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I. FOOD DELIVERY CHECKLIST foods ☐ Redemption of a minimum value/volume of food instruments and CVBs ☒ Satisfactory compliance with previous vendor agreement ☒ Certification by an approved State or local health department ☒ Proof of authorization as a SNAP retailer, including SNAP authorization number ☐ Lack of previous WIC sanctions ☒ Hours of operation which meet State agency criteria (specify): Suitable hours visibly posted and adhered to. ☐ Other (specify): Click or tap here to enter text.

b. Infant formula: Please attach or briefly explain the policies and procedures for compiling and distributing to authorized WIC vendors, on an annual or more frequent basis, a list of authorized infant formula wholesalers, distributors, and retailors: Annually WV reviews and distributes a list of authorized infant formula distributors. The list is updated based on FNS approved distributors and all previous distributors are contacted to verify contact information and continued ability to provide infant formula.

c. Does the State agency assess all vendor applications not meeting selection criteria for participant access? ☒ Yes

☐ No Describe or attach and as an appendix the procedures used for assessing vendor applications for participant access: I Appendix-H- 8.03 Participant Access Assessment; I Appendix I - 8.03 Attachment 1 PAA Form.

d. Does the State agency authorize mobile stores? ☐ Yes

☒ No If yes, please explain the special need: ADDITIONAL DETAIL – Food Delivery Appendix and/or Procedure Manual (citation): Food Delivery Appendix

C. Vendor Cost Containment 1. Assessing for above-50-percent (A50) status:

a. Does the State agency authorize any vendors that derive more than 50 percent of their annual food sales from WIC transactions (i.e. A50 vendors)? ☐ Yes, please attach a copy of the latest FNS-approved certification and cite as

13 February 2024