New WIC Vendor Questionnaire

NEW WIC VENDOR QUESTIONNAIRE: PART I

To determine whether your store location is needed for participant access, you must complete and submit the NEW WIC VENDOR QUESTIONNAIRE: PART I and all supporting documents to the Vendor Management Agency in your area for review.

New WIC Vendor Questionnaire

Mail, email, or fax your completed questionnaire and all required documents to:

the appropriate Vendor Management Agency which has jurisdiction in your geographic area

PLEASE review ALL information located under the “Informational Material” section before submitting a NEW WIC VENDOR QUESTIONNAIRE: PART I for review.

Informational Material