№ files_lp_4_process_3_067083
Administrative form outlining justification criteria and review fields used by local WIC agencies and state program staff to document and evaluate whether proposed purchases qualify as allowable costs under WIC program funding rules.
Year: 2024
Region / State: Washington
Program: WIC (Special Supplemental Nutrition Program for Women, Infants, and Children); BFPC
Document Type: Administrative form
Organization / Agency: Washington State Department of Health
Program Office: State WIC Office
Target Audience: Local WIC agencies and program staff
Purpose: Determination of allowability of program purchase costs prior to acquisition
Funding Source: WIC federal funds
Associated Guidance: Volume 2, Chapter 4 Allowable Costs; Allowable Cost & Prior Approval Decision Tree Chart
Submission Contact: [email protected]
Accessibility Contact Phone: 1-800-841-1410
Accessibility Relay Service: 711 (Washington Relay)
Document Identifier: DOH 962-1027
Publication Date: May 2024
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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