Women - Infants - Children: Eligibility Test

Welcome - The County of Sonoma WIC Program wants to serve you and your family. To learn more about the Sonoma County WIC program, you can go to our about page. To find out if you are eligible, please complete the following online eligibility questionnaire.

* = Required Field

Do you live in California?

Yes

No

Check ALL that apply:

I am pregnant.

I am breastfeeding an infant less than 12 months old.

I am not breastfeeding and my pregnancy ended less than 6 months ago.

I have a child under age 5 (including foster children and fathers or grandparents raising children).

None of the above apply.

You checked "None of the above apply," but checked other qualifying information which may affect your eligibility to apply for WIC.

Sorry, you must be a pregnant, breastfeeding, or postpartum woman, or have an infant or child under age five to qualify for WIC.

You must be a resident of California to enroll into our program. If you are planning to move to California, please mark yes and continue with the application.

Family Members:

*Note: A pregnant woman counts as 2 in determining total number of persons in family unit.

Total number of persons * in my family unit: Value is not selected

How many of the above are children between the ages of 1 and 5?

How many are infants from newborn to age 12 months?

Gross Income Limit:

Annually

Monthly

Weekly

The total gross income for my family is compared to the limits above:

Gross income is less than above limit.

Gross income exceeds limits and DO receive Medi-Cal, CalFresh, or SonomaWORKS.

Gross income exceeds limits and DO NOT receive Medi-Cal, CalFresh, or SonomaWORKS.

Sorry, based on the information you have provided, you exceed the maximum allowed income for your family size.

You may be eligible for WIC benefits

In the following pages, you will be asked to enter information needed by WIC staff in order to schedule an appointment for you.

Request for Appointment

In order to schedule an appointment, the following information is required:

Are you already on WIC (possible transfer)?

Yes

No

What is your WIC ID Number?

Is this a foster family?

Yes

No

Preferred language:

Are any of the applicants receiving Medi-Cal, CalFresh, SonomaWORKS?

Yes

No

Gross monthly income:

Where do you want your appointments? Value is not selected

Your name (woman parent / guardian or single dad)

First Name:

Last Name:

Your Mother's First Name:

Home Address

Street:

City:

State:

Zip:

Is your Mailing Address is the same as your Home Address?

Yes

No

Mailing Address

Street:

City:

State:

Zip:

Contact Information

Phone:

Email

Your session has timed out.

Click here to access the application.

WIC Eligibility Application