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MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICESVendor Number WIC VENDOR CONTRACT AND CERTIFICATIONVendor Name (Name of Store as it appears on building or sign): Vendor Retail Address: Vendor Mailing
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How to fill out wic vendor contract and

01
Here is a step-by-step guide on how to fill out a WIC vendor contract:
02
Obtain the WIC vendor contract form from the appropriate WIC agency or website.
03
Read the instructions carefully to understand the requirements and obligations.
04
Fill in the vendor's basic information, such as name, address, and contact details.
05
Provide details about the vendor's business, including the type of goods or services offered.
06
Specify the vendor's eligibility to participate in the WIC program, such as compliance with state regulations.
07
Indicate the vendor's willingness to comply with the WIC program rules, including pricing and product availability requirements.
08
Sign and date the contract to acknowledge understanding and agreement to the terms and conditions.
09
Submit the filled-out contract to the designated WIC agency or representative.
10
Wait for the review and approval process by the WIC agency.
11
Once approved, comply with the terms of the contract and actively participate as a WIC vendor.

Who needs wic vendor contract and?

01
WIC vendor contracts are needed by businesses or organizations that want to become authorized vendors for the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).
02
Any business that sells eligible food items and meets the requirements set by the WIC program can apply to become a WIC vendor.
03
These contracts are not required for individuals or consumers, but rather for businesses that want to serve WIC participants and accept WIC vouchers as a form of payment.
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A WIC vendor contract is a formal agreement between a retailer and the Women, Infants, and Children (WIC) program that allows the retailer to provide eligible foods and services to WIC participants.
Retailers who wish to participate in the WIC program and provide benefits to WIC participants are required to file a WIC vendor contract.
To fill out a WIC vendor contract, retailers must complete the application form with their business information, agree to the terms and conditions, and submit any required documentation as specified by the WIC program.
The purpose of the WIC vendor contract is to establish the rules and obligations of vendors participating in the WIC program, ensuring that they provide approved foods and follow program guidelines.
The WIC vendor contract typically requires reporting of the vendor's business name, address, type of ownership, contact information, and details about the types of foods and services offered.
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