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WIC Rights & Responsibilities

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Rights & Responsibilities Forms
How to Use Your WIC Checks

Unless otherwise noted, all materials and forms on this page are in PDF format.

Rights and Responsibilities Forms

Each WIC client, or the client's caregiver, must sign the WIC Rights and Responsibilities Form at each certification. Signing the form shows the client or caregiver understands and agrees to follow the program rules. Staff review this form with clients and caregivers to make sure they know what WIC expects of them and to let them know what they can expect from WIC.

WIC Rights and Responsibilities Form in Arabic
(779KB)		 WIC Rights and Responsibilities Form in Chinese
(1.2MB)
WIC Rights and Responsibilites Form in Burmese
(812KB)		 English
(332KB)
WIC Rights and Responsibilities Form in Korean
(1MB)		 WIC Rights and Responsibilities Form in Russian
(748KB)
WIC Rights and Responsibilities Form in Somali
(738KB)		 WIC Rights and Responsibilities Form in Spanish
(731KB)
WIC Rights and Responsibilities Form in Vietnamese
(747KB)		  

Updated February 2012

 

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 $10 WIC Fruit and Vegetable check to pay for $16 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.

 

WIC can’t replace lost checks starting March 1, 2012.

WIC will no longer replace lost WIC checks for clients starting March 1, 2012. We will continue to replace stolen or destroyed checks with a fire or police report. Talk with WIC staff if you have questions or concerns.
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