WIC FORMS

WIC FORMSdooley2025-04-10T12:25:07-05:00

Rights & Responsibilities | English

Rights & Responsibilities | Spanish

Referral Communication

CLINICAL DATA REQUEST – WISCONSIN WIC PROGRAM / SOLICITUD DE DATOS CLÍNICOS – WIC PROGRAM DE WISCON

AFFIRMATION OF IDENTITY, RESIDENCY, INCOME, OR BENEFIT LOSS 8/23 | English

AFFIRMATION OF IDENTITY, RESIDENCY, INCOME, OR BENEFIT LOSS 8/23 | Spanish

WIC Interpreter Waiver – English

WIC Interpreter Waiver – Espanol / Exención de intérprete de WIC

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211 Resource Directory
Racine County Directory
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Racine

Central Office

2113 N. Wisconsin St
Racine, WI 53402

(262) 637-8377
(262) 637-6419

Mon-Thurs 7:30AM-4:30PM

Friday 7:30AM-1:30PM

Weatherization

1800 21st Street
Racine, WI 53403

(262) 898-8036
(262) 554-8136

Mon-Thurs 7AM-5:30PM

Kenosha

2000 63rd Street
Kenosha, WI 53143

(262) 657-0840
(262) 657-1631

Mon-Fri 8:00AM-4:30PM
1st Tuesday of each month 9:30AM-6PM