Manual and Application
Thank you for your interest in becoming or continuing to be a Missouri WIC authorized retailer. Here you will find everything you need to know to determine if your store meets the minimum criteria and stocking requirements necessary to be considered for the Missouri WIC program.
To become a Missouri WIC authorized retailer, each store must maintain the stocking requirements to be considered a full service grocery store and the WIC minimum stocking requirements. The store must have passed a sanitation inspection within the past year, have been in business in the current location for at least a year, be registered with the Missouri Secretary of State’s Office, and pass a pre-agreement site visit.
Authorized retailers are required to purchase all infant formula from approved licensed or authorized retailers, distributors, or wholesalers. Any distributor or wholesaler not on this list may contact the WIC state agency to request consideration for inclusion.
The specific criteria to be considered a Missouri WIC authorized retailer can be found in the WIC Retailer Manual. The manual also has appendices for several forms, such as the Partial WIC Formula Redemption Form, the Approval Request for Non-paid WIC Checks, and the Retailer Concern Form in Section VII.
For those interested in applying, the application and WIC Food Price and Stocking List should be as complete as possible. If you have not been assigned a Supplemental Nutrition Assistance Program (SNAP) number at the time of the WIC application submission, indicate ‘pending’ in the appropriate location of the application.
If you are interested in reviewing the Code of Federal Regulations (CFR) guiding the Missouri WIC program, click here.
WIC Retailer Application
WIC Retailer Agreement
Quarterly Food Price Survey
Inadequate Participant Access
Management Information For Cashier Training
WIC Check Review
Payment Inquiry And Reconsideration Requests
Peer Group I and II Stocking Requirements
Peer Group III and IV Stocking Requirements
Section VII: Appendices Section
Retailer Authorization Application
Each store applying for Missouri WIC authorization must complete a WIC Retailer Authorization Application. Applicants must complete and submit the application form and all required forms to the WIC state agency. All information MUST be complete.
This application form must be printed and mailed to the WIC state agency. The application should be sent to: WICNS, ATTN: Retailer Unit, P. O. Box 570, Jefferson City, MO 65102.
WIC Food Price and Stocking List
Each applicant must complete and return the WIC Food Price and Stocking List with the WIC Retailer Authorization Application. Stores must list the current shelf (not sale) prices of all WIC approved food items the store currently has in stock. Stores must list the quantity in stock of all WIC approved food items in the store. The person completing the WIC Food Price and Stocking List must sign and date it where indicated.
Note: Applicants must stock the minimum varieties and quantities for each food category listed.