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WIC PRE-APPLICATION
Please complete the following pre-screening application. A Pierce-Pepin WIC Program staff person will contact you to complete your application for WIC services. If you prefer to not complete this form OR would like to speak now to a WIC staff person, please phone 715-273-6758.

Please note, this form should be filled out by Wisconsin residents only. 

Thank you for your interest in the WIC Program.
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