DPH: Retailers


The Connecticut WIC Program is pleased to announce open enrollment to new applicant vendors for the month of January 2017. 

During this one-month period, stores may apply to become authorized WIC vendors. 

In order to become an authorized vendor in the Connecticut WIC Program, you must meet the following requirements:

The Selection Criteria, including Minimum Inventory Requirements.

If you meet these requirements please follow the directions below:

PRINT and KEEP FOR YOUR RECORDS the 17 page FY 2017 WIC Vendor Agreement:

FY 2017 WIC Vendor Agreement

PRINT the 6 page Application Instructions

PRINT the 11 page Application Package

PRINT the 14 page Xerox forms and W-9 Form

Using the Application Instructions, complete and submit the Application, the Application and Agreement Signature Page, the Price Stock Survey, and the Xerox Application and W-9 Forms with all of the necessary attachments.

Make a copy of completed forms for your records.

There are three ways to submit the completed documents:

    1. Mail to:

                        Department of Public Health
                        WIC Program

                        410 Capitol Avenue, MS#11WIC

                        Hartford, CT 06106

         The package must be received in our office by February 1, 2017

    2. Drop off:
                           Department of Public Health
                           410 Capitol Avenue
                           Hartford, CT 06106. 

          WIC Drop box located at security desk 1st floor.
               Parking available on Capitol Avenue.


    3. Bring with you: If you choose to attend an Application Assistance workshop.

Application Assistance Workshop

The Connecticut WIC Program is pleased to offer applicant vendors the opportunity to attend an application assistance workshop.  These workshops are being held for new applicant vendors to review your completed application package prior to submission. Any incomplete sections or missing documents will be discussed and vendors will be given the opportunity to provide the missing information. 

If the Application Package is complete or has been finalized at the session it will be accepted by the program. 

The application assistance workshops are scheduled on the following dates:

Thursday, January 19, 2017                   9:00 A.M. to 12:00 P.M     

Wednesday, February 1, 2017              9:00 A.M. to 12:00 P.M


                  Department of Public Health

                  Conference Room C

                  470 Capitol Avenue

                  Hartford, CT 06106

*Bring photo ID to enter the building and you must sign in and out at the 470 security desk where you will be issued a visitor pass.

 For your convenience, interpreters will be available through a Telephonic Interpreter Service.

Click on the link below for a timeline of the application process.

Flowchart of application process


WIC Program Authorized Vendor List:

WIC Program Authorized Vendors 11-16-16

Retailer Bulletins:

May Cashier Bulletin

April 2016  Vendor Update 


February 2016 eWIC Update/Pricing                  February 2016 New Food Guides 

December 2015

WIC Approved Contract and Specialized Formula listing:

Click here for a list of our WIC Approved formulas

For eWIC information, click here: eWIC for Vendors


WIC Program Regulations:

Click on the following link for the WIC Program Federal Regulations:  http://www.fns.usda.gov/sites/default/files/wic/WICRegulations-7CFR246.pdf




  Food Package Information
  Training Materials  WIC Vendor Advisory Council



State of Connecticut WIC Program

1-800-741-2142 or (860) 509-8084


Content Last Modified on 1/13/2017 9:52:42 AM