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WIC Rights & Responsibilities

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Rights and Responsibilities Forms

Each WIC client, or the client's caregiver, is required to sign the WIC Rights and Responsibilities Form at each certification appointment to indicate their understanding and agreement to follow the program rules. Staff review this form with each client or caregiver to assure they are informed of the WIC Nutrition Program's expectations of them, and to notify them about what they can expect from WIC.

WIC Rights and Responsibilities Form in Arabic
(440.86 KB)
WIC Rights and Responsibilities Form in Chinese
(639.57 KB)
English
(181.29 KB)
WIC Rights and Responsibilities Form in Korean
(757.04 KB)
WIC Rights and Responsibilities Form in Russian
(665.46 KB)
WIC Rights and Responsibilities Form in Somali
(651.32 KB)
WIC Rights and Responsibilities Form in Spanish
(749.42 KB)
WIC Rights and Responsibilities Form in Vietnamese
(427.19 KB)

 

How to Use Your WIC Checks

The following rules apply to WIC checks and WIC Fruit and Vegetable checks:

  • Use your checks on or between the first and last day to use.
  • Use a check only if your name is printed below the signature box.
  • Shop only at approved stores. Look for the “WIC Checks Accepted Here” signs.
  • Buy the amounts and types of foods listed on your checks.
  • Separate your WIC foods by check and from other items you are buying.
  • Let the checker know you are using WIC checks before you begin your purchase.
  • Sign the check only after the checker sees your ID and writes in the amount.

These additional rules apply only to WIC Fruit and Vegetable checks:

  • If more than one person in your family gets WIC Fruit and Vegetable checks, you can use them together.
    Example:  You can combine a $6 WIC Fruit and Vegetable check with an $8 WIC Fruit and Vegetable check to pay for $14 worth of fresh fruits and vegetables.
  • If your purchase cost more than the amount on the WIC Fruit and Vegetable check, you are allowed to pay the extra amount.
    Example:  If the purchase costs $7, and you are using a $6 WIC Fruit and Vegetable check, you can pay the extra $1 to cover the cost.
  • If your purchase costs less than the amount on the WIC Fruit and Vegetable check, you are not allowed to receive money back.

 

Documents posted in PDF format on the Department of Health Web site will be made available on request to users who are unable to download or view them. For persons with disabilities, PDF documents will be made available on request in other formats. To submit a request, contact WIC's Web Coordinator. Download the free PDF viewer here.