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What year did you last receive FMNP training?

I In Person Online If training was conducted in 2024, please complete the following: Training conducted by: ________________ Date:____________________________

Do you, the farmer, grow at least some of the fresh produce offered for sale? Yes No

Do you have cellular service and/or Wi-Fi at your market location? Yes No

FARMER AGREEMENT This agreement, hereinafter “Agreement” or “Farmer Agreement” is entered into between the West Virginia WIC Program and, by and through its owner/officer, hereinafter “Farmer”. The purpose of this Agreement is to provide authorized foods to eligible persons through the Special Supplemental Nutrition Program for Women, Infants and Children (WIC), the WIC Farmers’ Market Nutrition Program (FMNP) and other nutrition programs as requested. The period of this Agreement is from the last date signed below until April 1, 2026. A. Farmer Responsibilities: 1. Display a sign stating that the Farmer is authorized to redeem WIC cash value fruit and vegetable benefits and WVFMNP benefits. 2. Accept checks and electronic food benefits of the respective programs for which the farmer is authorized. Benefits will only be accepted from eligible participants, parents/caretakers of infant and child participants, or proxies. 3. Provide eligible fruits and vegetables at the same quality and current price or less than current price charged to other customers. 4. Assure that benefit check and electronic benefit transactions are only for eligible foods. 5. Keep all information of authorized WIC/FMNP shoppers confidential. 6. Accept training on check and electronic benefits procedures and provide training to all employees on such procedures. 7. Provide such information as the participating Nutrition Services Programs may require for periodic reports to USDA Food and Nutrition Service.