Working on documents with our comprehensive and intuitive PDF editor is easy. Adhere to the instructions below to complete Vendor Application - Missouri Department of Health & Senior Services - health mo online quickly and easily:
Take advantage of DocHub, one of the most easy-to-use editors to rapidly handle your documentation online!
| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2013 | 4.8 Satisfied (80 Votes) |
The application is necessary for retailers to become authorized vendors for the Missouri WIC Program, which provides nutritional assistance.
The Missouri WIC Program is not obligated to contract with any retailer, and applicants have the right to appeal if their application is denied.
Applicants must include a copy of the most recent sanitation report with their application to ensure compliance with health standards.
The application requires detailed information about ownership, including names, addresses, and social security numbers of all current owners or corporate officers.
Vendors must provide sales data from the past fiscal year, including WIC food sales and other food sales, as part of the application process.
The form includes questions regarding potential conflicts of interest among ownership or management related to public health agencies.
Applicants must certify that neither they nor their current owners have been involved in activities indicating a lack of business integrity over the past six years.
