Essential Documents & Links for LA WIC Vendors
Key Resources for Louisiana WIC Vendors
Here vendors can find all necessary documentation to assist with daily operations of WIC and examples of requested documentation.
Vendors can also access all Louisiana WIC Authorization Documents listed below:
- Food Item Price List (WIC-3) Grocer’s Report. This price list is used to collect lowest and highest price of WIC-approved food items in the vendor’s stock.
- Food Sales Fact Sheet
- Infant Formula Supplier List
- Infant Formula Supplier Request Form
- Permit to Operate Example
- Signature Authority Form
- SNAP Authorization Permit Example
- Vendor ACH Agreement
- Vendor Ownership Type Examples
- Vendor Guide. This guide provides information on contacting Louisiana WIC, When to Notify LA WIC, Vendor Records & Monitoring, WIC Approved Foods, Selection Criteria, and other vital information needed to be in compliance with Louisiana WIC.
- Vendor Policy Manual. This manual provides vendors with information about Louisiana WIC Policies and Procedures. Louisiana WIC shall follow the policies within this manual when administering the WIC program, and these policies apply to all Louisiana WIC-authorized vendors.
- Minimum Stock Requirements (WIC-23) (Effective 12.07.2022)
- Vendor Shopping Experience Report Form | Formulario de Experiencia de Compra (Rev. 05.2022)
- Vendor Materials Request Form (Effective 10.2023)
- Vendor Request for Appeal Form (Effective 01.2024)
- Vendor Self-Assessment Form (Effective 04.2024)
- Complaint Procedure
- Approved Food Item Price List (WIC-3) (Effective 10.2023)
- Inventory Audit Invoice Requirements
- Vendor Point-of-Sale System Certification Request Form
- Authorized Product List (APL)
- Data Request Form
- Program Guide | Spanish Version (Effective 02.2024)
- Fresh Fruit and Vegetables Mapping Requirements (Rev. 05.2020)
- Price Look Up (PLU) Code List (Rev. 07.2024)
- Procedure to add a Universal Product Code (UPC) to the Authorized Product List (APL) (Rev. 01.2023)
- UPC Addition Request Form (Rev. 09.2022)
- Louisiana RFI Submission 2023-2025