WIC Policy and Procedures Manual

 WIC Policy and Procedures Manual 

Vendor & Farmer Management| Nutrition Services | Information Systems | Organization & Management | Nutrition Services and Administration ExpendituresFood Funds Management | Caseload Management | Certification, Eligibility and Coordination of Services | Food Delivery | Monitoring & Audits |  Civil Rights | Breastfeeding

Download Complete Procedures Manual (PDF Link)

Vendor & Farmer Management (VM)

Vendor Selection and Authorization

Download this pdf file.VM-Outline

Download this pdf file.VM-100.01 Vendor Application and Authorization Process   Published: 1/18/2017

Download this pdf file.VM-100.02 Vendor Selection and Limiting Criteria   Published: 1/18/2017

Download this pdf file.VM-100.03 Above 50% Vendor Assessment   Published: 1/18/2017

Download this pdf file.VM-100.04 Vendor Peer Group Criteria   Published: 1/18/2017

Download this pdf file.VM-100.05 Number and Distribution of Authorized Vendors   Published: 1/18/2017

Download this pdf file.VM-100.06 Approval of WIC Infant Formula Suppliers   Published: 1/18/2017

Download this pdf file.VM-100.07 Termination of Vendor Agreement   Published: 1/18/2017

Download this pdf file.VM-100.08 Confidentiality of WIC Retailer Information  Published: 1/18/2017

Download this pdf file.VM-100.09 Employee Conflict of Interest   Published: 1/18/2017

Download this pdf file.VM-100.10 WIC Retailer Agreements   Published: 1/18/2017

Download this pdf file.VM-100.11 WIC Retailer Complaint Protocol   Published: 1/18/2017

Download this pdf file.VM-100.12 Restrictions on Vendor Incentive Items   Published: 1/18/2017

Vendor Training

Download this pdf file.VM-110.01 Vendor Training   Published: 1/18/2017

Compliance Investigations

VM-120.01 Vendor Compliance Investigations

VM-120.02 Assessment of Sanctions for Vendor Violations and Participant Access Determinations

Vendor Sanction System

Download this pdf file.VM-130.01 Establishing and Collecting Vendor Claims   Published: 1/18/2017

Download this pdf file.VM-130.02 Vendor Civil Monetary Penalties   Published: 1/18/2017

Download this pdf file.VM-130.03 Vendor Violations and Sanctions   Published: 1/18/2017

Administrative Review of State Agency Actions

Download this pdf file.VM-140.01 Vendor Appeals   Published: 1/18/2017

VM Section Forms |VM Policies Combined

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Nutrition Services (NS)


Nutrition Education

Download this pdf file.NS-200.01 Staff Eligible to Provide Nutrition Education   Published: 5/19/2017

Download this pdf file.NS-200.03 Participant Nutrition Education Standards Revised Oct. 2018   Published: 5/19/2017

Download this pdf file.NS-200.04 Georgia WIC Online Nutrition Education   Published: 5/19/2017

Download this pdf file.NS-200.05 Nutrition Service Plan   Published: 1/23/2017

Download this pdf file.NS-200.06 Participant Referral to Other Agencies   Published: 1/23/2017

Download this pdf file.NS-200.07 Nutrition Education Materials   Published: 3/15/2017 Revised October 2020

Download this pdf file.NS-200.08 Group Nutrition Education   Published: 3/15/2017

Download this pdf file.NS-200.09 High-Risk Secondary Nutrition Education Contact Revised Oct. 2018   Published 3/16/2017

Download this pdf file.NS-200.10 Exit Counseling  Published: 6/22/2018

Download this pdf file.NS-200.11 Phone Contact Nutrition Education Published: 10/12/2018

Download this pdf file.NS-200.12 Goal Setting Published: 12/28/2020

Food Package Design

Download this pdf file.NS-210.01 Maximum Monthly Allowance   Published 3/16/2017

Download this pdf file.NS-210.02 Contract and Non-contract Infant Formula   Published: 5/19/2017

Download this pdf file.NS-210.07 Matching Mother-Baby Breastfeeding Dyad   Published: 5/19/2017

Download this pdf file.NS-210.11 Homelessness, Migrancy and Disaster Situations  Published: 5/24/2017

Download this pdf file.NS-210.12 Medical Documentation   Published: 5/19/2017

NS-210.13 Stock Formula and Nutritional Tracking  Published: 5/19/2017 Discontinued May 2020

Download this pdf file.NS-210.14 State Ordered Special Formula Orders   Revised April 2020 Published: 5/19/2017

Download this pdf file.NS-210.15  Emory Genetics WIC Clients   Published: 5/19/2017 Revised October 2020

Download this pdf file.NS-210.16  Tailoring and 999 Food Packages   Published: 5/19/2017

NS-210.17 Issuance of Stock Formula and Nutritionals  Published: 5/19/2017 Discontinued May 2020

Download this pdf file.NS-210.18 Issuance of Ready-to-Feed (RTF) Products   Published: 3/14/2017

Download this pdf file.NS-210.19 Medical Diagnoses  Published: 3/15/2017

Download this pdf file.NS-210.20 GA WIC Approved Formulary    Published: 3/14/2017

Download this pdf file.NS-210.21 Returned Formula and Nutritionals   Published 5/5/2020

Staff Training

Download this pdf file.NS-220.01 Staff Training   Published:5/25/2017

Download this pdf file.NS-220.02 CPA Orientation  Published: 5/24/2017

Download this pdf file.NS-220.03 Staff Continuing Education   Published: 5/19/2017

Download this pdf file.NS-220.04 Staff Observation Download this pdf file.s  Published: 5/24/2017 

NS-220.05 Nutrition Assistant Training and Certification

Download this pdf file.NS-220.06 Strong4Life Staff Observations  Published: 3/18/2019 

Dietetic Internship Program

Download this pdf file.NS-230.01 Dietetic Internship Program   Published: 1/23/2017

NS Forms | NS Policies Combined 

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Information Systems (IS)

Download this pdf file.IS- Outline

System Planning and Operation

Download this pdf file.IS-300.01 Computer Systems Issues, Problems, and Data Reports   Published: 12/15/2016

WIC Systems Function Requirements Checklist

Download this pdf file.IS-320.01 Cumulative Unmatched Redemption (CUR) Report   Published: 12/15/2016

Download this pdf file.IS-320.02  Reconciliation of WIC Reports and Daily Program Operations  Published: 7/25/2017

IS Forms | Download this pdf file.IS Policies Combined

Organization and Management (OM)


State Staffing

Download this pdf file.OM-400.02 No Smoking and Drug-Free Workplace  Published 6/8/2018

OM-400.03 Confidentiality

OM-400.04 Child Abuse Reporting and Releasing of Confidential Information

OM-400.05 Search Warrants and Subpoenas

Evaluation and Selection of Local Agencies

OM-410.01 Evaluation and Selection of Local Agencies (District)

OM- 410.02 Opening of a New Clinic Site in an Established District

Local Agency Staffing

Download this pdf file.OM-420.01 Local Agency CPA Staffing     Published: 5/25/2017

Download this pdf file.OM-420.02 LPN WIC CPA   Published: 6/8/2017

Download this pdf file.OM-420.04 Site Hours of Operation  Published: 5/24/2017

Emergency Plan

Download this pdf file.OM-430.01 Emergency Plan Published: 3/24/2020

State Agency Breastfeeding Promotion, Education, and Support Responsibilities

Download this pdf file.OM-440.02 District Breastfeeding Staff    Published: 5/24/2017

Communication With Participants

Download this pdf file.OM-450.01 Use of Text Messaging and Email  Published: 4/3/2020

OM Forms | OM Policies Combined

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Nutrition Services and Administration Expenditures (NSA)

Download this pdf file.NSA- Outline

Funds Allocation

Download this pdf file.NSA-500.01 General Introduction   Published: 12/15/2016

Download this pdf file.NSA-500.02 Program Costs   Published: 12/15/2016

Download this pdf file.NSA-500.03 External Entities Audit Standards and Sanctions   Published: 12/15/2016

Download this pdf file.NSA-500.04 Distribution of Funds   Published: 12/15/2016

Download this pdf file.NSA-500.05 Procurement and Property Management   Published: 12/15/2016

Download this pdf file.NSA-500.10 Funding Requirements  12/15/2016

Download this pdf file.NSA-500.17 Personnel Activity Report (PARS)   Published: 12/15/2016

NSA Forms | NSA Policies Combined

Food Funds Management (FFM)

Download this pdf file.FFM-Outline

Funds Monitoring – 798 Reporting

Download this pdf file.FFM-600.02 798 Reporting   Published: 12/15/2016

FFM Forms | FFM Policies Combined

Caseload Management (CM)


No-Show Rate

Download this pdf file.CM-700.03 Monitoring No Show Rates   Published: 2/20/2017

Allocation of Caseload

Download this pdf file.CM-710.01 Caseload Allocation   Published: 12/15/2016

Special Population

Download this pdf file.CM-730.01 Special Populations  Published: 6/15/2018

Outreach Policies and Procedures

Download this pdf file.CM-740.01 Outreach Method  Published: 6/8/2018

Download this pdf file.CM-740.02 Outreach Incentive Items  Published: 9/12/2019

Download this pdf file.CM-740.03 Public Comment Period  Published: 6/8/2018

Waiting List Management

CM-750.01 Georgia WIC Waiting List Procedures

CM Forms | CM Policies Combined

Certification, Eligibility and Coordination of Services (CT)


Eligibility Determination and Documentation

CT-800.01 Eligibility Criteria for Participation

Download this pdf file.CT-800.02 Residency Requirements   Published 6/08/2018

Download this pdf file.CT-800.03 Income Eligibility Requirements Revised June 2018  Published: 2/20/2017

Download this pdf file.CT-800.04 Adjunctive Eligibility  Download this pdf file.Revised June 2018   Published: 1/20/2017

Download this pdf file.CT-800.05 Identity Requirements Revised June 2018  Published: 1/20/2017

Download this pdf file.C Download this pdf file.T-800.08 Family, Household, and Economic Unit Revised June 2018   Published: 1/20/2017

Download this pdf file.CT-800.11 Designation of a Proxy   Published: 6/08/2018

Download this pdf file.CT-800.12 Designation of an Alternate-Proxy   Published: 6/08/2018

Download this pdf file.CT-800.13 Physical Presence  Published: 06/15/2018

Download this pdf file.CT-800.14 Documentation and Error Procedures Revised June 2018   Published:  1/20/2017

Download this pdf file.CT-800.15 Guardianship  Published: 06/15/2018

Download this pdf file.CT-800.16 Notice of Disclosure   Published: 06/15/2018

Nutrition Risk Determination, Documentation, and Priority Assignment

Download this pdf file.CT-810.01 Nutritional Risk Priority System    Published: 1/23/2017

Download this pdf file.CT-810.02 Nutrition Risk Assessment   Published 3/14/2017

Download this pdf file.CT-810.04 Referral Data Revised June 2018   Published 3/14/2017

Download this pdf file.CT-810.05 Required Medical Data Published: 5/24/2017

Health Care Agreements, Referrals and Coordination

Download this pdf file.CT-820.01 Health Care Agreements    Published: 1/23/2017

Download this pdf file.CT- 820.03 Immunizations Coverage Assessment Revised Oct 2018   Published: 1/23/2017

Download this pdf file.CT-820.04 National Voter Registration Revised Oct 2018   Published: 2/20/2017

Download this pdf file.CT-820.05 Lead Screening  Published: 12/28/2020

Processing Standards

Download this pdf file.CT-830.01 Processing Standards  Published: 06/15/2018

Download this pdf file.CT-830.02 Pre-Registration- Gateway Applications Published: 10/19/2018

Download this pdf file.CT-830.03 Process Standards Reporting  Published: 06/15/2018

Download this pdf file.CT-830.04 Processing Standards Extension Request  Published: 06/15/2018

Certification Periods

Download this pdf file.CT-840.01 Certification Periods Revised March 2020  Published: 1/23/2017

Download this pdf file.CT-840.02 Thirty Day Revised June 2018   Published: 2/20/2017

Download this pdf file.CT-840.03  WIC Certification Forms   Published: 10/18/2018

Download this pdf file.CT-840.04 Hospital Certifications   Published: 3/15/2017

Download this pdf file.CT-840.05 Foster Care  Published: 6/22/2018

Download this pdf file.CT-840.06 Separation of Duties   Published: 6/22/2018

Download this pdf file.CT-840.07 WIC Overseas Program   Published: 10/19/2018

Download this pdf file.CT-840.08 Video Certification    Published: 3/16/2017 Revised October 2020

Transfer of Certification

Download this pdf file.CT-850.01 Transfer of Certification Revised Oct 2018   Published: 2/20/2017

CT-850.02 Verification of Certification

Dual Participation, Participant Rights and Responsibilities, Fair Hearing Procedures, and Sanction System

Download this pdf file.CT-860.01 Notice of Ineligibility   Published: 10/18/2018

Download this pdf file.CT-860.02 Dual Participation  Revised June 2018    Published: 2/20/2017

Download this pdf file.CT-860.03 Participant Rights and Responsibilities Revised June 2018     Published: 2/20/2017

Download this pdf file.CT-860.04 Fair Hearing Procedures  Published: 10/19/2018

Download this pdf file.CT-860.05 Sanction System Published: 12/28/2020

CT Forms | CT Policies Combined

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Food Delivery (FD)


Food Instrument Control Overview

Download this pdf file.FD-900.02 Security of Issuance Materials  Revised March 2019   Published: 10/19/2018

FD-900.03 Repayment of WIC Funds

Download this pdf file.FD-900.04 Guidelines for Investigating Employee Abuse   Published: 2/20/2017

Download this pdf file.FD-900.05 Investigation of Missing Vouchers  Published: 10/19/2018

Download this pdf file.FD-900.06 Voucher Accountability and Monitoring   Published: 10/19/2018

Food Instrument Pick-up and Transaction

Download this pdf file.FD-910.01 Voucher Issuance    Published: 2/20/2017

Download this pdf file.FD-910.03 Voucher Overrides   Published: 2/20/2017

Download this pdf file.FD-910.04 VMARS Stock Paper    Published: 2/20/2017

Download this pdf file.FD-910.05 Provision of WIC Services for Employees and Relatives   Published: 6/22/2018

Food Instrument Redemption and Disposition

Download this pdf file.FD-920.01 Lost, Stolen Damaged Vouchers   Published: 1/23/2017 Revised December 2020

Download this pdf file.FD-920.02 Prorated Vouchers   Published: 07/11/2019

Download this pdf file.FD-920.04 Borrowed VMARS Stock Paper Revised Sept 2018   Published: 1/23/2017

Special Food Instrument Issuance Accommodations

Download this pdf file.FD-940.01 Mailing-Delivery of WIC Vouchers Revised October 2018   Published: 2/20/2017

Vendor Cost Containment System Certification

FD-950.01 Vendor Cost Containment System Certification

FD Forms | FD Policies Combined 

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Monitoring and Audits (MO)



MO-1000.01 State Agency Monitoring Procedure

Download this pdf file.MO-1000.02 Quality Assurance Self-Reviews Revised October 2018   Published:2/21/2017

MO-1000.03 Financial Monitoring

MO Forms | MO Policies Combined

Civil Rights (CR)



Download this pdf file.CR-1100.01 Civil Rights Training  Published 2/6/2020

Public Notification Requirements and Nondiscrimination Notification

Download this pdf file.CR-1110.02 Non-discrimination Statement Revised June 2019  Published: 1/18/2017

Data Collection and Reporting

Download this pdf file.CR-1130.01 Collection of Race and Ethnicity Data Published 11/13/2019

Complaint Handling

Download this pdf file.CR-1140.01 Discrimination Complaint Handling Revised August 2019  Published: 6/8/2018

Download this pdf file.CR-1140.02 Customer Service Complaint Handling Published: 6/8/2018

Compliance Review and Monitoring Activity 

Download this pdf file.CR-1150.01 Civil Rights Compliance and Resolution Published 2/6/2020


CR Forms | CR Policies Combined

Breastfeeding (BF)


Local Agency

Download this pdf file.BF-1220.01 Clinic Breastfeeding Support   Published: 1/20/2017

Participant Referral

Download this pdf file.BF-1240.01 Referral to Breastfeeding Resources   Published: 1/20/2017

Breast Pumps

Download this pdf file.BF-1260.01 Ordering and Receiving Breast Pumps, Pump Kits and Breast Pump Supplies   Published: 3/17/2017

Download this pdf file.BF-1260.06  Pump Issuance Revised Oct 2018  Published: 6/22/2018

Download this pdf file.BF-1260.07 Breast Pump Storage and Inventory   Published: 5/25/2017

Download this pdf file.BF-1260.08 Multi-User Electric Breastpump Retrieval  Published: 12/28/2020

Download this pdf file.BF-1260.09 Cleaning, Maintaining, and Repairing Breast Pumps  Revised Oct 2018  Published: 5/19/2017

BF-1260.10 Transfer Between Districts:  Multi-User Electric Breast Pump

Download this pdf file.BF-1260.11 Multi-User Electric Pump Recovery  Revised March 2019 Published: 6/22/2018

Breastfeeding Peer Counselor Program 

Download this pdf file.BF-1290.01 Breastfeeding Peer Counselors Contacts  Published: 5/25/2017

Download this pdf file.BF-1290.02 Peer Counseling Monitoring Revised Oct 2018   Published: 5/24/2017

Download this pdf file.BF-1290.03 Peer Counselor Caseload Management   Published: 3/14/2017

BF Forms | BF Policies Combined

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Page last updated 12/28/2020