Vendor Forms

• WIC Product Exemption Request Form
  This form may be used by vendors to apply for an exemption from carrying certain WIC allowed foods.
• WIC Check Appeal Request form and instructions
  Complete the WIC Check Request form to request reimbursement for a WIC check or WIC Fruit and Vegetable Voucher (FVV) which you believe has been incorrectly rejected.
  
• Vendor Supply Request Form
  Supplies order form between vendor and State of Alaska.
• Complaint Form
  Form to fill out in case of complaint.
• Approved Infant Formula Suppliers List
  Vendors must purchase infant formula from only approved distributors.
• Training Evaluation Form
  Use this form to evaluate WIC Vendor Training sessions