Forms

Many of the forms you need to help speed up the New York WIC application process are right here. Click on any of the links below to open or download the form you need.

Don’t see what you are looking for? Let us know and we will be happy to help.

If you would like to authorize another person to represent you at times when you are unable to attend WIC appointments or redeem food instruments, fill this form out. You are allowed to have up to two person to represent you but this is not required.

If you are looking to receive checks for special formula, please fill out this form.

Please fill out this form to authorize the transfer of information between your healthcare provider and WIC for your children.

Please fill out this form to authorize the transfer of information between your healthcare provider and WIC for yourself.

Food Banks Of the Southern Tier

Everyone Needs a Little Extra Help From Time to Time--Don't Forget About Steuben County Food Banks!  https://www.foodbankst.org/      

*Year 2017 Holiday Schedule* WIC PROGRAM

SITE 03 - Wyckoff - 316 A Himrod St. Suite -1 Brooklyn, NY 11237   SITE 06 - Williamsburg - 168 Division Ave Brooklyn, NY 11211 Memorial Day - May 29 (MONDAY) Independence Day - July 4 (TUESDAY) Labor Day -

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Holiday Closing

The Livingston-Wyoming WIC Office will be closed on Friday November 11, 2016 for the Veteran's Day Holiday and reopen on Monday, November 14, 2016.