Page 7

I. FOOD DELIVERY CHECKLIST

B. Food Instrument Overview 1. The State agency uses the following types of Food Instruments (check all that apply): ☒ EBT card ☒ QR code ☐ Other (e.g., paper voucher): Click or tap here to enter text.

2. Please provide a description of the State agency's system for ensuring the accountability and security of food instruments and electronic benefits. Attach and cite relevant policies and procedures. I Appendix-B- 3.02 Security of eWIC Benefit Cards

Additional information: Please provide a facsimile of the EBT card as an Appendix or cite the location in the State agency’s Food Delivery Policy: I Appendix- C - WV_eWIC_Card_v2 w QR.

C. Benefit Issuance 1. The State agency: ☒ Requires participants to pick up food instruments at the local agency when scheduled for an in-person nutrition education or a certification appointment ☒ Allows benefits to be issued remotely to participants except when the participant is scheduled for nutrition education or a certification appointment ☐ Mails food instruments to participants ☐ Other (specify): Click or tap here to enter text.

2. The State agency requires the following proof of receipt when issuing Food Instruments: ☐ Participant / caretaker / proxy signature confirming receipt ☐ Local agency staff initials ☐ Documented in MIS ☒ Other (specify): Electronic signature by participant, parent/guardian,caretaker, proxy, or WIC staff.

3. Mailing of Food Instruments:

a. The State agency provides local agencies with guidelines / procedures for mailing Food Instruments to participants: ☒ Yes

☐ No

b. The State agency has implemented the following policy regarding mailing Food Instruments (FI) (check all that apply) ☐ FI are sent first class mail *(first class is considered regular mail) ☐ FI are sent registered mail ☐ FI are sent certified mail ☐ FI are sent restricted mail

7 February 2024