New WIC Vendor Questionnaire

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.

Review ALL of the following downloads BEFORE submitting a NEW WIC VENDOR QUESTIONNAIRE: PART I: NYS WIC Foods Card  Minimum Stock Requirements -Grocery Store Minimum Stocking Requirements – Pharmacy Are you prepared for the On-Site Inspection? Instructions on Counting the Number of Registers in Your Store Workers Compensation & Disability Form NYS WIC Infant Formula Supplier List 04-01-2019