Minnesota WIC Shopping Guide 2017-18 - …

1 Shopping . Guide . 2017-2018. Questions? Ask your WIC staff or call the state WIC office at 1-800-657-3942. For the most current list of WIC allowed foods, go to the Minnesota WIC program website at To request this material in another format contact: Minnesota WIC Program Box 64882. St. Paul, MN 55164 - 0882. 1- 800 - 657-3942. This institution is an equal opportunity provider. 01/17 ID# 53084. USING. WIC Vouchers 1 5. Use your Vouchers starting Tell the cashier on the First Day to Use right away that and by the Last Day to Use. you are using WIC. Vouchers. 6. Give your WIC Vouchers and ID Folder to the cashier. 2. Look at the Items for foods and amounts listed on your Voucher. Choose WIC authorized foods using your Shopping Guide . 3 7. Take your WIC ID Folder, The cashier fills in Vouchers and the purchase Shopping Guide amount with you to the store. on each Voucher. 4. Keep WIC foods separate 8. from other items. Sign your Group your WIC Voucher WIC foods by in front of the cashier. each Voucher.

2 Minnesota WIC PROGRAM Shopping Guide F O R C U R R E N T L I S T O F W I C A L L O W E D F O O D S : HOW TO USE THE. DOWNLOAD AT. My Minnes ta WIC App FOOD FINDER TO CHECK IF A FOOD ITEM IS What you What WIC. MESSAGES. Call Your TO RECEIVE APPOINTMENT can expect expects of you WIC Clinic Select Scan UPC BREASTFEEDING SUPPORT HONESTY . APPOINTMENT Register device in SCAN CODES & NUTRITION EDUCATION n Do not break WIC rules. This can You have questions about your next appointment. n to read the barcode. To help you feed your family in a healthy way. result in you being taken off the WIC program, having to pay back money and/or facing legal charges. n n You have questions about nutrition or breastfeeding. REMINDERS. Your vouchers are lost or stolen. Settings. INFORMATION n Do not hide facts or provide n Your name, address or phone number changes. OR. About health care, immunizations, false information to WIC. n You have comments or concerns. Your feedback is important to us. and other programs.

3 N Never return WIC foods WIC FOODS. for cash or credit. n Never accept cash or credit NAME OF LOCAL WIC AGENCY. Enter the Enter UPC/PLU. Healthy foods for each participant. Wha you can texp for WIC vouchers. ect t WIC. Wha expects Household WIC LOCAL AGENCY PHONE NUMBER BREASTFEEDING of you Call Your n Never sell or trade your & NUTRITION SUPPORT. To help you feed EDUCATION HONESTY WIC Clinic in a healthy way. your family Do not break WIC. n WIC vouchers or WIC food. result in you being rules. This can and type in the food item code. INFORMATION WIC program, havingtaken off the n You have questions about About health care, money and/or facing to pay back legal charges. n You have questions about your next appointment. and other , vouchers are lost nutrition or breastfeeding. ID#. n Do not hide facts n Your false information or provide KEEP APPOINTMENTS WIC FOODS. Healthy foods for n Never return WIC. to WIC. for cash or credit. foods n Your n You name, address or have comments or stolen.

4 Phone number changes. n Please call your WIC Clinic each participant. or concerns. Your n Never accept cash or credit feedback is importan for WIC vouchers. NAME OF LOCAL. WIC AGENCY t to us. if you need to reschedule. n Never sell or trade your listed on WIC vouchers or WIC LOCAL AGENCY. WIC food. PHONE NUMBER. KEEP APPOINT. n Please MENTS. COMMON COURTESY. call your WIC Clinic if you need to reschedule Instantly know if the food item is . COMMON COURTES. n Treat WIC and store staff n Treat Y. WIC and store staff EQUAL TREATME with respect and your WIC. with respect and courtesy. We treat you the NT. your race, color, same no matter age, national KEEP WIC VOUCHE. n Handle courtesy. RS SAFE. origin, disability, WIC vouchers carefully. WIC ID Folder or sex. n Report lost or stolen vouchers EQUAL TREATMENT KEEP WIC VOUCHERS SAFE. FAIRNESS immediately. WIC Allowed: You may ask for n Lost WIC ID Folder a or stolen vouchers not agree with WIC hearing if you do might not be replaced. We treat you the same no matter n Handle WIC vouchers carefully.

5 Eligibility for WIC. staff about your ID Folder. n Never use WIC vouchers reported lost or stolen. your race, color, age, national n Report lost or stolen vouchers Keep this USE WIC VOUCHE. n Get RS. vouchers from only CORREC TLY. WIC Clinic at a time. one origin, disability, or sex. immediately. WIC ID n Shop at WIC-approv Bring your you go to WIC ID Folde Folder in Minnesota only. ed stores Moving the WIC Clinic r ever y time n Lost or stolen vouchers n Buy only the foods to Another or grocery Always voucher and Shoppinglisted on the State* HOUSEHOLD store. FAIRNESS n Use Guide . n Your WIC benefits will ID#. might not be replaced. bring this vouchers on or between continue there! PEOPLE AUTHO. dates listed on each the n Tell WIC ID Folder voucher. us. We'll give you RIZ. a transfer notice to Please Bring your WIC ID Folder every time n Sort make sure You may ask for a hearing if you do with you WIC foods by voucher. n If you don't have take with you before everyone listed VOUCHERS: folder to the new the notice before leaving, just WIC foods from Separate you leave.

6 Knows n Never use WIC vouchers the WIC program when checking outnon-WIC items NAME. WIC agency. They take your WIC ID rules. at the store. can call us. PARTICIPA. not agree with WIC staff about your n To NT/PAREN. your REPORT WIC. T/GUARD. reported lost or stolen. IAN. you go to the WIC Clinic or grocery store. SIGNATURE. Questions WIC appointments FRAUD. (along with your n If you know of any OR ABUSE . store or person eligibility for WIC. picture ID). who is buying, selling about WIC. 12345678. n To the grocery store. misusing WIC foods or otherwise If you have que Foods NAME. please contact us or benefits, WIC foods, call stions about WIC foods or USE WIC VOUCHERS CORRECTLY n If you move.* (See back of brochure.) by phone at 1-800-657. by email at or You the state WIC office can also visit the trouble finding at 1-800-657-3942. SIGNATURE. -3942.. n Get vouchers from only one at Minnesota Departm ent of Health Website NAME. HOUSEHOLD ID#. WIC Clinic at a time. Moving to Another State*.

7 SIGNATURE. Keep this 2017-2018. 09/16 ID 53885. n Shop at WIC-approved stores /_____ PEOPLE AUTHORIZED TO PICK UP AND USE WIC VOUCHERS: _____ /_____. WIC ID. Please make sure everyone listed knows the WIC program rules. /_____. in Minnesota only. /_____ _____ /_____. _____ /_____ /_____. /_____ _____ /_____. /_____ _____ /_____. _____ /_____ /_____. /_____ _____ /_____. Your WIC benefits will continue there! /_____ _____ /_____ /_____. _____ /_____ _____ /_____. n Buy only the foods listed on the /_____ Delivery Date: n /_____ _____ /_____ /_____. /_____ _____ /_____ _____ /_____. _____ /_____. Folder /_____ Due Date: NAME. /_____ _____ /_____ /_____. /_____ _____ /_____ _____ /_____. voucher and Shopping Guide . _____ /_____. Tell us. We'll give you a transfer notice to take with you before you leave. /_____ DOB: _____ /_____. E nter the State ID# for /_____. /_____ _____ /_____. _____ /_____. n /_____. PA R TICIPA NT/PA R ENT/G U ARDIAN. _____ /_____. /_____ /_____. /_____ _____ /_____ _____ /_____.

8 _____ /_____ /_____ Delivery Date: n Use vouchers on or between the /_____ /_____ _____ /_____ /_____. /_____ _____ _____ /_____. If you don't have the notice before leaving, just take your WIC ID. _____ /_____ /_____ /_____ Due Date: / _____. /_____ _____. /_____ _____ /_____ _____ /_____. n dates listed on each voucher. _____ /_____. SIGNATURE. DOB: Always /_____. Clinic Clinic ID#. /_____ _____ /_____. /_____ _____ /_____. _____ /_____ /_____. folder to the new WIC agency. They can call us. /_____ _____ /_____ /_____. /_____ _____ /_____ _____ /_____. _____ /_____ /_____ Delivery Date: bring this n Sort WIC foods by voucher. Separate one participant in the family. /_____ /_____ _____ /_____ /_____. /_____ _____ _____ /_____. _____ /_____ /_____ /_____ Due Date: /_____. /_____ _____. _____ /_____. /_____ _____ /_____. _____ /_____. WIC foods from non-WIC items /_____ DOB: WIC ID Folder /_____ _____ /_____. /_____ _____ /_____. _____ /_____ /_____. /_____ _____ /_____ /_____. _____ /_____.

9 NAME. /_____ _____ /_____. _____ /_____. when checking out at the store. /_____ _____ /_____. /_____ Delivery Date: with you . /_____. Questions about WIC Foods /_____ _____ /_____ _____ /_____. _____ /_____ /_____ /_____ Due Date: /_____. /_____ _____. _____ /_____. /_____ _____ /_____. _____ /_____ /_____ DOB: /_____ _____ /_____. /_____ _____ /_____. _____ /_____ /_____. REPORT WIC FRAUD OR ABUSE . /_____ _____ /_____ /_____. /_____ _____ /_____ _____ /_____. SIGNATURE. _____ /_____ /_____ Delivery Date: /_____ /_____ _____ /_____ /_____. /_____ _____ _____ /_____. Name DOB, Due Dat _____ /_____ /_____ Due Date: State _____ /_____ / _____. To your n If you know of any store or person /_____ /_____. _____ /_____ _____ /_____. _____ /_____. n /_____ DOB: /_____ _____ /_____. I f you have questions about WIC foods or trouble finding /_____ _____ /_____. _____ /_____ /_____. /_____ _____ /_____. WIC appointments who is buying, selling or otherwise of participant(s) WIC ID # or Delivery da /_____ _____ /_____ /_____.

10 Information _____ /_____. /_____ /_____ _____ /_____. /_____ _____ /_____. Delivery Date: /_____. Additional _____ _____ /_____. WIC foods, call the state WIC office at 1-800-657-3942. end date /_____ /_____ Due Date: t completed /_____. (along with your picture ID). misusing WIC foods or benefits, _____. _____ /_____. NAME. date mid-cer riod DOB: begin date Certification Pe or Delivery date please contact us by email at / language: DOB, Due Date WIC ID #. 02345678. /. You can also visit the Minnesota Department of Health Website Interpreter needed/. To the grocery store. Mom Participant t only). _____ /___. ation (migran Shopping Guide . n or DOB: income determin State TO REVIEW ALL ALLOWED FOOD Last date of of participant(s). SIGNATURE Name n If you move.* (See back of brochure.) by phone at 1-800-657-3942. at Agency ID#. Clinic ID# Due Date: _____ /___. 2017-2018 09/16 ID 53885 Clinic Delivery Date:_____ /___. The list of the allowed brands E nter one participant's Name DOB: _____ /___.