Page 5
I. FOOD DELIVERY CHECKLIST ☐ Distribute all WIC program foods ☒ Distribute specialty infant formula and/or medical foods ☐ Distribute foods to accommodate the needs of select participants ☐ Other (specify): N/A
2. The State agency uses: ☒ One central warehouse and delivers directly to local agencies ☐ One central warehouse from which foods are sent to one or more subsidiary warehouses before delivery to local agencies ☐ Other (specify):.
3. Warehouses are operated by: ☐ State agency ☐ Local agencies ☐ Other public agency ☒ Under contract with private business ☐ Other (specify): N/A
4. Warehouses used for WIC foods are also used to store other FNS program commodities (please specify which): ☐ Yes, Click or tap here to enter text.
☒ No
5. Foods are distributed to participants: ☐ Grocery store fashion ☒ Pre-packaged ☐ Other (specify): N/A
6. Upon receipt of foods, participants / caregivers / proxies are required to sign: ☐ A receipt for each food received ☐ A receipt for all foods received (as a whole package) ☒ Other (specify): Signature may not be that of the participant/parent/guardian.
7. Foods are distributed to participants: ☒ Monthly ☐ Every three months ☐ Other (specify): N/A
8. Participants with limited access to distribution sites can utilize: ☒ Home food delivery ☐ Cost-free transportation ☒ Other (specify): Most orders are shipped to the home; however, if there has been an issue with delivery in the past, the participant must pick up formula at the clinic.
9. Monitoring and Inventory Control: Describe the State agency’s methods for ensuring WIC
5 February 2024