Food Delivery and Food Instrument Control Overview


  1. 1. Food Instruments/General
  2. 2. Food Instrument Accountability
  3. 3. The State agency has established food delivery procedures in cases of natural disaster and emergencies for the following (check all that apply):

1. Food Instruments/General

  1. The State agency uses the following types of food instruments (check all that apply):
    • Automated - point of certification - Checked
    • Automated -central generation
    • Manual - individual prescription
    • EBT
    • Pre-printed manual - standard prescription
    • Other (specify):
  2. The State agency conducts food instrument inventories: (Place an S=[State agency] or L=[Local agency] under the appropriate column to designate primary responsibility):
    • Automated Manual
      Daily
      Weekly State Agency
      Monthly State Agency
      Yearly State Agency
      Other (Specify):
  3. The automated food instrument contains/allows for the following information (check all that apply):
    • Not applicable
    • Local agency identifier
    • Participant WIC ID number - Checked
    • Vendor endorsement
    • Countersignature for participant/proxy
    • Provide a facsimile or FI in Appendix or cite Procedure Manual
  4. The State agency provides a toll-free number on the food instrument for participant/vendor inquiries:
    • Yes - Checked
    • No

ADDITIONAL DETAIL: Food Delivery Appendix and/or Procedure Manual (citation):

2. Food Instrument Accountability

  1. Food instruments are delivered to local agencies by:
    • State agency staff Local agency staff
    • US Postal Service On-demand printing
    • Contracted service (i.e., UPS, Purolator, etc.) - Checked
    • Other (specify):
  2. Food instruments (blank stock and preprinted food instruments ready for issuance) are delivered to the local agency (check all that apply):
    • Blank Preprinted
      Non Applicable
      Weekly
      Twice a month
      Once a month
      Once every two months
      Other (specify): On-Demand
  3. The State agency uses the following procedures to ensure that local agency staff are not fraudulently using unclaimed food instruments (check all that apply):
    • Signatures on the documentation of food instrument receipt are compared for similarities in writing style implying one person signed for multiple participants
    • Local agencies conduct an initial review of food instruments to void food instruments for participants known to have been terminated from the Program
    • Local agency staff responsible for issuing/voiding food instruments do not conduct the food instrument inventory by themselves  - Checked
    • Other (specify):

ADDITIONAL DETAIL: Food Delivery Appendix and/or Procedure Manual (citation):

3. The State agency has established food delivery procedures in cases of natural disaster and emergencies for the following (check all that apply):

  • Issuing manual food instruments
  • Issuing automated food instruments
  • Mailing food instruments
  • Home food delivery
  • Direct distribution- Checked
  • Other (specify): limited quantitiy of infant formula available through the Food Center Project

ADDITIONAL DETAIL: Food Delivery Appendix and/or Procedure Manual (citation):