 719-687-6416.