Hidalgo County, TX · Hidalgo County
WIC Self-Declaration Form for Identification, Residency, and Income
Applicants or caregivers use this WIC form to declare identification, residency, or income information when acceptable proof is unavailable.
At a glance
- Issued by
- City of Hidalgo County · Hidalgo County, Hidalgo County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- hidalgocounty.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form lets a WIC applicant or a parent, guardian, or caregiver declare information about identification, residency, income while homeless, or zero household income. It states that it is valid for one certification period and that a reassessment is done at each certification. The signer provides the applicant’s name and signs and dates the relevant declaration section.
Who needs it
A WIC applicant, or a parent, guardian, or caregiver applying for a child, may use the relevant section when the form’s stated circumstances apply.
How to submit it
The form does not give a submission method or contact details. Submit it to the county office named on the form; check the county website for current contact details.
About notarization
This document is signed without a notary; the applicant or parent, caregiver, or guardian signs and dates the relevant declaration.
How to submit this form
- 1
Download the Form
Download the WIC self-declaration form.
- 2
Complete the Relevant Section
Enter the applicant’s name and complete the section that applies to identification, residency, homeless income, or zero income.
- 3
Sign and Date
The applicant or parent, caregiver, or guardian signs and dates the relevant declaration.
- 4
Submit to the County
Submit the form to the county office named on it; check the county website for current contact details.
Frequently asked questions
- What is the Hidalgo County WIC self-declaration form for?
- It lets WIC applicants or caregivers declare identification, residency, proof of income while homeless, or zero household income when the form’s stated circumstances apply.
- Do I need a notary for the WIC self-declaration form?
- No. The applicant or parent, caregiver, or guardian signs and dates the relevant declaration; the form does not require a notary.
- How do I submit the WIC self-declaration form?
- The form gives no submission method or contact details. Submit it to the county office named on the form and check the county website for current contact details.