WIC Minimum Mandatory Stock Check List 
								    FAX TO: 1-302-739-3970
								    WIC VENDOR UNIT ON THE
								        1ST OF EVERY MONTH
Store Name:           				 		     
Address:          
City, State, Zip:        						 Telephone Number:     
Owner/Manager:         						      Date of Stock Check: 

    

ITEM & STOCK AMOUNT REQUIRED             LIST NAME OF   	SHELF    MEETS       FAILED 
					 BRAND (if applicable)  PRICE    MINIMUM     MINIMUM
Milk - Store Brand 
  Whole Milk = Must have 3 gallons 
  2% Milk = Must have 3 gallons 
  Whole Milk = Must have 3 half gallons 
  2% Milk = Must have 3 half gallons 
  Whole Milk = Must have 3 quarts 
  2% Milk = Must have 3 quarts 

  Non-Fat Dry Milk (price only) 
  Evaporated Milk (price only) 
  UHT (price only) 
  Lactose Reduced (price only) 

Eggs - Store Brand 
  Large, White only 
  Must have 5 dozen 

Cheese - Store Brand                     A= 
  Domestic = Must have 2 varieties and   C=
  2 pounds each                          M=

Juice – 64 oz. bottle                    Juicy Juice – all   1   2   3 
  Must have 3 varieties and              Welch’s  - all 1   2   3 
    12  bottles total                    Old Orchard =  
                                         Apple = 
                                         Orange =  
Frozen Juice – 11.5-12 oz. can 
                                         Apple =  
  Must have 3 varieties and              Orange =  
  15 cans total                          Old Orchard =  
                                         Welch’s =  
 
Peanut Butter - Store Brand 
  Must have 5 - 18 oz.jars  
  creamy or crunchy 
 
Dried Peas, Beans, Legumes –Store Brand 
  Must have 2 varieties and 2 pounds each 

Infant Formula - Contract Brand     
  Milk Base = 62 - 13 oz. cans, conc.    Similac Advance 
  Milk Base = 18 –12.9 oz.  cans, pwdr.  Similac Advance 
  Soy Base = 31 - 13 oz. cans, conc.     Isomil Advance 
  Soy Base = 9 – 12.9 oz. cans, pwdr.    Isomil Advance 







 

                             WIC Compliance Check List 
 
Store Name:         
ITEM & STOCK AMOUNT REQUIRED	LIST NAME OF BRAND (if applicable)  SHELF   MEETS    FAILED  
					                            PRICE   MINIMUM  MINIMUM
Cereal                          Cheerios
  Adult – Must have 5 varieties Multi-Grain Cheerios 
(one must be a hot cereal),     Kix
72 oz. Totaling 72 oz.          Corn Chex
                                Rice Chex
 				Wheat Chex
				Kellogg’s Corn Flakes
				Crispix
				Product 19 
 				Wheaties 
				Cream of Wheat- no instant 
 				Quaker Instant Oatmeal-reg.pkt. 

Infant – Must have 2 varieties  Gerber Rice 
(one must be rice), 4 - 8 oz.   Gerber
boxes 
 
  100% Whole Wheat Bread
  – Store Brand Must have 5 
  loaves, 1 pounds each 
 
Fresh Fruit              	= 
  Must have 2 varieties,        =
  10 pounds total               
 
 Fresh Vegetables         	= 
   = 2 varieties, 10            =
   pounds total 
				 
Infant Fruit – Gerber Brand 	= 
  = 2 varieties, 10-2 
  packs total  			=
 
Infant Vegetables – Gerber 
Brand 				= 
  = 2 varieties, 10-2 		=
  packs total 
 

Valid State of Delaware business license posted 
 
Valid Public Health Permit 
 
“We accept WIC Checks Here” window cling 
1 English & 1 Spanish at each entrance way 
 
WIC Approved Stickers on all authorized WIC foods (round) 
 

Cashier Checkout Procedures 
 
 Ask the customer for identification folder. 
 Verify the participant’s name & ID# on the folder and the voucher. 
 Check the Don’t Cash Before and Do Not Use After date on the voucher. 
 Check the foods WIC customers buy against their voucher(s). 
 Ring up the actual shelf price for each WIC item purchased on each voucher. 
 Write the cost of food items on the voucher in ink. 
 Have participant, parent/guardian or proxy sign the voucher & verify against ID Folder. 
 Offer the WIC customers the same courtesies extended to other customers. 
 Endorse the back of the voucher with WIC ID number, store stamp, or verification 
 by register. 
 

FAX TO: 1-302-739-3970 		WIC VENDOR UNIT ON THE 		1ST OF EVERY MONTH 
 
                 
Signature     		Date  			PRINT Name      	Title 
 
 



WIC Vendor Supply Request 
 
Store Name:         			Telephone Number:     
 
Address:                
 
Attention To: (please print) 
 

Items Needed: 
 
Window Clings (we accept WIC checks) 	Altered Voucher Forms  	    Cashier Training Manual 
 
WIC approved shelf stickers   		Complaint Forms             WIC Authorized Food Brochure 
                  			(for the office)	    (tri-fold color handout) 
Do’s & Don’ts for Cashiers   		Processing the WIC Voucher  Cashier Training Video 
 
 

Signature     		Date  			PRINT Name      	Title 
 
 
 
FAX TO 
WIC VENDOR UNIT AT 
1-302-739-3970 
OR MAIL TO 
WIC VENDOR UNIT 
BLUE HEN CORP. CTR. 
655 BAY ROAD, SUITE 4B 
DOVER, DE 19901