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This document is a Vendor Agreement for stores participating in the Utah Women, Infants, and Children (WIC) Program. It outlines the requirements, responsibilities, and regulations governing vendors
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How to fill out vendor agreement to participate
How to fill out Vendor Agreement to Participate in the Utah Women, Infants, and Children (WIC) Program
01
Obtain a blank Vendor Agreement form from the Utah WIC Program website.
02
Review the eligibility requirements for vendors to ensure compliance.
03
Fill out the vendor's information, including name, address, and contact details.
04
Specify the type of products you offer that are eligible under the WIC program.
05
Provide any necessary business license or tax identification number.
06
Sign and date the agreement, certifying that all information is accurate.
07
Submit the completed form to the appropriate WIC local agency for review.
Who needs Vendor Agreement to Participate in the Utah Women, Infants, and Children (WIC) Program?
01
Any grocery store, pharmacy, or farmer's market that wishes to accept WIC benefits must complete this Vendor Agreement.
02
Businesses looking to provide specified nutritional foods and services to WIC participants.
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People Also Ask about
What formulas are available on WIC in Utah?
Infant formula Similac Advance, 13 oz liquid concentrate, 32 oz ready to feed. Similac Soy Isomil, 13 oz liquid concentrate, 32 oz ready to feed. Similac Sensitive, 12 oz can powder, 8 oz ready to feed, 32 oz ready to feed. Similac Total Comfort, 12 oz can powder.
Does Utah WIC work in other states?
You can only use your WIC card at Utah WIC-authorized stores to buy WIC-approved foods on your account.
Why does WIC only give Enfamil?
Why does the WIC program only offer certain brands of formula? The WIC program is required to have a contract with a specific formula company to help keep costs down. There are separate contracts for milk-based and soy-based formulas. We renew these contracts every five years.
Why did WIC switch from Gerber to Similac?
All WIC programs in the US are required to have a formula contract in place for cost containment purposes. Infants previously receiving standard Gerber brand formula benefits will automatically be changed to the most comparable Similac brand infant formula beginning in October.
What formulas does WIC carry?
Formulas Offered by California WIC How to Prepare Formula. Always follow proper formula instructions when mixing a bottle for your baby. Similac Advance. 12.4 oz Powder. Similac Advance. 13 oz Concentrate. Similac Sensitive. 12.5 oz Powder. Similac Total Comfort. 12.6 oz Powder. Enfamil ProSobee. 12.9 oz Powder. Enfamil ProSobee.
What's the most cans of formula does WIC provide?
maximum monthly allowance (MMA): 14 containers of liquid concentrate infant formula x 26 reconstituted fluid ounces = 364 fl. oz.
What does Utah WIC provide?
WIC provides a nutritious and colorful variety of foods for your family. We offer great tasting items like yogurt, whole wheat pasta, fresh fruits and vegetables. We provide name brand breakfast cereals, juice and peanut butter to go along with many other healthy foods that will satisfy each member of your family.
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What is Vendor Agreement to Participate in the Utah Women, Infants, and Children (WIC) Program?
The Vendor Agreement to Participate in the Utah Women, Infants, and Children (WIC) Program is a formal contract between authorized vendors and the state of Utah, allowing vendors to provide specific foods and nutrition services to WIC participants.
Who is required to file Vendor Agreement to Participate in the Utah Women, Infants, and Children (WIC) Program?
Any grocery store, pharmacy, or retailer that wishes to accept WIC benefits and provide eligible food items to WIC participants must file the Vendor Agreement to participate in the program.
How to fill out Vendor Agreement to Participate in the Utah Women, Infants, and Children (WIC) Program?
To fill out the Vendor Agreement to Participate in the Utah WIC Program, vendors must complete the application form provided by the Utah Department of Health and Services, ensuring all sections are filled accurately and any required documentation is attached.
What is the purpose of Vendor Agreement to Participate in the Utah Women, Infants, and Children (WIC) Program?
The purpose of the Vendor Agreement is to establish understanding and compliance between the state and vendors regarding the types of foods, services, and conditions under which vendors will operate within the WIC Program.
What information must be reported on Vendor Agreement to Participate in the Utah Women, Infants, and Children (WIC) Program?
Vendors must report information such as business name, address, types of WIC-approved foods offered, ownership details, and compliance with health and safety regulations on the Vendor Agreement.
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