WIC Directors

LA WIC Director Individual E-mails

Who to Contact, Nutrition Services Section

Download the Who to Contact list (PDF)

Certification of LA Hours of Operation

Submit the Certification of LA Hours of Operation form by or no later than March 1st and any time there is a change to permanent clinic hours to Annual Plan for OPS.

WIC Directors' Planning Calendar of State Requirements

WIC Required LA Policies and Plans

WIC 504 Self-Evaluation Checklist

Download the form to determine your location's accessibility with the WIC 504 Self-Evaluation Checklist (PDF).

Site Justification Forms

Download the appropriate form to request to open, relocate, or close a site:

Child Abuse Reporting Flowchart

Download the Child Abuse Reporting Flowchart (PDF).

WIC Vendor Complaint and Client Dispute Form for WIC Staff

To report a complaint against a WIC authorized vendor, or to file a client dispute on behalf of a WIC client, click to complete the WIC Vendor Complaint and Client Dispute Form.

Special Operations Clinic Coverage Request

Click the Special Ops Coverage Request form to request assistance with clinic coverage from the Special Operations team.

High Risk Referrals

High Risk Policy Development Resource for assisting with the development of a Local Agency specific High Risk Policy

Completing a High Risk Referral job aid for assisting with ensuring that all required fields in a participant’s record are completed according to the documentation requirements that are outlined in Policy CS:33.0 High Risk Referrals.