WIC Policy and Procedure Manual

POLICY AND PROCEDURE MANUAL SECTIONS 

• Administration (pdf)
• Certification Standards (pdf)
• Nutrition Education (pdf)
• Supplemental Foods and Delivery (pdf)
• Farmers Market Nutrition Program (pdf)
• Breastfeeding Peer Counselor (pdf)

ADDENDA

• Administration Addenda
  • Section 1: WIC Vendor Complaint Form (pdf)
  • Section 2: Admin Clinic Information Sheet (pdf)
  • Section 3: PPS WIC Request Action
    • 3a: Creating/Terminating IDs (pdf)
    • 3.b: IWIC User System Access Request - Logging In (pdf)
    • 3.c: IWIC System Access Request - Assigning Roles in IWIC (pdf)
    • IL444-2022 IWIC System Access Prefilled (pdf)
    • IL444-2022 IWIC System Access Example Signed (pdf)
    • IL444-2022 IWIC System Access No Illinois Driver's License Example Signed (pdf)
    • IL444-2022 IWIC System Access Prefilled Delete User (pdf)
  • Section 4: WIC Paper Assessment Tool: Frontline
    • Prescreening (pdf)
    • Income (pdf)
    • Participant Information (pdf)
    • Referrals (pdf)
    • General Notes/Alerts (pdf)
    • Rights and Responsibilities (pdf)
  • Section 4: WIC Paper Assessment Tool: Pregnant 
    • Certification Form: Pregnant (pdf)
    • Lab (pdf)
    • Grid (pdf)
    • Pregnancy Information/Health (pdf)
    • Nutrition (pdf)
    • Nutrition Risk (pdf)
    • Nutrition Education (pdf)
    • Individual Care Plan (pdf)
    • Referrals (pdf)
    • Food Prescription (pdf)
    • Next Appointment (pdf)
  • Section 4: WIC Paper Assessment Tool: Breastfeeding 
    • Certification Form: Breastfeeding (pdf)
    • Lab (pdf)
    • Grid (pdf)
    • Pregnancy Information/Health (pdf)
    • Nutrition (pdf)
    • Nutrition Risk (pdf)
    • Nutrition Education (pdf)
    • Individual Care Plan (pdf)
    • Referrals (pdf)
    • Food Prescription (pdf)
    • Next Appointment (pdf)
  • Section 4: WIC Paper Assessment Tool: Postpartum
    • Certification Form: Postpartum (pdf)
    • Lab (pdf)
    • Grid (pdf)
    • Pregnancy Information/Health (pdf)
    • Nutrition (pdf)
    • Nutrition Risk (pdf)
    • Nutrition Education (pdf)
    • Individual Care Plan (pdf)
    • Referrals (pdf)
    • Food Prescription (pdf)
    • Next Appointment (pdf)
  • Section 4: WIC Paper Assessment Tool: Infant
    • Certification Form: Infant (pdf)
    • Lab (pdf)
    • Grid
      • Boy birth to 36 months: length/weight for age (pdf)
      • Girl birth to 36 months: length/weight for age (pdf)
      • Boy birth to 36 months: weight for length (pdf)
      • Girl birth to 3 months: weight for length (pdf)
    • Health (pdf)
    • Nutrition (pdf)
    • Nutrition Risk (pdf)
    • Nutrition Education (pdf)
    • Individual Care Plan (pdf)
    • Referrals (pdf)
    • Food Prescription (pdf)
    • Next Appointment (pdf)
  • Section 4: WIC Paper Assessment Tool: Child 
    • Certification Form: Child (pdf)
    • Lab (pdf)
    • Grid
      • Growth Chart: boys, 2 - 5 years (pdf)
    • Growth Chart: girls, 2-5 years (pdf)
    • Boy birth to 36 months: length/weight for age (pdf)
    • Girl birth to 36 months: length/weight for age (pdf)
    • Boy birth to 36 months: weight for length (pdf)
    • Girl birth to 3 months: weight for length (pdf)
    • Health (pdf)
    • Nutrition (pdf)
    • Nutrition Risk (pdf)
    • Nutrition Education (pdf)
    • Individual Care Plan (pdf)
    • Referrals (pdf)
    • Food Prescription (pdf)
    • Next Appointment (pdf)
  • Section 4: WIC Paper Assessment Tool: Mid Certification
    • Breastfeeding (pdf)
    • Infant (pdf)
    • Child (pdf)
  • Section 5: Local Agency WIC Cost Categories (pdf)
  • Section 6: Allowable Cost by Line Item (pdf)
  • Section 7: Illinois WIC Program PPS: Requesting USDA Approval to Purchase Computer Equipment (pdf)
  • Section 8: WIC Equipment Inventory Form (pdf)
  • Section 9: Request to Dispose Template (pdf)
  • Section 10: Civil Rights Related Definitions (pdf)
  • Section 11: Civil Rights vs. Program Complaints Examples (pdf)
  • Section 12: USDA Program Discrimination Complaint Form Instructions (pdf)
  • Section 13: Local Agency Civil Rights Complaint Log (pdf)
  • Section 14: Illinois WIC Program PPS: WIC Civil Rights Public Notification & Social Media (pdf)
  • Section 15: WIC Outreach Log (pdf)
  • Section 16: Illinois WIC Program NPS: Breastfeeding (pdf)
  • Section 17: Electric Breast Pump Loan/Release Form (pdf)
  • Section 18: Illinois WIC Program NPS: WIC Staff Breastfeeding Competencies (pdf)
  • Section 19: Voter Registration Application Transmittal (pdf)
  • Section 20: Illinois WIC Program PPS: National Voter Registration Requirements(pdf)
  • Section 21: Illinois WIC Disaster Plan of Action (pdf)
  • Section 22: Illinois WIC Employee Confidentiality & Compliance Agreement (pdf)
  • Section 23: Employee Compliance Emergency Full Access (FA)* Post Review Worksheet (pdf)
  • Section 24: Illinois WIC Program Employee Compliance Report (pdf)
• Certification Standards
  • Assessing Gross Income (pdf)
  • Assessing Separate Households (pdf)
  • Approved Adjunctive Eligibility Resources (pdf)
  • Illinois WIC Income Guidelines (pdf)
  • 30-Day Certification Self Declaration (pdf)
  • WIC ID Card: Spanish (pdf)
  • WIC ID Card: English (pdf)
  • Anthropometric Flow Chart and Tip Sheet (pdf)
  • WIC Medical Referral Form: English (pdf)
  • WIC Medical Referral Form: Spanish (pdf)
  • Validation/Calibration Log (pdf)
  • IWIC Assessment Guide: Pregnant Woman (pdf)
  • IWIC Assessment Guide: Breastfeeding Woman (pdf)
  • IWIC Assessment Guide: Postpartum Woman (pdf)
  • IWIC Assessment Guide: Infant (IBE, IBP, IFF) (pdf)
  • IWIC Assessment Guide: Children (C1, C2, C3,C4) (pdf)
  • Illinois WIC Program PPS: Caseload Management Strategies (pdf)
  • Illinois WIC Program NPS: Documenting in WIC MIS (pdf)
  • WIC Ineligibility/Termination Notice (pdf)
  • Violations and Sanctions (pdf)
  • WIC Program Participant Violation Reporting Form (pdf)
  • Illinois WIC Program Sanctions Due to Program Violations Notification Letter (pdf)
  • Notification of Appeal Rights and Fair Hearing: Spanish (pdf)
  • Notification of Appeal Rights and Fair Hearing: English (pdf)
• Nutrition Education (pdf)
  • Illinois WIC Program NPS: Effective Secondary Education (pdf)
  • Illinois WIC Program NPS: Effective Counseling Methods (pdf)
  • Welcome to WIC: WIC Program Explanation to Participants (pdf)
  • Bureau of Family Nutrition: Nutrition Services Section Contact Information (pdf)
• Supplemental Foods and Delivery
  • WIC Food and Nutrition Centers Program (pdf)
  • Proxy Change Authorization Form (pdf)
  • Using eWIC Card Brochure (pdf)
  • Using eWIC Card Brochure (Spanish) (pdf)
  • WIC Benefit Application Brochure (pdf)
  • WIC Benefit Application Brochure (Spanish) (pdf)
  • eWIC Card Management
    • General Information (pdf)
    • Unissued Card Tracking Log (pdf)
    • Issued Card Tracking Log (pdf)
    • Daily eWIC Card Stock Log (pdf)
    • eWIC Card Shipment Log (pdf)
    • EBT Card Inventory (pdf)
  • WIC Food List (pdf)
  • WIC Food List (Spanish) (pdf)
  • Illinois WIC Formulary (pdf)
  • WIC Formula and Medical Nutritional Prescriptions Form (pdf)
  • NPS Explanation of WIC Food Benefits Letter (pdf)
  • Illinois WIC Food Package Tables (pdf)
  • Look at me now (infants 9 - 12 months) (pdf)
• Farmers Market Nutrition Program
• Breastfeeding Peer Counselor
  • Guidelines for Referrals for Breastfeeding Peer Counselors (pdf)