Vendor Agreement

FY 2022-2024 Vendor Agreement

WIC-Vendor-Memo/Instructions FY2022-2024-Vendor AgreementVendor Application FY2022-FY2024Vendor Agreement FY2022-FY2024Non-Disclosure of Confidential Information Agreement (NDA)Direct Deposit Form

Vendor Management Policies

As part of the WIC Vendor Agreement, WIC vendors must agree to and comply with the policies below:

Administrative ReviewCash-Value BenefitsCompliance Purchases and Inventory AuditsConfidentiality of Vendor InformationConflict of InterestDefinitions in Food DeliveryDescription of Food Delivery SystemDocumentation of Vendor SalesEBT CapabilityEvaluation of Authorized VendorsFile Transmissions (Claim file – Hot Card – APL)Food Delivery System and Transaction ProceduresFood Inventory RequirementsFood Price Reporting ListLost e-WIC cards at VendorNames of Companies in Food DeliveryNotification of Program ChangesPayment Disputes and AppealsPurchase of Infant FormulaReimbursement and ClaimsRenewal of the Vendor AgreementUse of Incentives and PromotionsUse of the WIC Acronym and LogoVendor AuthorizationVendor ComplaintsVendor MonitoringVendor TrainingVendor Violations and Sanctions

The above policies are subject to change and are reviewed and updated annually through the State Plan process. Public comments on the WIC State Plan are welcome.

Please contact the State WIC Office at 801-273-2991 if you have any questions or comments.