Okla. Admin. Code § 310:410-3-11

Current through Vol. 41, No. 19, June 17, 2024

Section 310:410-3-11 - Application procedures

The department shall provide an application for applying to become a WIC retail vendor. Submission of a completed application shall not constitute authorization to an applicant to accept or receive payment for food instruments. Any application submitted improperly or incompletely shall be returned to the applicant. Any application not completed and returned to the department within sixty (60) calendar days from receipt by the applicant shall not be processed. An applicant can apply for authorization to become a WIC retail vendor by submitting the following to the department:

(1) An application for WIC vendor authorization as a sole proprietorship shall include the following:

(A) identity and addresses of owner;

(B) owner's Social Security number;

(C) the Federal Employer Identification Number (FEIN) of the business entity;

(D) identification of any ownership interest of thirty percent (30%) or more in any other entity applying for WIC vendor authorization or WIC vendor, if requested by the department;

(E) identification of the business entity, the store type, location of the vendor site and an employee contact for WIC purposes;

(F) proof of the owner's Social Security number, if requested by the department;

(G) proof of the business entity's FEIN, if requested; and

(H) proof of USDA Food Stamp authorization, if requested by the department.

(2) An application for WIC vendor authorization as a corporation shall include the following:

(A) identity and location of the corporation's principle place of business;

(B) identity and address of the corporation's registered agent;

(C) FEIN of the corporation;

(D) identification of an ownership interest of thirty percent (30%) or more by the stockholders and such an ownership interest by these stockholders in any other entity applying for WIC vendor authorization or WIC vendor, if requested by the department;

(E) identity of the business entity, store type and location of the proposed vendor site and an employee contact for WIC purposes;

(F) Certification of Incorporation from the state in which the applicant is incorporated, if requested by the state; and

(G) proof of USDA Food Stamp authorization, if requested by the department.

(3) An application for WIC vendor authorization as a partnership or limited partnership shall include the following:

(A) identity and address of each limited and general partner and the registered agent;

(B) ownership percentages of each limited and general partner;

(C) Social Security number of each limited and general partner;

(D) FEIN of the partnership or limited partnership;

(E) information concerning any ownership interest of thirty percent (30%) or more by any limited or general partner;

(F) information concerning the business entity, store type and the location of proposed vendor site and an employee contact for WIC purposes;

(G) proof of Social Security numbers of each limited and general partner;

(H) proof of the partnership or limited partnership FEIN; and

(I) proof of USDA Food Stamp authorization, if requested.

Okla. Admin. Code § 310:410-3-11

Added at 10 Ok Reg 4203, eff 8-1-93 (emergency); Added at 11 Ok Reg 3823, eff 7-11-94; Amended at 16 Ok Reg 2505, eff 6-25-99