Food Instrument Pick-up and Transaction


  1. 1. Food Instrument Pick-Up Policy and Procedures
  2. 2. The State agency's proxy policy includes the following:

1. Food Instrument Pick-Up Policy and Procedures

  1. Food instruments are issued by (check all that apply):
    • All Locals Most Locals Some Locals
      Local agency director X
      Local agency nutritionist X
      Local agency paraprofessional X
      Clerical staff X
      Other (specify):
  2. The State agency utilizes a participant identification card:
    • Yes- Checked
    • Yes, with photo
    • No
    • If yes, issuance is controlled numerically and each card is accounted for:
      • Yes
      • No  - Checked
  3. The State agency requires the following proof of receipt when issuing automated food instruments:
    • Participant/parent/caretaker/proxy signature block on food instrument register
    • Carbon copy of food instrument
    • Local agency staff initials  - Checked
    • Date of food instrument pick-up
    • Stub with participant signature or initials  - Checked
    • Other (specify):
  4. The State agency has a policy to prorate food packages for the following:
    • Late food instrument pick-up - Checked
    • Certification due to expire within 30 days
    • Mid-month certification
    • Other (specify): To meet the needs of individual clients
  5. The State agency requires local agency staff to provide each new participant/parent/ caretaker/proxy with training in (check all that apply):
    • Authorized vendors  - Checked
    • Selecting WIC-approved foods  - Checked
    • FI transaction procedures  - Checked
    • Signature on FIs  - Checked
    • Use of proxy  - Checked
    • Reporting problems/requesting assistance  - Checked
    • Other (specify):
  6. The State agency requires local agency staff to provide participants with a list of authorized vendors:
    • Yes  - Checked
    • No
  7. The State agency permits a participant to transact food instruments with any authorized vendor in the State agency:
    • Yes  - Checked
    • No
    • If "no," the State agency will eliminate its vendor-specific system on (date):

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

2. The State agency's proxy policy includes the following:

  • Limits the number of participants a single proxy may sign for, except that a proxy may pick up food instruments for all homeless WIC participants in a facility
  • Limits proxy to a specified number of food instrument pick-ups
  • Limits proxy to a minimum age - Checked
  • Limits proxy assignment to local WIC staff
  • Other (specify):

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