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WIC VENDOR AGREEMENT BETWEEN THE STATE OF LOUISIANA DEPARTMENT OF HEALTH OFFICE OF PUBLIC HEALTH CENTER FOR COMMUNITY AND PREVENTIVE HEALTH Special Supplemental Nutrition Program for Women, Infants

How to fill out wic vendor agreement between

How to fill out wic vendor agreement between

1. Obtain a copy of the WIC vendor agreement form from the appropriate WIC program office.
2. Read the agreement form thoroughly to understand the terms and conditions.
3. Fill out the vendor information section, including the name, address, and contact details of the vendor.
4. Provide the required business information, such as the type of business, tax identification number, and license details.
5. Specify the products or services that the vendor will provide under the agreement.
6. Review and comply with all the WIC program requirements, including pricing, invoicing, and reporting obligations.
7. Sign and date the agreement form.
8. Submit the filled-out agreement form to the WIC program office for review and approval.
9. Maintain a copy of the signed agreement for reference and future audits.
10. Renew or update the agreement as necessary according to the WIC program guidelines.

Who needs wic vendor agreement between?

1. Retailers or businesses who wish to participate as WIC vendors and provide WIC-approved products or services to WIC program participants.

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What is wic vendor agreement between?

The WIC Vendor Agreement is a formal contract between the Women, Infants, and Children (WIC) program and authorized vendors that outlines the responsibilities, terms, and conditions under which vendors can provide food supplies to WIC participants.

Who is required to file wic vendor agreement between?

Authorized retailers or vendors who wish to participate in the WIC program and provide food items to WIC recipients are required to file the WIC Vendor Agreement.

How to fill out wic vendor agreement between?

To fill out the WIC Vendor Agreement, vendors must complete the application form provided by the WIC program, ensure all required documentation is attached, review the terms and conditions, and submit it to the appropriate state agency or WIC office.

What is the purpose of wic vendor agreement between?

The purpose of the WIC Vendor Agreement is to establish a legal framework that governs the relationship between WIC vendors and the WIC program, ensuring compliance with program regulations and promoting the proper use of WIC benefits.

What information must be reported on wic vendor agreement between?

The vendor agreement must include information such as the vendor's name, address, contact information, tax identification number, types of food products offered, and confirmation of adherence to WIC program requirements.