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North Carolina Department of Health and Human Services Division of Public Health Women's and Children's Health Section WIC VENDOR AGREEMENT N LY This agreement is between hereinafter referred to as

How to fill out wic vendor agreement

How to fill out WIC vendor agreement:

1. Obtain the WIC vendor agreement form from the appropriate agency or organization. This form is typically available online or can be obtained by contacting the WIC program office.
2. Read the instructions carefully and make sure you understand all the requirements and obligations stated in the agreement.
3. Fill out the vendor information section accurately, providing details such as the business name, address, phone number, and any other required contact information.
4. Provide the necessary documentation requested on the form, such as a copy of the business license, state sales tax certificate, and any other required permits or licenses.
5. Review and complete the sections related to the types of WIC-authorized products you intend to sell. This may include specifying the categories of food items, such as dairy, fresh produce, infant formula, or baby food.
6. Indicate the pricing and payment policies for WIC customers, ensuring compliance with WIC program guidelines. This may involve offering competitive prices and accepting WIC vouchers or electronic benefit transfer (EBT) cards as forms of payment.
7. Sign and date the agreement form, certifying that the information provided is true and accurate, and that you agree to comply with all WIC program rules and regulations.
8. Submit the completed agreement form along with any required supporting documents to the designated agency or organization responsible for processing vendor agreements.

Who needs WIC vendor agreement:

1. Grocery stores and supermarkets that wish to participate in the WIC program and accept WIC vouchers or EBT cards as payment.
2. Farmers markets and other approved vendors who sell fresh fruits, vegetables, and other eligible WIC foods directly to WIC participants.
3. Food manufacturers and distributors who want their products to be eligible for purchase using WIC benefits.
4. Any business or organization that wants to become an authorized WIC vendor and provide nutritious food options to WIC participants.

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What is wic vendor agreement?

A WIC (Women, Infants, and Children) vendor agreement is a contract between a vendor and the WIC program that allows the vendor to accept WIC benefits as payment for eligible food items.

Who is required to file wic vendor agreement?

All vendors who wish to participate in the WIC program and accept WIC benefits need to file a WIC vendor agreement.

How to fill out wic vendor agreement?

To fill out a WIC vendor agreement, vendors typically need to complete a form provided by the WIC program. The form usually requires basic vendor information, such as business name, address, and contact details. Additionally, vendors may need to provide information about the types of WIC-approved foods they plan to offer and any relevant certifications or licenses.

What is the purpose of wic vendor agreement?

The purpose of a WIC vendor agreement is to establish a contractual relationship between the vendor and the WIC program. It ensures that the vendor meets the necessary criteria to be authorized to accept WIC benefits and provides guidelines for the sale of WIC-approved foods.

What information must be reported on wic vendor agreement?

The specific information required on a WIC vendor agreement may vary, but it commonly includes the vendor's business details (such as name, address, and contact information), a list of WIC-approved products the vendor will offer, and any relevant licenses or certifications.