Connecticut WIC Program WIC VENDOR AGREEMENT FY 2025Wic Vendor Agreement • October 9th, 2024
The U.S. Department of Agriculture sponsors the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) authorized by the Child Nutrition Act of 1966. WIC is federally funded, and is administered by the State of Connecticut, Department of Public Health. The Connecticut WIC Program enters into an agreement with retail stores to provide specific nutritious foods through a retail food delivery system. Home deliveries are not permitted under the retail food delivery system used in Connecticut.
OFFICE OF PUBLIC HEALTH CENTER FOR COMMUNITY AND PREVENTIVE HEALTHWic Vendor Agreement • May 5th, 2020
This WIC Vendor Agreement, hereinafter referred to as the “Agreement,” is entered into for the Louisiana Special Supplemental Nutrition Program for Women, Infants and Children (WIC) between the State of Louisiana, Louisiana Department of Health, Office of Public Health, Center for Community and Preventive Health, Special Supplemental Nutrition Program for Women, Infants and Children (WIC),
WIC VENDOR AGREEMENT-APPENDIX G-ADMINISTRATIVE REVIEW PROCEDURESWic Vendor Agreement • October 31st, 2023
WIC VENDOR AGREEMENTWic Vendor Agreement • October 31st, 2023
For food stores, all food items below are required of vendor applicants awaiting pre-authorization visits and all currently authorized food stores. For pharmacies, only infant formula is required of vendor applicants awaiting pre-authorization visits and all currently authorized pharmacies.
WIC VENDOR AGREEMENT APPENDIX A-VENDOR SELECTION CRITERIAWic Vendor Agreement • October 31st, 2023
Authorized vendors must meet the selection criteria at all times throughout the authorization period. The Agreement will be terminated if any one of these criteria is not met. Applicant and renewing vendors who do not meet the following criteria will not be selected for authorization.
WIC VENDOR AGREEMENT APPENDIX E-VIOLATIONS AND SANCTIONSWic Vendor Agreement • October 9th, 2024
WIC Program violations shall be determined by investigation, which includes on-site monitoring, transaction audits, inventory audits and undercover compliance buys conducted by the WIC Program, USDA staff, or their designees. The intent to commit a violation versus inadvertent human error is not a distinction that the WIC Program must establish in order to impose sanctions. Sanctions are imposed in order to protect the integrity and the nutritional goals of the WIC Program.
WIC VENDOR AGREEMENT APPENDIX H-GLOSSARYWic Vendor Agreement • October 9th, 2024
Adverse action means a denial of authorization, termination, disqualification or imposition of a fine or civil money penalty against a vendor for any violation found during monitoring, compliance investigation, inventory audit or reassessment.
WIC VENDOR AGREEMENT BETWEEN THE STATE OF LOUISIANA LOUISIANA DEPARTMENT OF HEALTHWic Vendor Agreement • May 16th, 2017
This WIC Vendor Agreement, hereinafter referred to as the “Agreement,” is entered into for the Louisiana Special Supplemental Nutrition Program for Women, Infants and Children (WIC) between the State of Louisiana, Louisiana Department of Health, Office of Public Health, Center for Community and Preventive Health, Special Supplemental Nutrition Program for Women, Infants and Children (WIC),
FY23 WIC VENDOR AGREEMENT APPENDIX F-MONETARY CLAIMSWic Vendor Agreement • October 7th, 2022
The Connecticut WIC Program may make monetary claims against vendors that have committed certain types of redemption abuse in addition to any other sanctions applied against such vendors. Those include but are not limited to:
TENNESSEE DEPARTMENT OF HEALTH DIVISION OF FAMILY HEALTH AND WELLNESS WIC VENDOR AGREEMENTWic Vendor Agreement • September 5th, 2024
ContractWic Vendor Agreement • January 24th, 2020
Division of Public Health · Women’s and Children’s Health Section Agency Name (no abbreviations) Nutrition Services Branch
October 25, 2018Wic Vendor Agreement • October 25th, 2018
The WIC Vendor Agreement provides that vendors must “comply with the provisions of this agreement, and all federal and state laws, policies, procedures, rules and regulations . . . and any subsequent revisions to the policies, procedures, laws, rules and regulations issued by the federal government and Georgia WIC during the agreement period.” The Georgia WIC Program has recently amended its program requirements. These amendments are contained in the Georgia WIC Program Notice of Change in WIC Requirements, Addendum No. 19-02, which goes into effect on November 16, 2018.
WIC VENDOR AGREEMENTWic Vendor Agreement • October 9th, 2024
For food stores, all food items below are required of vendor applicants awaiting pre-authorization visits and all currently authorized food stores. For pharmacies, only infant formula is required of vendor applicants awaiting pre-authorization visits and all currently authorized pharmacies.
FY22 WIC VENDOR AGREEMENT APPENDIX F-MONETARY CLAIMSWic Vendor Agreement • October 12th, 2021
The Connecticut WIC Program may make monetary claims against vendors that have committed certain types of redemption abuse in addition to any other sanctions applied against such vendors. Those include but are not limited to:
STATE OF FLORIDA DEPARTMENT OF HEALTHWic Vendor Agreement • March 15th, 2022 • Florida
This Vendor Agreement (Agreement) is entered between the State of Florida, Department of Health (the Department) and INSERT VENDOR NAME (Vendor), each a “party” and together the “Parties”, pursuant to Vendor’s application to the Department requesting participation in the Special Supplemental Nutrition Program for Women, Infants, and Children, authorized by Section 17 of the Child Nutrition Act of 1966, as amended (the WIC Program). Accordingly, the Parties agree as follows:
2013/2014 WIC VENDOR AGREEMENT –APPENDIX E - MONETARY CLAIMSWic Vendor Agreement • December 12th, 2013
When a vendor commits violations while accepting, transacting, or redeeming a WIC check, the WIC Program’s bank may reject the check. A rejected WIC check may serve as the vendor’s notice that violations associated with a check have been determined and payment has been denied. The following numbered 1-5 are fatal errors and WIC checks that contain these errors will not be paid.
WIC VENDOR AGREEMENT FY 2025Wic Vendor Agreement • December 8th, 2024
The U.S. Department of Agriculture sponsors the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) authorized by the Child Nutrition Act of 1966. WIC is federally funded, and is administered by the State of Connecticut, Department of Public Health. The Connecticut WIC Program enters into an agreement with retail stores to provide specific nutritious foods through a retail food delivery system. Home deliveries are not permitted under the retail food delivery system used in Connecticut.
PARTICIPANT ACCESS FORMWic Vendor Agreement • October 18th, 2018
FY18 WIC VENDOR AGREEMENT APPENDIX A-VENDOR SELECTION CRITERIAWic Vendor Agreement • December 29th, 2017
Authorized vendors must meet the selection criteria at all times throughout the authorization period. The Agreement will be terminated if any one of these criteria is not met. Applicant and renewing vendors who do not meet the following criteria will not be selected for authorization.
2013/2014 WIC VENDOR AGREEMENT –APPENDIX F –Wic Vendor Agreement • December 12th, 2013
WIC Program violations shall be determined by investigation, which includes on-site monitoring, check audits, inventory audits and undercover compliance buys by the WIC Program, USDA staff, or their designees. The intent to commit a violation versus inadvertent human error is not a distinction that the WIC Program must establish in order to impose sanctions. Sanctions are imposed in order to protect the integrity and the nutritional goals of the WIC Program.
FY 18 CONNECTICUT WIC VENDOR AGREEMENTWic Vendor Agreement • May 9th, 2018
The U.S. Department of Agriculture sponsors the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) authorized by the Child Nutrition Act of 1966. WIC is federally funded, and is administered by the State of Connecticut, Department of Public Health. The Connecticut WIC Program enters into an agreement with retail stores to provide specific nutritious foods through a retail food delivery system. Home deliveries are not permitted under the retail food delivery system used in Connecticut.
KENTUCKY WIC VENDOR AGREEMENT WIC 13Wic Vendor Agreement • March 15th, 2022
WHEREAS, the First Party, in the exercise of its lawful duties, has determined upon the necessity of the performance of the following described service, to wit: In relation to the First Party (Special Supplemental Nutrition Program for Women, Infants and Children, WIC) to provide food to pregnant, breastfeeding, postpartum women, infants and children (1 to 5 years of age) as authorized on WIC benefits issued by the First Party and;
FY21 WIC VENDOR AGREEMENT APPENDIX F-MONETARY CLAIMSWic Vendor Agreement • March 23rd, 2021
The Connecticut WIC Program may make monetary claims against vendors that have committed certain types of redemption abuse
FY18 WIC VENDOR AGREEMENT APPENDIX F-DISQUALIFICATIONS, CIVIL MONEY PENALTIES AND FINESWic Vendor Agreement • May 8th, 2018
WIC Program violations shall be determined by investigation, which includes on-site monitoring, transaction audits, inventory audits and undercover compliance buys conducted by the WIC Program, USDA staff, or their designees. The intent to commit a violation versus inadvertent human error is not a distinction that the WIC Program must establish in order to impose sanctions. Sanctions are imposed in order to protect the integrity and the nutritional goals of the WIC Program.
ContractWic Vendor Agreement • September 24th, 2024
This agreement is valid from October 1, 2024, through September 30, 2029, unless terminated in accordance with the terms of this agreement.
2013/2014 WIC VENDOR AGREEMENTWic Vendor Agreement • December 12th, 2013
FORM: WVA-1 OWNERSHIP INFORMATION (Please Print) Ownership Type: Sole Proprietorship Partnership Limited Liability Company (LLC) Franchise Corporation Ownership Name: Address: City/State/ZIP: Store Name & Address: (If more than one store, fill out form MS-1) WIC Vendor Stamp Number (if currently authorized): Bank Name: Routing Number: Account Number:
October 16, 2015Wic Vendor Agreement • October 16th, 2015
The WIC Vendor Agreement provides that vendors must “comply with the provisions of this agreement, and all federal and state laws, policies, procedures, rules and regulations . . . and any subsequent revisions to the policies, procedures, laws, rules and regulations issued by the federal government and Georgia WIC during the agreement period.” The Georgia WIC Program has recently amended its program requirements and State Sanction System. These amendments are contained in the Georgia WIC Program Notice of Change in WIC Requirements, Addendum No. 16-01, which will go into effect on November 15, 2015.
South Dakota WIC Vendor AgreementWic Vendor Agreement • August 13th, 2018
This Agreement is entered into with the South Dakota Department of Health, to participate in the Special Supplemental Nutrition Program for Women, Infants, and Children by the above named vendor food outlet (referred to as the VENDOR) for the purpose of providing supplemental foods to eligible persons under the WIC Program.
WIC VENDOR AGREEMENTWic Vendor Agreement • May 5th, 2020 • Florida
Agreement (Agreement) is entered into consistent with the terms and representations provided in the Vendor’s application the Vendor submitted to the Department requesting participation in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) (Program). The Agreement is therefore, under those conditions, executed by and between:
FY23 WIC VENDOR AGREEMENT APPENDIX H-GLOSSARYWic Vendor Agreement • October 7th, 2022
Adverse action means a denial of authorization, termination, disqualification or imposition of a fine or civil money penalty agains t a vendor for any violation found during monitoring, compliance investigation, inventory audit or reassessment.
New Jersey Department of HealthSPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS AND CHILDREN (WIC)VENDOR AGREEMENT (without signature) THIS AGREEMENT is made and entered into this day of , 20 between the New Jersey Department of Health, WIC...Wic Vendor Agreement • July 10th, 2018
Authorization to accept WIC food instruments is a privilege, not a right. Even if a vendor has been serving the Program for many years, they do not retain any right to be authorized.
SD-WIC Policy WIC Authorized RetailersWic Vendor Agreement • October 30th, 2015
TENNESSEE DEPARTMENT OF HEALTH DIVISION OF FAMILY HEALTH AND WELLNESS AMENDMENT TO WIC VENDOR AGREEMENT FOR 2016 - 2018Wic Vendor Agreement • May 24th, 2018
NOW, THEREFORE, I have read and do understand and agree to the above change. The undersigned represents that he/she is either the sole proprietor of the firm or is legally authorized to enter in this amendment on behalf of the ownership of the firm.
2013/2014 WIC VENDOR AGREEMENT - APPENDIX G - ADMINISTRATIVE REVIEW PROCEDURESWic Vendor Agreement • December 12th, 2013
Vendors will be provided with written notification whenever an adverse action is taken. The notification will include the procedure to follow to obtain an administrative review, the time period in which to appeal, and the cause for and the effective date of the action. When a vendor is disqualified due in whole or in part to a Federal Mandatory Sanction violation numbered 1 through 10in Appendix F, such notification shall include the following statement: “This disqualification from WIC may result in disqualification as a retailer in the Special Supplemental Nutrition Assistance
TENNESSEE DEPARTMENT OF HEALTH DIVISION OF FAMILY HEALTH & WELLNESS WIC VENDOR AGREEMENTWic Vendor Agreement • July 24th, 2019
