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I. FOOD DELIVERY CHECKLIST ☐ Return receipt is requested on FIs sent certified mail ☐ Envelope specifies, “do not forward, return to sender” or “do not forward, address correction requested” ☒ Other (specify): EBT can be mailed under extenuating hardship cases.

c. The State agency approves mailing Food Instruments under the following conditions: ☒ Participant resides in rural area ☒ Participant is unable to visit clinic during operating hours (e.g., due to employment or childcare) ☒ Clinic management (e.g., temporary clinic closure) ☒ Participant safety (e.g., circumstances where participant safety can’t be guaranteed at the clinic location) ☐ Cost effectiveness (e.g., the clinic is temporarily understaffed) ☒ Public Health Emergency ☒ Other (specify): WV does not typically mail. However, for reasons listed above, benefits may be remotely loaded to EBT cards without the client having to come to the clinic. Each situation is assessed on a case-by-case basis.

d. When mailing Food Instruments, documentation of issuance is: ☐ Signed by participant at the next in-person appointment ☐ Documented in the MIS by local agency staff ☒ Other (specify): Notated in the participant's record within Crossroads as to the reason and approval of the mailing of the EBT card to the participant.

e. Please describe how the state agency ensures program integrity in the mailing of food instruments: I Appendix-D- 3.09 Remotely Issuing Electronic Benefits and E-Mailing the Shopping List. Remotely Issuing Electronic Benefits and E-Mailing the Shopping List

4. The State agency requires local agency staff to educate each new participant / caretaker / proxy regarding: ☒ Authorized vendors / farmers ☒ Transaction procedures ☒ Transacting WIC-approved foods ☒ Use of a proxy ☒ Reporting problems / requesting assistance ☒ Participant violations (i.e., selling WIC benefits) ☒ Food Instrument security tips (i.e., regularly changing PIN) ☒ Other (specify): Rights and responsibilities.

5. The State agency’s proxy policy includes the following: ☐ Limits the number of participants a single proxy may sign for, except that a proxy may pick up Food Instruments for all homeless WIC participants in a facility ☐ Limits proxy to specified number of Food Instrument pick-ups

8 February 2024