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Please download and complete the application. Save the form and then click the "Email Form" button to submit your application.
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Women who are currently pregnant, have had a baby in the past 6 months (past 12 months if breastfeeding), infants and children under the age of 5 may apply. In addition, foster parents and grandparents/family members who are the legal guardian of a child under age 5 may also apply on the child’s behalf. WIC applicants must live in the state of North Carolina and have a family income that is less than 185% of U.S. Poverty Income Guidelines. A person receiving Medicaid, SNAP, or Work First Families Assistance (TANF) will automatically meet income eligibility requirements. Applicants must also be at nutritional risk that will be assessed by a WIC Nutritionist at time of application or certification.
185% of Poverty Income Guidelines based on family size, see chart below:
Income Eligibility Chart (Effective June 1, 2023)
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Maximum Gross Income
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Size of Economic Unit**
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Annual
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Monthly
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Twice Monthly
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Bi-Weekly
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Weekly
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1
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26,973
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2,248
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1,124
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1,038
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519
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2
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36,482
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3,041
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1,521
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1,404
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702
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3
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45,991
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3,833
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1,917
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1,769
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885
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4
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55,550
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4,625
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2,313
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2,135
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1,068
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5
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65,009
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5,418
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2,709
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2,501
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1,251
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6
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74,518
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6,210
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3,105
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2,867
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1,434
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7
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84,027
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7,003
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3,502
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3,232
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1,616
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8
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93,536
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7,795
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3,898
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3,598
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1,799
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9
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103,045
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8,588
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4,294
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3,964
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1,982
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10
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112,554
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9,380
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4,690
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4,329
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2,165
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11
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122,063
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10,172
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5,086
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4,695
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2,348
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12
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131,572
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10,965
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5,483
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5,061
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2,531
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13
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141,081
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11,757
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5,879
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5,427
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2,714
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14
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150,590
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12,550
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6,275
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5,792
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2,896
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15
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160,099
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13,342
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6,671
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6,158
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3,079
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16
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169,608
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14,134
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7,067
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6,524
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3,262
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For each additional member of economic unit, add:
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$9,509
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$793
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$397
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$366
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$183
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When you apply for WIC please provide:
- One Proof of identification (for all individuals applying for WIC)
- Examples: Valid driver’s license, Social Security card, current work/school ID, current Medicaid card, current military ID, birth certificate, immunization record, and for infants: hospital crib card, ID bracelet or mother’s verification of facts form.
- One Proof of residence (where you live)
- Examples: Current utility bill, valid driver’s license, current Medicaid card (or presumptive eligibility form), bank statement, current rental or mortgage receipts, Division of Motor Vehicle ID card.
- Proof of income (for all household members with income)
- Current paycheck stubs, if self-employed your recent tax return or history of earnings for the past twelve months, current Medicaid card
To make an appointment for WIC:
Please call the Sampson County Health Department WIC office at (910) 592-1131 ext. 4201 or visit the local office at 360 County Complex Road, Suite 200, Clinton, NC 28328.
The Breastfeeding Peer Counselor Program is offered through the WIC Program. This is a free program that provides counseling and support to pregnant women, or postpartum women whom are breastfeeding.
Breastfeeding moms may also be eligible for breastfeeding supplies such as breast pumps if certain qualifications are met.
For information on the Breastfeeding Peer Counselor Program, call (910) 592-1131 ext. 4201, or (910) 631-7620.
Breastfeeding Resources
USDA WIC Breastfeeding and Support
This institution is an equal opportunity provider. Esta institución es un proveedor que ofrece igualdad de oportunidades. For more information regarding the non-discrimination statement or to file a complaint of discrimination, please visit http://www.nutritionnc.com/nondiscrimination.htm.
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Sampson County
WIC Office
Phone: (910) 592-1131
Fax: (910) 299-4978
Main Office
Hours of Operation
Monday – Friday
8 am to 5 pm
Physical Location
360 County Complex Rd.Bldg. E, Suite 200
Clinton, NC 28328
Wanda Robinson
Health Director
wrobinson@sampsonnc.com
Erin Ellis
Supervisor
eellis@sampsonnc.com
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