Please fill out the following questions to the best of your ability. This form does not automatically enroll you, it provides the WIC agency with information to contact you for enrollment. It's that easy! Current and former participants should contact their WIC agency to complete recertification.
JEFFERSON FRANKLIN COMMUNITY ACTION CORPORATION
#2 MERCHANT DRIVE P.O. BOX 920, HILLSBORO MO 63050
RELAY MISSOURI TTY SERVICE 1-800-735-2966/ 1-800-735-2466
Copyright (C) 2015
JFCAC IS AN EQUAL OPPORTUNITY EMPLOYER