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PROGRAM BOOKLET INFORMATION FOR PARTICIPANTS EFFECTIVE NOVEMBER 1, 2012

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Program BookletInformatIon for PartIcIPants

EffEctivE NOvEMBER 1, 2012

Whole GraIns, Beans, Peanut Butter & fIsh

Breakfast cereals

JuIce

fruIts & VeGetaBles

Infant food, Infant cereal, mIlk, cheese & eGGs

What to bring to your WIC Appointment:

Each person who is applying for Wic.

A parent, guardian, or caretaker of an infant, child, or woman under 18 years old who is applying for Wic.

Proof of income. Income documents for everyone in your family who works or has a source of income.

For Example:•Paycheckstub(s)forthepast30days;ifpaidbiweekly,bring2paystubs;or,ifpaidweekly,bring4paystubs.

•Awardletterforalimony,childsupport,socialsecurity (includingSSI).

•Unemploymentorworker’scompensationstatement.

YoumayautomaticallybeincomeeligibleifyouorcertainfamilymembersparticipateinMedicaid,TemporaryAssistance

forNeedyFamilies(TANF)orFoodStamps(SNAP).(Proof of eligibility is needed.)

Proof of identity foryourselfandeachpersonwhoisapplyingfor WIC.

For Example:•Driver’slicense •Hospitalrecord •PhotoID•Immunizationrecord •Marriagelicense •Birthcertificate

Proof of Address

For Example:•Billorbusinessletteraddressedtoyou•Rentreceipt•Currentdriver’slicense

immunization Record(s) forallinfantsandchildrenuptoage 2yearswhoareapplyingforWIC.

WICisanutritionprogramthatprovidesnutritionandhealtheducation,

breastfeedingsupport,healthyfoodandreferralstootherservicesfreeofcharge

toIndianafamilieswhoqualify.WICstandsfortheSpecialSupplementalNutrition

ProgramforWomen,Infants and Children.

Wic OffERs fAMiliEs:•Breastfeedingpromotionandsupport

•Checkstobuyhealthyfood

•Healthandsocialservicereferrals

• Immunizationscreeningandreferrals

•Tipsforeatingwelltoimprovehealth

Wic NutRitiON stAff MEEt With EAch Wic PARticiPANt tO:•Reviewnutritionandhealthbehaviors

•Provideindividualnutritionadvice

•Supportfamiliesmakingchangesfor

betterhealth

•Offeraselectionofhealthyfoods

Wic PROvidEs gOOd fOOd

FormoreinformationabouttheIndianaWICProgramand/orNutritionandBreastfeedingEducationgoto:www.wic.in.gov

And A Whole lot more

fruIts & VeGetaBlesAny Brand - 4 oz. container

Includessingleingredientorcombinationoffruitsand/orvegetables(e.g.,apple-banana,sweetpotato-apple).

Not included:

•Mixtureswithcereal,desserts,dinners,orfoodcombinations(e.g.,meatandvegetables,rice,pasta,yogurt,ornoodles)

•Meatsticks,organic,addedsugar,starch,salt,orDHA

meatsAny Brand - 2.5 oz. container (Meat only, may include broth or gravy)

Availableitems:

•TurkeyandBroth•ChickenandBroth•BeefandBroth•HamandBroth

Infant Foodany GraIn or multIGraInAny Brand - 8 oz. box

Not included: Canned,formula,fruit,organicorvarietypacks,DHA.

Infant CerealChecks requiring the purchase of Beech-Nut brand only end December 31, 2012.

fluId mIlk

Whiteonly,typeandsizespecifiedoncheck.

•WholeorVitaminD•Reduced-fat(2%),low-fat(½or1%),orfat-free(skim)

sPecIalty mIlk As listed on check.

•Evaporated:12oz.•Lactose-free:quartor½ gallon*•Sweetacidophilus:½ gallon•UHT•Powder:9.6oz.or25.6oz.•8thContinentSoymilkOriginalonly,½ gallon*Twoone-quartcartonsmaybesubstitutedfor½ gallontoobtainthemaximumamountonthecheck.

Not included: Flavored,imitation,organic,non-dairy,buttermilk,Milnot,orVitamite.

milkany sIze, WhIte or BroWn1 dozen

Not included: Lowcholesterol,organic,Eggland’sBestorotherspecialtyeggs,cagefree,orfreerange.

eggsu.s. made, PrePackaGed8 oz. to 16 oz.

Chooseregular,light,low-fat,orfat-free;block,sliced,shredded,bagged,cubed,string,stick,orcrumbles.

Anyofthefollowingflavorsorcombinationsofflavors:

Cheese

•American–pasteurizedprocessed

•Cheddar•Colby•Colby-Jack

Not included: Fromthedeliarea,randomweight(non-uniformsizestypicallylabeledindecimals,e.g.,.62lb.),cheesefood,product,substituteorspread,imitation,spiced,flavored,organic,imported,oranysizesmallerthan8oz.

•MontereyJack•Mozzarella•Provolone•Swiss

Whole GraIns, Beans, Peanut Butter & fIsh

Breakfast cereals

JuIce

fruIts & VeGetaBles

Infant food, Infant cereal, mIlk, cheese & eGGs

Whole GraIns, Beans, Peanut Butter & fIsh

Breakfast cereals

JuIce

fruIts & VeGetaBles

frozenAny variety of frozen fruits without added sugar.

Any variety of frozen vegetables except white potatoes.

Fruits and VegetablesDollar amount specified on Cash Value Voucher.

fresh Whole or cut(includes plain bagged)

Not included:Red,YukonGold,Russetandotherkindsofwhitepotatoes(orangeyamsandsweetpotatoesareallowed);pickledvegetables;olives;herbsorspices;nuts;saladbaritems;edibleblossoms;ornamentalordecorativepumpkins,orpartytrayswithdip,dressing,orcroutons.

tips to help you receive the maximum value for your Fruit and Vegetable Cash Value Voucher

Considerpurchasingfixedpriceitems(pre-baggeditemswithapre-determinedprice).

Buyitemsthathavenotbeenpre-cut(slicedmeloncostsmorethanawholeoneyousliceandpeelathome).

Usecouponstolowerthepriceofitemsandshopsales.

Purchase“inseason”forthelowestproduceprices.

Ifyougoovertheamountofthevoucher,askthecashierforhelpinpickingitemstoremovefromthetransaction.

rememBerFruitandVegetableCashVouchersareredeemableuptotheamountstatedonthevoucher($6.00,$10.00,or$15.00).Ifthepurchasepriceexceedsthestatedvalue,participantmaypaytheadditionalamount with another form of tender or choosetopurchasealesserquantity.Nocashbackorgiftcardsareallowed.

chart for Purchasing fruits and Vegetables

Price per Pounds

pound 1½ 2 2½ 3 3½ 4

$0.69 $1.04 $1.38 $1.73 $2.07 $2.42 $2.76

$0.99 $1.49 $1.98 $2.48 $2.97 $3.47 $3.96

$1.49 $2.24 $2.98 $3.73 $4.47 $5.22 $5.96

$1.69 $2.54 $3.38 $4.23 $5.07 $5.92

$1.99 $2.99 $3.98 $4.98 $5.97

$2.49 $3.74 $4.98

Not included:Packageswithaddedsugar,oilsorfats,herbsorspices;creams,sauces,orbreading

Whole GraIns, Beans, Peanut Butter & fIsh

Breakfast cereals

JuiceSize is specified on check.

shelf staBle or refrIGerated64 oz. only. Any container. For children only

Juicy JuiceAnyflavor

100%juice(fruitorvegetable)andatleast120%VitaminC

grapefruit Juice

Anybrand

Old OrchardAny100%

Juice–exceptPremium

Welch’sGrape-purple,

red or white only

v8Regularorlow sodium

vegetablejuiceonly

campbell’s Regularorlowsodium tomato

juiceonly

Orange JuiceAnybrand

Apple JuiceHy-Top,Indian

Summer,LuckyLeaf,

Musselman’sorSeneca

Not included:Beverages,cocktailjuices,fruitdrinks,juicedrinks,ororganicjuices.

frozen concentrate11.5 oz. – 12 oz For women only

senecaApplejuice

senecaGrapejuice

KrogerApplejuice

doleAnyflavor

Orange JuiceAnybrand

grapefruit Juice

Anybrand

Welch’sAnyflavorwith

yellowtab

Old OrchardAnyflavorwith

greentab

non-frozen concentrate11.5 oz. – 12 oz For women only

Welch’sAnyflavor

Juicy JuiceAnyflavor

JuIce

Whole GraIns, Beans, Peanut Butter & fIsh

Breakfast cereals

Cereal

cold cereal10 oz. or larger, any combination not to exceed 36 oz.

= Whole Grain Cereal

FAFA

FA= 100% Daily Value of Folic Acid

FA

FAFA

*Pregnant women and women considering becoming pregnant: Look for the cereals with 100% DV (daily value) of folic acid.

FAFA

FA

hot cereal

BananaNutCrunch

FA FA

FA FA

FA FAFA

FAFA FA FA

FAFA FAFA FA

FAFA

FA

FA

FA

Cheerios(Regular only)

MultiGrainCheerios

CornChex RiceChex WheatChex Corn Flakes(Regular only)

Crispix CrispyRice Grape-Nuts Grape-NutsFlakes

HoneyBunchesofOats-Almonds

HoneyBunchesofOats-Honey

Roasted

HoneyBunchesofOats-

Cinnamon Bunches

Cream of Wheat WholeGrain2-1/2minute

KingVitamin Kix HoneyKix Life FrostedMiniSpooners

FrostedMiniWheatsBiteSize(no fruit, maple

vanilla or organic)

FrostedMiniWheats BigSize

Cream of Wheat -Original1,

2-1/2,10minute

UnfrostedMiniWheats-Bite

Size

OatmealSquares

-BrownSugar

OatmealSquares

-Cinnamon

RiceKrispies SpecialK(Original,no

fruit)

Total(Regular only)

Wheaties(Regular only)

QuakerOatmeal(Instant, original

flavor only)

Malt-O-Meal(Original only)

CoCo Wheats

WAys tO Buy 36 Oz Of cEREAl

= 36 oz+ +12 oz 12 oz 12 oz= 36 oz+12 oz 24 oz = 36 oz+18 oz 18 oz = 35.5 oz+18 oz 17.5 oz

sara leeClassic100%WholeWheat

WonderSoft100%WholeWheat

Nature’s Own100%WholeWheat

SugarFree

Best choice100%WholeWheat

schnuck’s100%WholeWheat

Whole GraIns, Beans, Peanut Butter & fIsh

Peanut ButterreGular or crunchy18 oz. jars only

Not included: Spread,organic,mixedwithjelly,marshmallow,orhoney.

Fish

Packed In Water, oIl, or VeGetaBle Brothup to 30 oz., can or foil pouch, any size

•LightTuna

•PinkSalmon

•Sardines(flavoredallowed)

Not included: Freshorfrozen,flavoredtunaorsalmon,yellowfinoralbacoretuna,ororganic.

For fully breastfeeding moms.

Beans, Peas & lentilsdry1 lb. bag

cannedAny combination not to exceed 64 oz.

•FatFreeRefried

•Kidney(mayhaveasmallamountofsugar)

•Garbanzo(ChickPeas)

•Navy

•GreatNorthern

•Black

Not included: Boxed,bakedbeans,waxbeans,organic,soups,addedsugars,fats,oils,ormeats.

Whole grainsBread16 oz. only

Wholewheatorwholegrainloaf.

Aunt Millie’s•Cranberry-AppleSwirl•RaisinSwirl•WholeGrainWhite

Bunny100%WholeWheat

healthy life•100%WholeWheat•100%WholeGrainWheatSugarFree

Pepperidge farm•Stoneground100%WholeWheat•VeryThinSoft100%WholeWheat

Roman Meal100%WholeWheat

tortIllas16 oz.

BroWn rIceup to 16 oz.

Anybrand,plain,boxesorbags,instant,quick,orregular

chi-chi’sWhole Wheat or Corn

la BanderitaWhole Wheat or Corn

MissionWhole Wheat or Corn

Best choiceWhole Wheat or Corn

don PanchoWhole Wheat or Corn

la BurritaCorn

OrtegaWhole Wheat

Not included: Buns,rolls,bagels,orbakery.

frequently asked questIons/your rIGhts & resPonsIBIlItIes

tIPs & remInders

hoW to use a WIc check

AskyourWICstaffaboutservicesinyourarea.AspecificfunctionoftheIndianaWICcertificationprocessistomakereferralstoMedicaidandothersocialserviceprograms.AlthoughtheIndianaWICProgramdoesnotprovidehealthcare,IndianaWICwillreferallapplicantstohealthcareprovidersasappropriate.Someofthereferralsinclude:

BreastfeedInG BenefIts & referrals

Breastfeeding is Healthy for BabiesEverymothercanhelpherbabydevelopandgrowwithherownbreastmilk.It’salsoahealthy,affordablesolution.

Healthyfor BABiEs•Bestpossiblenutrition•Easytodigest•ReducesriskofSIDS,earinfections,RSV,anddiarrhea•Helpspreventchronicdiseaseslikediabetes,asthma,heartdisease,andcancer•Promotesbraingrowth

Healthyfor MOMs•Promotesweightlossafterpregnancy•Preventschronicdiseaseslikeosteoporosisandcancer•Alwaysreadyattherighttemperature

Greatfor fAMiliEs•Helpsmomsandbabiesstayhealthy•Healthymomsandbabiesaremoreactiveandreadyforplay•Savestime,moneyandtheenvironment

IndianaWIChasLactationConsultantsandPeerCounselorsonstafftoprovidebreastfeedingsupportatnocost.WICcanhelpwithanychallengesincludingthetransitionbacktoworkorschool.

Exclusivelybreastfeedingmothersandtheirbabiesreceiveextrafoodbenefits.

referrals

•Medicaid•TANF•SNAP•MaternalandChildHealthPrograms•ExpandedFoodandNutritionProgramofferedbyCooperativeExtensionServices

•HoosierHealthwise•HealthyFamilies

•HeadStart•CountyHealthDepartmentsforImmunizations•ChildSupportEnforcement•LocalDrugTreatmentCenters•Doctor’sOfficesincludingPrivateOfficesandCommunityHealthCenters

•LocalFoodPantriesandShelters

How to use a WIC check

1

3

5

6

1 Make sure the participant’s name is listed. Contact your local WIC clinic if someone else needs to use the WIC check.

2 check the dates.Datemustbethesameasorafterthe“FirstDaytoUse”andbeforeorthesameasthe“LastDaytoUse.”

3 choose the items you want to buy from the “Authorized food” list on the Wic check.LookforWICapproveditemsinthisbooklet.

4 group Wic foods together according to what is listed on each check.KeepWICfoodsseparatefromanyotherfoodsyoumaybuy.

5 Afterscanningyouritems,the cashier will write in the total amount of your Wic foods.

6 the cashier will hand the check back for you to sign. NeversignaWICcheckbeforethe“Actual$Amount”hasbeen filled in.

7 show the cashier your Wic Program id card. Look for matching shelf tags located by many WIC approved items.

2

WHOLE MILK

Gallons

WHOLE MILK

Gallons

WHOLE MILK

Gallons

2%, 1%, ½% OR SKIM MILK

Gallons

2%, 1%, ½% OR SKIM MILK

Gallons

2%, 1%, ½% OR SKIM MILK

Gallons

2%, 1%, ½% OR SKIM MILK

Gallons

LACTOSE-FREE MILK

Quarts or half gallons

2%, 1%, ½% OR SKIM MILK

Gallons

8TH CONTINENT SOYMILK

Original only

Half gallons

EVAPORATED MILK 12 oz.

POWDERED MILK

10.6 oz. or 25.6 oz. container

KROGER APPLE JUICE12 oz. frozen concentrate

SENECA APPLE JUICE

(Red Label) 12 oz. frozen concentrate

EGGSAny size

OLD ORCHARD Any flavor with

green tab12 oz. frozen concentrate

EGGSAny size

EGGSAny size

frequently asked questIons/your rIGhts & resPonsIBIlItIes

tIPs & remInders

hoW to use a WIc check

frequently asked questIons/your rIGhts & resPonsIBIlItIes

•don’t forget to pick up your checks on time.

Yourclinicwillnotethepick-updateonthebackofthisfolder.

Ifyoupickupyourcheckslate,yougetlessfoodforthemonth.

•Keep appointments

Call your WIC clinic if you need to reschedule.

•use Wic checks correctly.

ShopwhereWICchecksarewelcome.Useyourchecks

betweenthedateslistedoneachcheckandbuyonlythe

foodslistedonthecheckandFoodList.Signyourchecksafter

makingsurethepricesarecorrect.

•HandleyourWICcheckscarefully–liketheyarecash.

•ContactyourlocalWICclinicrightawayifsomethinghappens

to your checks.

•AlwaystakeyourWICProgramBookletwithyoutoshopfor

Wic foods.

•shop smart!

-Planhowtospendyourcheckssoyouhavefoodforthe

whole month.

-Comparepricesonfoodsandbuytheleastexpensivebrand.

-Usecouponsandlookfor“buyone,getonefree”andother

store offers.

•Selectthecorrectpackagesizes.Carefullycountouncestobe

atorunderthemaximumamountprintedonyourcheck.

•WICfoodscannotbereturnedtothestoreforcreditorcash

or exchanged for other items.

tips & reminders

tIPs & remInders

•Please remember not to:

-fold,bend,tear,changeoralterWICchecks

in any way.

-sellchecksorfoodpurchasedwithWIC

checks.

-usechecksyoureportedmissingorstolen.

-receivechecksfrommorethanoneclinic.

•Considerbreastfeedngyourbaby.

Babiesareborntobreastfeed.Nursingmothers

receive additional food and remain on the WIC

programforafullyear.Askforbreastfeeding

supportandinformationatyourWICclinic.

•Educational Resource

Doyournutritioneducationonlineat

www.wichealth.org.

•Bepolitetothecashier.

What to bring to the grocery store:

WICProgramBooklet

WIC checks

WICProgramIdentification Card

frequently asked questIons/your rIGhts & resPonsIBIlItIes

For the Indiana WIC Program

PartIcIPants rIGhts

1. Tobetreatedfairlyregardlessofrace,color,nationalorigin,age,sex,disabilityorreligion.

(IftreatedunfairlywriteorcallwithacivilrightscomplainttotheUSDA,Officeof

Adjudication,within180daysoftheallegedincident.Religiouscomplaintsmustbefiled

withtheIndianaCivilRightsCommissionwithin180days.

2.Torequestafairhearingtoappealanydecisionmadebythelocalagencyregardingyour

eligibilityfortheprogram.

3.Toreceivenutritioneducation,breastfeedingsupportandreferralstootherhealthservices

or social services.

PartIcIPant resPonsIBIlItIes

1. UsingWICcheckscorrectly.

2.Treatingclinicandstoreemployeesinarespectfulmanner.

3.Providingtruthfulinformation.

4.TeachingyourproxiestheirroleintheWICProgram.

5.Participatinginnutritioneducationactivities.

6.NotsellingorexchangingWICfoodsorchecks,includingsellingortradingfoodorformula

onsocialmediasites(ex:Facebook,craigslist,Ebay,communitygaragesales,etc.)

Your rights & responsibilities

Frequently asked QuestionsWhat if i move?IfyouplantomovesomewhereelseinIndiana,youcancheckourwebsiteforalistingofallWICofficesinthestateatwww.wic.in.gov.IfyouplantomoveoutofIndiana,youcancallyourlocalWICoffice.TheycangiveyouinformationaboutWICprogramsinotherstatesandoverseas.YoumayalsocalltheStateWICOfficeat1-800-522-0874.

What is a proxy?Aproxyissomeoneyoutrust.YougivethispersonpermissiontocashyourWICchecksifyoucan’tgotothestore.Ifyouassignsomeonetobeaproxy,thatpersonmustsignyourWICProgramIDcardandmustbringthecardwhencashingWICchecksatthestore.YoumustmakesureyourproxyunderstandswhatfoodstobuyandhowtousetheWICchecks.

Aproxymayalsotakeyourplaceatnutritioneducationorcheckissuanceappointments.Aproxyisnotallowedtoreplaceparticipantsatcertificationappointments.Theproxymustbring

theWICProgramIDcardtotheappointmentalongwithavalidformofID.

Why can’t Wic staff talk to my friend or my mother about my child or me?TheWICprogramprotectsyourrighttoprivacy.WICwillnotshareanyinformationwithoutyourpermission.Thisincludesappointmenttimesandmedicalinformation.

What if i lose my Wic checks or they are stolen?IfyoubelieveyourWICcheckshavebeenstolen,reportittoyourlocalpolicerightaway.LostorstolenWICchecksshouldalsobereportedtoyourlocalWICofficeimmediately.WICmayreplacecertainchecksinrarecircumstancesandwithrequireddocumentation.

What if i damage my Wic checks?Ifyouspillsomethingonyourchecksorripthem,returnthecheckstoyourlocalWICoffice.WICmayreplacethem.

rIGht to a faIr hearInG

AnydecisionaffectingyourparticipationinWIC

whichyouthinkisunfaircanbereviewed.You

shouldrequestahearingverballyorinwriting

within60daysofthedecision.Youwillbe

informedinwritingatleast10dayspriortothe

hearingdate.

InaccordancewithFederallawandUS

DepartmentofAgriculturepolicy,thisinstitution

isprohibitedfromdiscriminatingonthebasis

ofrace,color,nationalorigin,sex,age,or

disability.Tofileacomplaintofdiscrimination,

writeUSDA,Director,OfficeofAdjudicationand

Compliance,1400IndependenceAvenue,SW,

WashingtonDC20250-9410orcall800-795-

3272(voice)or202-720-6382(TTY).USDAis

anequalopportunityproviderandemployer.

WIC appointments

Date Time

PurposeofVisit

Check Pick-up Certifications/MDU Nutrition/

breastfeeding

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

NOtify thE Wic OfficE if yOu:

•areunabletokeepascheduledappointment.

•givebirth.

•stopbreastfeeding.

•areunabletopurchaseWICfoods.

•haveanyproblemsorconcernsaboutthestore.

•havequestionsaboutWICservices.

•aremovingoutofIndiana.

HouseholdID#: Cliniccode:

WWW.WIc.In.GoV

QuEst iONs?

Justcall800-522-0874 or

The information in this booklet is subject to change.

Thisinstitutionisanequalopportunityprovider.

Tocompleteyournutritioneducation,pleasegotowichealth.org.

contact your local WIC clinic at:

www.wic.in.gov

Follow us on Twitter: www.twitter.com/indianaWIC