Retraining Form (4/10)
This form may be used by vendors to notify us of a problem experienced with a client who does not seem to understand the WIC program rules or how to purchase the correct foods. It can also be used by a client to help us identify cashiers that may need additional training on WIC policies and procedures.
Enteral Nutrition Prescription Request Form:
Requires the original signature of medical provider licensed to write prescriptions in Alaska and provides the Alaska WIC program with the medical documentation needed to issue WIC warrants to purchase WIC approved non-contract formula.
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130 Seward St
PO Box 110612
Juneau, AK 99801