* - Required Field

Am I eligible for WIC?

 Thank you for your interest in Connecticut WIC (Special Supplemental Nutrition Program for Women, Infants and Children)!

 This Institution is an Equal Opportunity Provider: https://portal.ct.gov/DPH/WIC/USDA-Non-Discrimination-Statement.

 WIC is a nutrition program for women, infants, and children that provides supplemental food benefits and nutrition education.

 You can use this form to apply for WIC for everyone eligible in your household.

 This form is used to collect information that helps WIC determine your household eligibility and get you started on the application process.

 We will reach out to you via your contact information within 5 business days.

 You can also always call your local WIC office directly.

 Find your office here: https://portal.ct.gov/DPH/WIC/Find-a-Local-Agency.

 Completion of the Interest Form is not a guarantee of benefits, an application must be completed with the WIC program.

1)  *


We are sorry but you are not eligible to participate in the Connecticut WIC Program. Contact the WIC Program in your state to start an application. USDA Contact Map | Food and Nutrition Service (usda.gov)

2)   *

3)   *