× The federal government has shut down due to the failures of the President and Congress to continue government funding. Millions of Californians receiving benefits from state programs may be impacted. For now, California’s Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) will continue to provide services and enroll eligible families as long as funding is available. No new federal funding to California WIC will be provided until the President and Congress take action. Families should continue to use their WIC benefits and attend their WIC appointments. This information is subject to change, so please monitor the California WIC website for updates.

Please be wary of potential highly partisan political messaging while visiting federal government websites for information related to the federal government shutdown.

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​​Client Application Forms

Client Application Forms by Client Type

Review the list of acceptable eligibility documents, or the list of acceptable eligibility documents for minors and clients with confidentiality concerns. The following lists contain forms that may be applicable to each client type, please note that not every form in the list will be required for each client.

Adult Uninsured (Including Medicare Without Part D)

Adult Insured (Including Medicare With Part D & Medi-Cal Share of Cost)

Adult With Confidentiality Concerns

Adults with confidentiality concerns have insurance through a parent, spouse, or registered domestic partner, but are unable to use their insurance for PrEP due to confidentiality concerns.

Minor (12–17 years old)

Temporary Coverage

  • Temporary Coverage Client Attestation and Consent Form (English) (DocuSign)

Immediate Access

Other Forms


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