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STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH Connecticut WIC Program WIC VENDOR AGREEMENT FY2020Email: TWIC ct.gov Phone: (860) 5098084 Fax: (860) 5098391 VP: (860) 8991611 410 Capitol Avenue,
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How to fill out wic vendor agreement fy20

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How to fill out wic vendor agreement fy20

01
Here are the steps to fill out the WIC Vendor Agreement FY20:
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Obtain the WIC Vendor Agreement FY20 form from the WIC agency or website.
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Read the instructions carefully to understand the requirements and obligations.
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Fill out the vendor information section completely, including business name, address, contact information, and WIC authorization number.
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Provide the required documentation, such as a copy of your business license, W-9 form, and any other requested documents.
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Review the terms and conditions of the agreement thoroughly and ensure compliance.
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Sign and date the agreement.
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Submit the completed form along with all the required documents to the WIC agency either in person or through the designated submission method.
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Await confirmation of your vendor agreement status from the WIC agency.
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If approved, follow the guidelines and regulations outlined in the agreement to participate as a WIC vendor.

Who needs wic vendor agreement fy20?

01
Any business or organization that wishes to become a WIC vendor for the fiscal year 2020 (FY20) needs to fill out the WIC Vendor Agreement FY20. This applies to
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- Grocery stores
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- Supermarkets
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- Farmers markets
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- Convenience stores
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- Pharmacies, and
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- Other retailers that want to accept WIC benefits and provide eligible food items to WIC participants.
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The WIC Vendor Agreement FY20 is a formal agreement established between the Women, Infants, and Children (WIC) program and vendors participating in the program during the fiscal year 2020. It outlines the terms and conditions under which vendors must operate to provide authorized food items to WIC participants.
All vendors who wish to participate in the WIC program and provide approved food items to WIC participants are required to file the WIC Vendor Agreement FY20.
To fill out the WIC Vendor Agreement FY20, vendors must complete the provided application form accurately, providing all requested information regarding their business, such as ownership details, location, and the types of food products offered. Vendors should also review and understand all terms and conditions before signing.
The purpose of the WIC Vendor Agreement FY20 is to establish clear guidelines for vendors regarding their responsibilities and requirements under the WIC program, ensuring that WIC participants have access to nutritious food options.
Vendors must report various information on the WIC Vendor Agreement FY20, including business name, address, contact information, ownership details, inventory of WIC-approved food items, and compliance with state regulations.
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