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Become a WI WIC Vendor

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WI WIC Vendor Application 
After reviewing the Vendor Authorization Summary below, download and print this PDF version of the WIC Retail Store Application.  You can then submit the paper form to the Wisconsin Department of Health Services:

WIC Retail Store Application 


WI WIC Vendor Authorization Summary 
Any owner of a full line grocery store located in Wisconsin may apply for authorization as a WIC vendor. WIC authorization does not transfer to a new owner when a change of ownership occurs. Vendors may not accept WIC checks until all application requirements are met, including completing an application and submitting any required supporting documentation, passing an authorization review, completing a training program and receiving an authorization letter from the Wisconsin WIC Program. Submission of false information will result in denial of application.

Application Materials:

1. WI WIC Retail Store Application;

2. WI WIC Retail Store Handbook;

3. WI WIC Food List; and

4. WI WIC Maximum Allowable Prices


Conditions of Eligibility a Vendor Must Meet:

1. Have an acceptable history with WIC and other food and nutrition service programs of USDA.

2. Meet the minimum inventory requirements at the time of the on-site review and thereafter if approved for the program (http://www.pabulletin.com/secure/data/vol33/33-42/2034.html). These products must be on the current WIC approved food list (http://dhfs.wisconsin.gov/wic/foods/pph4728.pdf); and the quantities must be priced at or below the current maximum allowable prices to be considered as minimum inventory ( http://www.pabulletin.com/secure/data/vol35/35-39/1789.html).

3. Have a satisfactory authorization review by the local WIC agency wherein it is determined that:

a. The store meets the minimum stock requirements on the store premises;

b. Prices are marked on the food containers or posted in the immediate area where foods are kept, or in an area clearly visible to store customers;

c. The store is not in violation of applicable federal, state, or local health protection laws and ordinances; and

d. Authorized foods are not older than the expiration dates indicated on the packages, or are otherwise fresh.

4. Following the store’s review, the State Agency will approve or disapprove the store’s application. If approved, the store will receive an approval letter, window decal and training materials. Once approved, the store must participate in initial training conducted at the Local Agency serving the WIC Program in your area.


Duration of Authorization:

At least once every three years, the Department will conduct a periodic review of all stores in a given area. A store’s authorization or reauthorization shall remain in effect until the Department acts on the store’s application for reauthorization, unless terminated earlier.


Applicable Regulations, Statutes and Administrative Rules:

1. Wisconsin WIC Program: http://www.pabulletin.com/secure/data/vol33/33-40/1933.html/

2. Federal Regulations 7 CFR Part 246: http://www.gpoaccess.gov/cfr/index.html


Determination Period:

Applications are reviewed within 90 days of receipt of complete applications. If the application is not complete, a notice of incomplete items will be sent and the application will not be processed further.


Department Contact:

Contact your Local WIC Agency which can be found by selecting the county location of the store at: http://dhfs.wisconsin.gov/wic/localproject/WisWICMap.htm

 


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