NEED HELP?

A caseworker or social service professional must submit the referral, pick up the items and deliver them to the clients. We are not able to provide items directly to individuals or clients, and we are unable to deliver our items to another facility at this time.

Caseworkers will be required to show identification and provide a client-signed waiver/ affidavit of income   when picking up the items.
To receive assistance from Baby's Bounty MC, individuals must have a caseworker or social service professional submit a referral on their behalf.

If you are an individual looking for help we recommend you reach out to the county or another charity and request a caseworker or social service professional submit a referral on your behalf.
Major requirements:
  • Infants must have been born and be under 6 months of age at the time the referral is submitted.
  • Clients must meet the current WIC income guidelines.
  • Clients are only eligible for a referral once.
  • Clients must complete and sign a waiver and affidavit of income.
CASEWORKERS
 If you have a client in need of our help, you may submit a referral request online through the web-based form below. If you are unable to submit a form through the web form, you can fax a paper referral form (found below) to the number listed on the form. In both cases, you will be required to present identification when picking up the items and a waiver/ affidavit of income form signed by the client.

If you submit an web form, you will be required to have a waiver/ affidavit of income signed by the client. You must bring this form when you pick up the items.



Caseworkers will be contacted when the referral has been reviewed and notified of a time for pick up when it is approved. Pick ups generally are scheduled Tuesdays and Thursdays from 10am to 12pm at our distribution office. DO NOT COME FOR PICK UP UNTIL YOU HAVE BEEN NOTIFIED THE REFERRAL WAS APPROVED. Items must be picked up within two weeks of the approval or they will be re-shelved.



WAIVER & AFFIDAVIT OF INCOME FORM
PAPER REFERRAL FORM

ONLINE REFERRAL FORM