State and Local Agencies

To open the below Forms, right-click the link and save the document to the computer under a preferred file name and location.
Once saved, open the document in the associated software application. You will need to repeat these steps for all documents.
Updates:
6/28/22 – I Vendor and Farmer Management (Word) – removed H.3.b per Appendix A (If previous version is currently in use,
please proceed and disregard responding to H.3.b.)
Updates:
8/10/22 – FNS Form-339 is no longer in clearance. Please sign and submitted the form dated, 6/30/25.

2023 WIC State Plan Guidance

Functional Area
I

PDF
Forms
Title

Word
Forms
Title
Vendor and Farmer Management_r1

II
III

Vendor and Farmer Management
Nutrition Services
Management Information System (MIS)

IV

Organization and Management

Organization and Management

V

Nutrition Services and Administration
(NSA) Expenditures

Nutrition Services and Administration
(NSA) Expenditures

VI
VII
VIII

Food Funds Management
Caseload Management
Certification, Eligibility and Coordination of
Services
Food Delivery and Food Instrument (FI)
Accountability and Control
Monitoring and Audits
Civil Rights

Food Funds Management
Caseload Management
Certification, Eligibility and Coordination
of Services
Food Delivery and Food Instrument
(FI) Accountability and Control
Monitoring and Audits
Civil Rights

IX
X
XI
Disclosures

Agreement

Memo

Disclosure Lobbying Activities SF-LLL
FNS Lobbying Disclosure
Federal-State Supplemental Nutrition
Programs Agreement (6/30/2025)

WIC State Plan Guidance Memo

Guidelines

WIC State Plan Process Guidelines

Appendices
A
B
C
D
E

State Plan Guidance Revisions
Checklist for State Plan Items
State Plan Amendment Template
State Plan Upload Procedures
Intro to the State Plan Guidance

Nutrition Services
Management Information System (MIS)