Get the free Virginia WIC Program Retailer Supply Request Form - vahealth

Virginia WIC Program Retailer Supply Request Form Supplies/Materials WIC Approved Food List (FD LST 12) — English Quantity WIC Approved Food List (FD LST 12S) — Spanish Formula Flyer (FORM-12ES)

How to fill out virginia wic program retailer

How to fill out Virginia WIC Program Retailer:

1. Gather necessary information: Before filling out the application, make sure you have all the important information required, such as the store's name, address, contact details, and the owner's information.
2. Complete the application form: Visit the official Virginia WIC Program website or contact the local WIC office to obtain the retailer application form. Fill out the form accurately, providing all the requested information, including your store's hours of operation, accepted payment methods, and any additional services offered.
3. Attach required documentation: Along with the application form, you may need to provide certain documentation, such as a copy of your store's business license, sales tax certificate, and completed W-9 form. Ensure you have the necessary documents and attach them securely to your application.
4. Submit the application: Once you have filled out the form and attached all the required documentation, submit your application to the appropriate WIC office. You can either mail it or hand-deliver it as per the instructions provided. Ensure all the information is legible and accurate to avoid delays in processing.
5. Await approval and inspection: After submitting your application, the WIC program will review your submission and conduct a store inspection to ensure it meets the program's requirements. This inspection is often done to verify that your store has the necessary products available and follows the prescribed guidelines.

Who needs Virginia WIC Program Retailer?

1. Grocery store owners: owners of grocery stores in Virginia who wish to participate in the WIC program and provide nutritious food options to eligible participants.
2. Independent retailers: small independent retailers looking to expand their customer base and offer WIC-approved products to a wider range of consumers.
3. Farmers market vendors: vendors at farmers markets who want to accept WIC vouchers and provide fresh, locally grown produce to WIC participants.
4. Convenience store owners: owners of convenience stores who want to enhance their offerings by becoming authorized WIC retailers and increasing foot traffic to their businesses.
5. Supermarket chains: large supermarket chains that aim to cater to a diverse customer base and promote healthy eating by participating in the Virginia WIC program.

In summary, anyone who owns a grocery store, convenience store, farmers market, or supermarket chain in Virginia can benefit from becoming a Virginia WIC Program retailer by providing nutritious food options to eligible participants and expanding their customer base.

For pdfFiller’s FAQs

What is virginia wic program retailer?

The Virginia WIC Program retailer is a store that is authorized to accept WIC benefits for the purchase of approved foods.

Who is required to file virginia wic program retailer?

All authorized retailers participating in the Virginia WIC Program are required to file the retailer agreement.

How to fill out virginia wic program retailer?

Retailers can fill out the Virginia WIC Program retailer agreement online or submit a paper copy to the WIC Program office.

What is the purpose of virginia wic program retailer?

The purpose of the Virginia WIC Program retailer is to ensure that WIC participants have access to nutritious foods at authorized stores.

What information must be reported on virginia wic program retailer?

Retailers must report information such as store location, hours of operation, accepted payment methods, and inventory of approved WIC foods.

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