West Virginia WIC

Approved

Food List

Effective October 1, 2022

 

Version en español

INFANT FOODS

Fruits

Included

  • ANY BRAND single ingredient or combinations of single ingredients, may have added fruit juice, (e.g., apples-pears; apples-mango-kiwi)
  • Any Stage (i.e. Stage 1, Stage 2, homestyle, etc.)
  • 2-ounce or 4-ounce containers only
  • Single or two pack – jars or plastic containers
  • Variety pack boxes
  • May be organic, GMO or non-GMO varieties

Not Included

  • Mixtures with cereal; infant food dinners, puddings, desserts (e.g., peach cobbler) or “delights;” varieties with DHA or ARA; infant fruits with added sugars, starches, fiber or sodium; infant fruits with yogurt; smoothies
  • Fresh fruits; Gerber Graduates fruit dices, fruit puffs, yogurt melts, wagon wheels, fruit and cereal bars, mini fruits, fruit strips or fruit twists; Beech Nut Let’s Grow yogurt nibbles; Heinz toddler foods
  • Pouches

Vegetables

Included

  • ANY BRAND single ingredient or combinations of single ingredients (e.g., peas and carrots)
  • Any Stage (i.e. Stage 1, Stage 2, Homestyle, etc.)
  • 2-ounce or 4-ounce containers only
  • Single or two pack;  jars or plastic containers
  • May be organic, GMO or non-GMO varieties

Not Included:

  • Infant food dinners; infant vegetables with added sugars, starches or sodium; varieties containing DHA or ARA; dried or powdered infant vegetables
  • Fresh vegetables; Gerber Graduates vegetable dices, veggie puffs, or wagon wheels; Heinz toddler foods
  • Pouches

Ways to purchase 128 ounces of fruit and vegetables

X Selling, exchanging, giving away or trading food purchased with WIC benefits is considered fraud. This could result in termination from the WIC Program.

Infant Cereal

Included

  • Choose from these brands: Gerber, Parent’s Choice, Beech-Nut, Earth’s Best Organic, Kroger Comforts, Tippy Toes, Baby Basics single grain or mixed grain
    • Barley
    • Oatmeal
    • Rice
    • Whole Grain
    • MultiGrain
    • Golden Corn Maize (Beech-Nut 8 ounce)
  • 8 ounce or 16 ounce boxes or plastic containers only
  • May be organic, GMO or non-GMO

Not Included

  • Infant cereals containing infant formula, milk, fruit, fruit flakes, sugar or other non-cereal ingredients, (DHA, ARA, or probiotics)
  • High protein varietes
  • Infant cereal in  jars or cans
  • Variety packs or single serving cups

Infant Formula

Included

  • Formula as issued on a eWIC card

Babies are born to breastfeed. Your breast milk is all your baby needs for the first 6 months of life. 

FOR BREASTFEEDING INFANTS ONLY

Meat

Included

  • ANY BRAND infant food meat or poultry, as a single major ingredient, with added broth or gravy
  • Any stage (i.e., stage 1, stage 2, etc.)
  • 2.5 ounce containers only
  • Jars or plastic container
  • Multipack box
  • May be organic, GMO, or non-GMO varieties

Not Included

  • Food combinations (e.g., meat and vegetables) or dinners (e.g., spaghetti and meatballs)
  • Varieties containing DHA or ARA
  • Infant meats with added sugars, starches or sodium
  • Chicken sticks, turkey sticks or meat sticks
  • Gerber Graduates Lil’ Meals, Lil’ Sides, Lil’ Entrees or Pasta Pick-ups: Beech Nut Tummy Trays or Mini-Meals; Heinz toddler foods; Nature’s Goodness Toddler Cuisine
  • Pouches

How to purchase 77.5 ounces of infant meat

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DAIRY

MyPlateDairyIcon

Cheese

Included

  • ANY BRAND 100% natural sliced, shredded or block
  • 8 ounce or 16 ounce packages
    • Colby
    • Cheddar
    • Monterey Jack
    • Mozzarella (part-skim or whole)
    • American (pasteurized processed)
    • Swiss
    • Blends of any of these cheeses
  • Low-fat; reduced-fat; fat-free; nonfat
  • Low cholesterol; low sodium
  • Calcium fortified
  • Vitamin D fortified
  • Lactose-reduced cheese

Not Included

  • Any varieties not listed
  • Individually wrapped slices, cubes, crumbles or string cheese
  • Cheese food, cheese product, imitation cheese, cheese dips, cream cheese or cheese spread
  • Cheese with pepper, pimento, added herbs, spices, seasonings or flavorings (wine or smoked)
  • Cheese with added probiotics, DHA or AHA (e.g., Live Active, etc.)
  • Cheese made with raw milk
  • Deli or imported cheese; Kosher cheese
  • Packages of individual serving sizes or random weight packages
  • Organic; lactose-free cheese
  • Goat, sheep or yogurt cheese

Eggs

Included

  • One dozen container, chicken eggs only
  • All sizes and grades
  • White or Brown eggs
  • Specialty eggs such as low-cholesterol, cage-free, stress-free, free-range vitamin-enriched, antibiotic-free, vegetarian-fed-hen, no-growth-hormones, fertile or organic eggs

Not Included

  • Powdered, liquid or hard boiled eggs


MyPlateDairyIcon

FOR CHILDREN AGE 12-23 MONTHS ONLY

Whole Milk

Included

  • Whole milk in white, chocolate, or lactose free varieties
  • If requested – evaporated milk fortified with Vitamin D in 12-ounce cans only
  • Soymilk: Pacific Ultra Original Soymilk, 8th Continent Regular Soymilk Original, 8th Continent Vanilla Soymilk, Silk Original Soymilk, Silk Shelf Stable Original Soymilk, and Great Value Original Soymilk

Not Included

  • Reduced fat (2%), super skim, ultra skim; almond milk; coconut milk; cultured milk such as buttermilk; shelf-stable milk; goat’s milk; rice milk; milk with added soy protein, plant sterols, DHA, ARA and/or Omega 3; tofu; organic milk; fruit flavored milk; other non-dairy or raw milk
  • Packages of individual serving size; glass containers; pint size containers
  • Sweetened condensed milk; evaporated filled milk; evaporated fat free milk
  • Light or fat-free soymilk; chocolate flavored soymilk; Silk Vanilla Soymilk, or other flavors not pictured
  • A1® and A2® Milk
  • Vitamite

soymilkchoices

 

Reading your Receipt

 

MyPlateDairyIcon

FOR CHILDREN AGE 12-23 MONTHS ONLY

Our Family – Plain

Nosa Whole Milk Yogurt Options

How to buy 32 ounces of yogurt

Not Included
• Yogurts sold with mix-in ingredients (like granola, candy pieces, nuts, etc.)
• Drinkable yogurt
• Greek varieties of yogurt
• Organic yogurt
• Frozen yogurt
• Yogurt containing artificial, reduced-calorie, or no-calorie sweeteners (i.e., light and fit, carb master, etc.)

 

FOR WOMEN AND CHILDREN AGE 2-5 ONLY

Low-Fat or Non-Fat Milk

Included
• Low-fat (1%) or Fat-free (Skim) milk in white, chocolate, or lactose-free varieties
• If requested, nonfat dry milk in 25.6 ounce box
• Soymilk: Pacific Ultra Original Soymilk, 8th Continent Regular Soymilk Original, 8th Continent Vanilla Soymilk, Silk Original Soymilk, Silk Shelf Stable Original Soymilk, and Great Value Original Soymilk

soymilkchoices

Not Included

  • Reduced fat (2%), super skim, ultra skim; almond milk; coconut milk; cultured milk such as buttermilk; goat’s milk; rice milk; milk with added soy protein, plant sterols, DHA, ARA and/or Omega 3; tofu; organic milk; fruit flavored milk; other non-dairy or raw milk
  • Packages of individual serving size; glass containers; pint size
  • Individual serving sizes packaged in a larger box substituted for
    25.6 ounce box
  • Sweetened condensed milk, evaporated whole milk fortified with Vitamin D, evaporated filled milk, evaporated fat free milk.
  • Light or fat-free soymilk; chocolate flavored soymilk; Silk Vanilla Soymilk, or other flavors not pictured
  • A1® and A2® Milk
  • Vitamite

Low Fat or Non-Fat Yogurt

32 Ounce Containers

Plain

  • Best Yet
  • Coburn Farms
  • Dannon
  • Essential Everyday
  • Food Club
  • Food Lion
  • Giant
  • Giant Eagle
  • Great Value
  • Kroger
  • Lala
  • Morning Fresh Farms
  • Mountain High
  • Our Family
  • Weis

Vanilla

  • Best Choice
  • Coburn Farms
  • Dannon
  • Essential Everyday
  • Food Club
  • Food Lion
  • Giant
  • Giant Eagle
  • Great Value
  • Kroger
  • Morning Fresh Farms
  • Mountain High
  • Our Family
  • Weis
  • Yoplait

Strawberry

  • Best Choice
  • Essential Everyday
  • Food Club
  • Great Value
  • Our Family
  • Weis
  • Yoplait

Strawberry-Banana

  • Great Value
  • Yoplait

Blueberry

  • Essential Everyday
  • Our Family
  • Weis
  • Yoplait

Peach

  • Great Value
  • Our Family
  • Weis
  • Yoplait

Probiotic Varieties

  • Weis

Yogurt Brands Available

FOR WOMEN AND CHILDREN AGE 2-5 ONLY

Low-Fat 16 Ounce Yogurt Multipacks

 

Included: Any flavor/variety

  • Kroger 2 ounce tube – 8 pack
  • Yoplait Go-Gurt 2 ounce tube – 8 pack – except dairy free and slushie
  • Activia 4 ounce cup – 4 pack
  • Activia Lactose free 4 ounce cup – 4 pack

Not Included

  • Yogurts sold with mix-in ingredients like granola
  • Drinkable yogurt
  • Greek varieties of yogurt
  • Organic yogurt
  • Frozen yogurt
  • Yogurt containing artificial, reduced-calorie, or no-calorie sweeteners (i.e.,light and fit, carb master, ets.)

HOW TO BUY 32 OUNCES OF YOGURT

How to purchase 32 ounces of yogurt

FOR WOMEN AND CHILDREN AGE 2-5 ONLY

Low-Fat 32 Ounce Yogurt Multipacks

Included: Any flavor/variety

  • Yogurts sold with mix-in ingredients (like granola, candy pieces, nuts, etc.)
  • Drinkable yogurt
  • Greek varieties of yogurt
  • Organic yogurt
  • Frozen yogurt
  • Yogurt containing artificial, reduced-calorie, or no-calorie sweeteners (i.e., light and fit, carb master, etc.)

HOW TO BUY 32 OUNCES OF YOGURT

How to purchase 32 ounce of yogurt

 

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FRUITS & VEGETABLES

FRUITS

MyPlate fruit icon

Included

  • Fresh, whole, pre-cut or pre-chopped fruit
  • Canned or frozen fruit packed in juice in metal, paper, glass or plastic containers
  • Fruit trays and single serve options without added sugars, flavoring, fat, oil, dips, dressing, croutons, and nuts
  • Fruit in bags, plastic containers, or boxes
  • May be organic

Not Included

  • Dried fruit
  • Juice, jams, jellies or fruit spreads
  • Fruits with added sugars, sodium, flavoring, dressing,fat or oil
  • Ornamental fruits such as painted pumpkins, edible blossoms or flowers
  • Fruit baskets or fruits from the deli/salad bar
  • Fruit trays with dips
  • Fruit muffins or baked goods
  • Fruit-nut mixtures
  • Canned fruits packed in syrup
  • Fruits in gelatin or jello; sorbet; fruit chillers or fruit bars
  • Fruit snacks or roll-ups

If an item does not scan as approved, use the WIC Shopper app to send the UPC to the WIC program by using the “I couldn’t buy this!” icon.

VEGETABLES

Included

  • Fresh whole, pre-cut or pre-chopped vegetables
  • Vegetable trays or single serve options without dips, dressing, croutons, and nuts
  • Canned or frozen vegetables in metal, paper, glass or plastic containers
  • Sweet potatoes or yams
  • White, yellow, purple or red potatoes
  • Vegetables in bags, plastic containers, or boxes
  • Regular or low sodium
  • May be organic

Not Included

  • Dried vegetables
  • Vegetables with added sugars, sodium, flavoring, artificial sweeteners, dressing, fat or oil
  • Juice
  • Pickled vegetables or olives (i.e., pickles, relish, sauerkraut, etc.)
  • Condiments (i.e., catsup, salsa, chutney, guacamole, pasta sauce, pizza sauce, spaghetti sauce, etc.)
  • Fresh or dried herbs or spices
  • Soups
  • Ornamental vegetables such as chilies on a string, gourds or edible blossoms
  • Vegetable trays with dip
  • Vegetable baskets or vegetables from the deli/salad bar
  • Vegetable muffins or baked goods
  • Creamed, sauced or breaded vegetables (i.e., cream style corn)
  • Vegetable pasta or rice mixtures; frozen vegetable blends with sauces
  • Home-canned or home-preserved vegetables
  • Processed frozen potatoes (i.e., french fries, tater tots, twice baked potatoes, hash browns)
  • Salad kits
  • Tomato products with added herbs, spices or sugars

Canned beans such as pinto, great northern, navy, kidney are for purchase with legume benefits

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JUICE

FOR WOMEN ONLY

Included

  • Pasteurized 100% unsweetened fruit juice or vegetable juice
  • Cans, plastic containers or cartons only

Not Included

  • Juice with added sugar or sugar substitutes; Fruit and/or vegetable juice blends; Juicy Juice; Grapefruit juice; Juice drinks or cocktails; Juice with carbonation; Sports drinks; Ciders; Lemon or lime juice; Organic juices; Fresh juice; Infant juice; V-8 Splash or Fusion varieties
  • Glass bottles; packages of individual serving size

Frozen Concentrate 12 oz

Applewith or without calcium

  • Always Save
  • Best Choice
  • Best Yet
  • Essential Everyday
  • Food Club
  • Food Lion
  • Giant
  • Giant Eagle
  • Great Value
  • Hy-Top
  • IGA
  • Kroger
  • Our Family
  • Piggly Wiggly
  • Tipton Grove
  • Valu Time
  • Weis Quality

Grape white, purple or red; with or without calcium

  • Essential Everyday
  • Food Club
  • Giant
  • Giant Eagle
  • Great Value
  • Hy-Top
  • Kroger

Orange: with or without calcium

  • Any Brand

Pineapple:

  • Any Brand
Shelf Stable Concentrate 11.5 oz

Welch’s

  • Apple
  • Grape

FOR CHILDREN ONLY

Shelf Stable or Refrigerated

64 OZ. = 1/2 gallon

128 OZ. = 1 gallon

Included:

  • Pasteurized 100% unsweetened fruit juice or vegetable juice
  • Cans, plastic containers, jugs or cartons only

Not Included:

  • Juice with added sugar or sugar substitutes; fruit and/or vegetable juice blends; Juicy Juice; grapefruit juice; juice drinks or cocktails; juice with carbonation; sports drinks; ciders; lemon or lime juice; organic juices; fresh juice; infant juice; V8 Splash or Fusion varieties
  • Glass bottles; packages of individual serving size

Apple: with or without calcium

  • Always Save
  • Best Choice
  • Best Yet
  • Essential Everyday
  • Food Club
  • Food Lion
  • Giant
  • Giant Eagle
  • Great Value
  • Harvest Classic
  • Hy-Top
  • IGA
  • Kroger
  • Our Family
  • Piggly Wiggly
  • Shurfine
  • Tipton Grove
  • Tree Top
  • Weis Signature
  • Weis Quality

Grape: white, purple, or red; with or without calcium

  • Always Save
  • Best Choice
  • Best Yet
  • Essential Everyday
  • Food Club
  • Food Lion
  • Giant
  • Giant Eagle
  • Great Value
  • Harvest Classic
  • Hy-Top
  • IGA
  • Kroger
  • Our Family
  • Piggly Wiggly
  • Shurfin
  • That’s Smart
  • Tipton Grove
  • Valu Time
  • Weis Quality

Orange: with or without calcium

  • Any Brand

Pineapple: 

  • Any Brand

Tomato: regular or low sodium

  • Best Choice
  • Essential Everyday
  • Food Club
  • Food Lion
  • Giant
  • Great Value
  • Hy-Top
  • IGA
  • Our Family
  • Shurfine

Vegetable: regular or low sodium

  • Best Choice
  • Best Yet
  • Diane’s Garden
  • Essential Everyday
  • Food Club
  • Giant
  • Great Value
  • Harvest Classic
  • Hy-Top
  • IGA
  • Kroger – Original or Spicy
  • Our Family
  • Shurfine
  • Tipton Grove
  • Weis Quality

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Breakfast Cereals

Included

  • Boxes or Bags
  • Cold Cereal in 12 to 36  ounce boxes or bags
  • Hot Cereal in 11 to 36 ounce boxes

Not Included

  • Single serving boxes or packet except Quaker Instant Oatmeal
  • Organic cereals
  • Variety Packs

 

Kellogg’s

  • All-Bran Orginal Cereal 18 oz
  • Frosted Mini Wheats Cinnamon Roll 14.3 oz & 22 oz
Grocery stores that accept WIC are not required to stock all WIC approved brands listed in this guide. They will carry a reasonable variety of each type of WIC food.

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Whole Grains

BREAD

Included

  • Whole wheat and whole grain breads
  • 16, 20 or 24-ounce packages

Not Included

  • Breads not listed

16 to 20 ounces


16 or 20 ounces


16 or 24 ounces


Sara Lee Delightful 45 Multigrain Bread

20 ounces


20 or 22 ounces


Pepperidge Farm Whole Wheat Thin Sliced 22 oz

24 ounces


Buns

Included

  • Whole wheat and whole grain
  • 12 to 16 ounce package

Not included

  • Buns not listed
  • Organic

12 ounces


13 ounces


14 ounces


14.5 ounces


15 ounces


16 ounces


Tortillas

Included

  • Whole wheat tortillas made with whole wheat flour
  • Corn tortillas made from ground masa flour
  • 16 ounce packages only

Not Included

  • Brands or tortillas not listed
  • Flour tortillas
  • Flavored tortillas
  • Organic, refrigerated or frozen tortillas

Whole Wheat 


Corn


18ct-Food Club 6” White Corn Tortillas Taco Style
21ct-Food Club 6” Whit Corn Tortillas Fajita Style

Brown Rice

Included

  • ANY BRAND brown rice without added sugars, fats, oils or salt
  • May be instant, boil-in-bag, quick or regular cooking
  • 14 to 32 ounce packages

Not Included

  • Organic
  • Basmati, wild, wehani, white or jasmine rice
  • Bulgur
  • Barley
  • Flours
  • Seasoned or flavored rice
  • Refrigerated or frozen rice
  • Ready to serve, precooked or single serve
  • Brown rice mixed with any other rice

Oats

Included:

  • ANY BRAND of quick or regular cooking, old-fashioned or rolled oats without added sugars, fats, oils, or salt
  • 16 or 18 ounce canister only

Not included

  • Single serve
  • Organic
  • Steel Cut
  • Instant
  • No Boxes
  • No Bags

Pasta

Included

  • Whole wheat or whole grain
  • Without added sugars, fats, oils or salt
  • 16 ounce packages only

Angel Hair

  • Barilla – Whole Wheat
  • Hodgson Mill – Whole Wheat
  • Weis – Shole Wheat

Elbows

  • Barilla  – Whole Grain
  • Giant Eagle – 100% Whole Wheat
  • Great Value – Whole Wheat
  • Hodgson Mill – Whole Wheat

Linguine

  • Barilla  – Whole Grain
  • Great Value – Whole Wheat
  • Ronzoni Healthy Harvest – Whole Grain

Macaroni

  • Essential Everyday  – Whole Wheat

Penne

  • Barilla  – Whole Grain
  • Essential Everyday – Whole Wheat
  • Great Value – Whole Wheat
  • Kroger – 100% Whole Grain

Penne Rigate

  • Food Club  – Whole Wheat
  • Giant Eagle – 100% Whole Wheat
  • Ronzoni Healthy Harvest – Whole Grain
  • Weis – Whole Wheat

Rotini

  • Barilla  – Whole Grain
  • Best Choice – Whole Wheat
  • Essential Everyday – Whole Wheat
  • Giant Eagle – 100% Whole Wheat
  • Great Value – Whole Wheat
  • Kroger – 100% Whole Grain
  • Our Family – Whole Wheat
  • Ronzoni Healthy Harvest – Whole Grain
  • Weis – Whole Wheat

Spaghetti

  • Barilla  – Whole Grain
  • Best Choice – Whole Wheat
  • Essential Everyday – Whole Wheat
  • Food Club – Whole Wheat
  • Giant Eagle – 100% Whole Wheat
  • Great Value – Whole Wheat
  • ‘Hodgson Mill – Whole Wheat
  • Kroger – 100% Whole Grain
  • Our Family – Whole Wheat
  • Ronzoni Healthy Harvest – Whole Grain
  • Weis – Whole Wheat

Spirals

  • Hodgson Mill – Whole Wheat

Thin Spaghetti

  • Barilla  – Whole Grain
  • Essential Everyday – Whole Wheat
  • Great Value – Whole Wheat
  • ‘Hodgson Mill – Whole Wheat
  • Kroger – 100% Whole Grain
  • Ronzoni Healthy Harvest – Whole Grain

SOME EXAMPLES OF HOW TO BUY 32 OUNCES OF WHOLE GRAINS

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Legumes & Fish

LEGUMES

Beans

Included

  • ANY BRAND dried beans, lentils or peas in any variety, including any combination of varieties
  • 16-ounce bag only
  • ANY BRAND of any type of canned bean, including fat free refried beans, without added sugars, fats, oils or meats.
  • May be low sodium or organic
  • Canned beans may be chosen for dried beans as listed on eWIC Benefit Balance
  • 15 to 16 ounce can only

Not Included

  • Beans or canned beans with added flavoring packets or additional flavorings, sugars, fats, dyes, oils or meat
  • Soups or soup mixes
  • Boxes of beans; bulk or loose beans; raw or roasted nuts
  • Baked beans or pork and beans
  • Canned chili
  • Gourmet style peas or beans; hummus

Varieties such as green beans, green peas, snap beans, orange beans, wax beans and edamame-style soy beans are for purchase with cash value benefits only

Peanut Butter

Not available for purchase for children under two years of age

Included

  • Any brand of commercially prepared, pre-packaged variety of plain, low sugar or low-sodium peanut butter, including smooth, crunchy or extra crunchy, and chunky styles.
  • Natural and Organic peanut butter without palm oil
  • 16-18 ounce package ONLY.

Not Included

  • Whipped peanut butter; combinations including those with jelly, honey, chocolate, marshmallow or flavors added; other nut butters (i.e., almond, soy, sesame, sunflower, cashew, hazelnut, etc.)
  • Reduced fat, fat-free, low carb or peanut spreads
  • Honey roasted or honey nut peanut butter
  • Specialty or gourmet peanut butter
  • Peanut butter with added nutrients such as Vitamin E, DHA or ARA
  • Packages of individual serving size, including tubes, slices or “To Go” containers
  • Bulk or fresh ground peanut butter
  • Powdered peanut butter

Peanut Butter is not recommended for children under two year of age because of the risk of choking.

Legumes and Peanut Butter Conversions

FOR WOMEN WHO AR FULLY BREASTFEEDING, PREGNANT AND BREASTFEEDING OR PREGNANT WITH MULTIPLES ONLY

Fish

Included

  • Skipjack Tuna
  • ANY BRAND Chunk light tuna; pink salmon
  • 5 ounce, 6 ounce, 7.5 ounce or 14.75 ounce cans

Not Included

  • Sardines or Jack Mackerel; Albacore, Yellow Fin, Chunk White, Solid White, Tongol or other specialty tuna; Blueback, Chum, Sockeye, Red, King, Wild or Coho salmon
  • Flaked or grated; low sodium; select, fancy and/or solid
  • Organic
  • Fish with added flavorings, spices or ingredients other than salt, oil or water
  • Gourmet, fillet, fresh, dried, frozen or smoked fish
  • Pouches or foil packets
  • Packages of individual serving size
  • Fish and cracker combinations or fish spreads

HOW TO BUY 30 OUNCES OF FISH

 

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WEST VIRGINIA WIC PARTICIPANT AGREEMENT

What does WIC expect from me?
Buy WIC approved foods: I will buy only the foods listed on my WIC shopping list with my eWIC card. I will use these foods only for the person on the program.

Use WIC benefits correctly: I will follow the WIC Program and shopping rules when using WIC benefits. I will not sell, trade, give away, or exchange WIC benefits, food or formula purchased with WIC benefits.

I will keep all sales receipts for food or formula identical to those issued by WIC that I privately purchase: These receipts will be documentation that I can provide to the WIC Program, if requested, to prove I am not selling, trading, giving away, or exchanging food or formula provided by the WIC Program.

I will not exchange formula at the store. I will return any unused formula or baby food to the WIC Clinic. I will handle my WIC benefits with care. If they are lost or stolen, I will notify my Local WIC Clinic immediately. I understand that I will not receive a replacement for the benefits if they are lost or stolen.

Go to one WIC Clinic at a time: I will get benefits from only one clinic at a time. If I move out of state, I can ask for a transfer.

Keep WIC appointments: I will come to my appointments or call ahead if I can’t make my appointment.

Common courtesy: I will treat WIC and grocery store staff with courtesy and respect. I understand that if I, my caretaker or anyone purchasing benefits on my behalf verbally abuse, harass, threaten, or physically harm a WIC staff member or grocery store staff, my family may lose WIC benefits.

What Can I Expect From WIC?

WIC foods: If I qualify for WIC, I will get WIC benefits to buy healthy foods at the grocery store. I understand that WIC is a supplemental program and does not give all the food or formula needed in a month.

Nutrition and breastfeeding information: WIC will give me tips for healthy eating and active living. WIC will provide me with breastfeeding support.

Health care information: WIC will help me find a doctor and refer me when necessary to other services.

Fair treatment: WIC staff will treat me with courtesy and respect. I have the right to ask for a fair hearing if I do not agree with a decision about my WIC eligibility. I understand that I must request a fair hearing by writing or calling my Local WIC Clinic or the State WIC Clinic within 60 days from the date I received a letter telling me about my WIC eligibility. If I have any comments about my Local WIC Clinic, I can contact the State WIC Program. The address is 350 Capitol Street, Room 519, Charleston, WV 25301. The telephone number is (304) 558-0030.

By participating in WIC, I understand and agree

• All the information I give WIC is true. WIC staff may periodically check any of this information.

• If I break the rules or make false statements, intentionally misrepresent, conceal, or withhold facts about my eligibility for the WIC Program, I understand that:
– I, or my child, can be taken off WIC, and I will have to pay money back to the WIC Program for foods, formula, or breastpumps I should not have received or that I sold or traded.

• I will immediately report any change in my address, phone number, income, family size, eligibility for Medicaid, or if I am no longer breastfeeding.

• I give permission for WIC staff to take my or my child’s height and weight and a small amount of blood to check my or my child’s iron level. I understand this information is needed to help determine WIC eligibility.

• WIC will keep information about me or my child(ren) confidential and share only
information needed to determine eligibility and for referral to other services.

• WIC staff can share information with my health care provider, another WIC clinic, or health, education, and social service programs.

• My information may also be used to conduct quality assurance assessments
of the WIC Program.

• I have been advised and understand my rights and responsibilities.WIC will keep information about me or my child(ren) confidential and share only information needed to determine eligibility and for referral to other services.

• WIC staff can share information with my health care provider, another WIC clinic, or health, education, and social service programs.

• My information may also be used to conduct quality assurance assessments of the WIC Program.

• I have been advised and understand my rights and responsibilities.

Questions?

Just call 304-558-0030

or contact your local WIC clinic

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities  may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

1. mail: U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410;

2. fax: (202) 690-7442; or

3. email: [email protected].

This institution is an equal opportunity provider.