Open Enrollment 2019

How Do I Apply to Accept WIC Benefits?

Open Enrollment for new applicant vendors is January 7, 2019 through February 5, 2019. If you are currently SNAP authorized and have been open continuously for one full calendar year prior to application you are eligible to apply for WIC authorization.  Please note: for stores who require a stand beside machine (similar to the SNAP stand beside machine), there is a $50 set up fee per machine and a $75 fee per month, per machine.

Apply to become authorized to accept WIC benefits by completing an online application. You have 30 days to complete and submit the online application to the Connecticut WIC Program. Applications must be submitted no later than February 5, 2019. Follow the steps below to complete the online application process for WIC authorization.

Your success completing this online application will be greatly increased if you take the time to read, print when necessary, and complete when necessary the following documents:

 

1. Register for a Vendor Portal Account

Before you start your application:

Register for a Vendor Portal account in order to obtain access to the online application.

A copy of the user’s driver’s license must be emailed to dph.ptwic@ct.gov in order to be approved.

You must have a valid email address that you regularly check. The Connecticut WIC Program will send you a confirmation email when your account has been approved.

After 24 hours from the receipt of the approved email return back to this page or continue through the link in the email.

 

2. Complete Online Application

You have from January 7 to February 5 to complete and submit the online application to the Connecticut WIC Program.  If you’re busy or short on time you can start the application and return later to complete it.

Helpful Tip: Save time by printing and completing the Vendor Portal Worksheet

 

For assistance with the application process please contact Eric Marszalek (860.509.8072) eric.marszalek@ct.govor Maria Reyes (860.509.8084) maria.reyes@ct.gov

 

3. Submit Supporting Documentation

Your WIC application is not complete until you submit the required supporting documents, based on your specific store demographics.
  • Owner Information Form:  If the signature on this form is not the owner, partner, member or franchisee, then include with the Owner Information Form a copy of a document that authorizes the representative to sign and contract for on behalf of this business.
  • State Issued Driver’s License or picture identification or federal issued identification-Owner
  • State Issued Driver’s License or picture identification or federal issued identification-Store Manager (required if you have a store manager who is not the owner and is listed in the application)
  • OS-114 Sales and Tax Use Summary forms
  • Bill of Sale: Upon request of the WIC program

Ready to start? Log in with your user name and password to Complete the Online Application

 

4. Application Status

After the application is submitted, the Connecticut WIC Program will process the application and contact you if any further information is needed. For assistance with the application process please contact Eric Marszalek (860.509.8072eric.marszalek@ct.govor Maria Reyes (860.509.8084maria.reyes@ct.gov

If the application is approved, the Connecticut WIC Program will send an email to all emails listed as Store Contacts in your online application.  The email will contain information about Vendor Training.  Upon receipt of this email, you have forty-eight hours to re-enter the vendor portal and select the training class that you will attend.

You must attend a training class to complete your application process.If the person who will attend is someone other than the owner of the store, he or she must bring a signed training authorization letterthat authorizes that person to be trained on their behalf by the WIC Program and present it to be admitted to the training class.This representative will be responsible for training the owner and all other employees handling WIC transactions.