Apply 4 WIC WIC Home We are here to help! If you have already checked your eligibility for WIC benefits, then please fill out the below information. Please note: There are some exceptions to the standard income guidelines that may qualify you for WIC benefits. If your income is slightly above the guidelines. There may be some exceptions that may allow you to qualify. Name Date of Birth Home Address Mailing address (if different from home address) Mobile Number Can you receive text messages Yes No Email What is your preferred language - None -English Spanish Other Do you have MediCal Yes No In Progress If yes - MediCal Case # Please select all that apply Pregnant Post-partum Infant-breastfeeding Infant-formula Children/Toddler 0-5 Please choose the WIC Clinic Closest to you Arlanza Riverside WICArlanza Riverside WICBanning WICBlythe WICCathedral City WICCorona WICDesert Hot Springs WICHemet WICIndio WICJurupa WICLakeshore WICMecca WICMoreno Valley WICRiverside Neighborhood WICNorth Riverside WICPalm Springs WICPerris WICRubidoux WICTemecula WIC Thank you for submitting your information. Please be aware that A WIC staff will be connecting with you through e-mail or phone or text message. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.