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:

WIC Vendor Overview

Section 60-1.13 – Vendor applicant enrollment criteria

NYS WIC Foods Card 

Minimum Stock Requirements -Grocery Store

Minimum Stocking Requirements – Pharmacy

Are you prepared for the On-Site Inspection?

Food Sales Information

Instructions on Counting the Number of Registers in Your Store

Workers Compensation & Disability Form

NYS WIC Infant Formula Supplier List