Inside UT-HoustonPediatrics WIC Program

Do I Qualify For WIC?

To help determine if you qualify for the WIC Program, you will need to take the following to your WIC appointment:

1. Person(s) Applying for WIC.

Bring each person who is applying for WIC to the clinic with you. Bring an extra diaper for infants and children who are applying for WIC since they must be weighed with a clean, dry diaper.

2. Proof of Identification

Bring identification for yourself and for each child who is applying for WIC. The following are acceptable proof of identification:

  • Texas WIC Program I.D. card or WIC Lone Star Card
  • Medicaid, Food Stamps or TANF  form/letter
  • driver’s license
  • social security card
  • voter’s registration card
  • foster placement letter
  • picture I.D. (school, employee or official)
  • military I.D.
  • passport or immigration records
  • marriage license
  • military I.D.
  • birth certificate
  • crib card, hospital discharge papers or hospital I.D. bracelet
  • immunization record

3. Proof of Address

Bring proof of where you live. The document should include your name, physical address, city, state and zip code. P.O. boxes are not accepted. The following are acceptable proof of address:

  • Medicaid, Food Stamps or TANF form/letter
  • utility or credit card bill
  • voter’s registration card
  • foster placement letter
  • business letter
  • rent receipts or agreement
  • property tax receipt
  • homeless shelter letter
  • If you are living with someone else, bring a proof of address document with their name and street address AND a signed note stating you are living with them which includes their address, telephone number and signature.

If you do not have any of the above documents you might be able to use the Proof of Address form. Contact your local WIC clinic first.

4. Proof of Income

Automatic Income Eligibility

If you or a household family member currently participate in other benefits programs such as the Food Stamp Program, Medicaid, CHIP or Temporary Assistance to needy Families (TANF) you automatically meet the income eligibility requirement. You will need to provide proof that you are currently eligible for those program benefits.

If you do not participate in any of the above assistance programs then you will need to provide proof of your household income. The WIC eligibility income limits are listed in the chart below.

WIC Income Eligibility Guidelines
(Effective from beginning April 1, 2009)

  Annual Monthly Twice-Monthly Bi-Weekly Weekly
1 20,036 1,670 835 771 386
2 26,955 2,247 1,124 1,037 519
3 33,874 2,823 1,412 1,303 652
4 40,793 3,400 1,700 1,569 785
5 47,712 3,976 1,988 1,836 918
6 54,631 4,553 2,277 2,102 1,051
7 61,550 5,130 2,565 2,368 1,184
8 68,469 5,706 2,853 2,634 1,317
9 75,388 6,283 3,142 2,900 1,450
10 82,307 6,859 3,430 3,166 1,583
11 89,226 7,436 3,718 3,432 1,716
12 96,145 8,013 4,007 3,698 1,849
13 103,064 8,589 4,295 3,964 1,982
14 109,983 9,166 4,583 4,231 2,116
15 116,902 9,742 4,871 4,497 2,249
16 123,821 10,319 5,160 4,763 2,382
Each Add'l Member Add + 6,919 + 577 + 289 + 267 + 134

For complete information on what documentation you will need to provide please read and complete the WIC Income Questionnaire form (WIC-35-3) before your WIC appointment. Bring the completed WIC Income Questionnaire form and proof of income documents to your appointment. If you have any questions, call the WIC clinic for assistance.

Other forms you may need to complete:

5. Social Security Number(s)

Bring social security numbers for everyone living with you, if available. Disclosure of your Social Security number and that of your dependents is voluntary and WIC services will not be denied if you fail to do so.

If you do not have some of the items listed or have any questions, please contact the WIC clinic for help before your appointment.