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WV WIC FARMER AUTHORIZATION APPLICATION Each farmer applying for WIC authorization must fill out an Authorization Application. All information MUST be complete in order to properly assess the eligibility of each farmer. Incomplete applications will not be considered for authorization. All farmers applying for authorization must understand the rules and regulations of the WIC Program since compliance with these procedures is the responsibility of each authorized farmer. The State WIC Office will immediately terminate the agreement if it is determined that false information has been provided in connection with an application for authorization. Completion of the application does not constitute approval to accept WV WIC Farmer’s Market Nutrition Program or Cash Value benefits. If you have questions, please contact the Vendor Management Unit: Phone: 304-558-1115 Email: dhhrwicvu@wic.gov Please send completed application to: WV WIC Program Vendor Management Unit 350 Capitol St Rm 515 Charleston, WV 25301

***To receive WIC authorization, the applicant must have cellular service or WiFi at their market and be willing to use a personal cell phone/mobile device in order to process electronic transactions.

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Official source

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WV WIC FARMER AUTHORIZATION APPLICATION Each farmer applying for WIC authorization must fill out an Authorization Application. All information MUST be complete in order to properly assess the eligibility of each farmer. Incomplete applications will not be considered for authorization. All farmers applying for authorization must understand the rules and regulations of the WIC Program since compliance with these procedures is the responsibility of each authorized farmer. The State WIC Office will immediately terminate the agreement if it is determined that false information has been provided in connection with an application for authorization. Completion of the application does not constitute approval to accept WV WIC Farmer’s Market Nutrition Program or Cash Value benefits. If you have questions, please contact the Vendor Management Unit: Phone: 304-558-1115 Email: dhhrwicvu@wic.gov Please send completed application to: WV WIC Program Vendor Management Unit 350 Capitol St Rm 515 Charleston, WV 25301

***To receive WIC authorization, the applicant must have cellular service or WiFi at their market and be willing to use a personal cell phone/mobile device in order to process electronic transactions.