Government » Public Health » WIC
Please complete the boxes below. A Chippewa County WIC Program staff person will phone you to complete your application for WIC services within 2 business days. If you prefer to not complete this form OR would like to speak now to a WIC staff person, please phone 715-726-7903 or 800-400-3678.
Thank you for your interest in the WIC Program.
Household Income Before Taxes
Are You Pregnant?
Have you had a baby in the last 6 months?
Are you breastfeeding a baby who is less than one year of age?
Please list the First Name(s) of Your Children Under Age 5
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