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Must reside in Sherburne County to complete this form. If you live outside of Sherburne County, apply thru MDH: MDH WIC Apply Online
People in same household, related or non-related, that share in financial and consumption of the same goods and services.
If no income, put 0
I certify that the information I have provided is correct to the best of my knowledge. I understand that intentionally giving false or misleading information will result in my not receiving WIC benefits.
This field is not part of the form submission.
* indicates a required field