Exhibits 7A-7J
Chapter 7: Food Package
MN WIC Operations Manual
- Exhibit 7-A: Minimum Requirements for Supplemental Foods (PDF: 28KB/3 pages)
- Exhibit 7-B: WIC Formula Summary (PDF: 44KB/1 page)
- Exhibit 7-C: Assessment of Infant Formula Feeding (PDF: 26KB/1 page)
- Exhibit 7-D: Medical Formula Documentation (PDF: 108KB/2 pages)
- Exhibit 7-E: Authorization of Milk Substitute (PDF: 68KB/ 1 page)
- Exhibit 7-F: Sample Formula Approval Letter (PDF: 18KB/1 page)
- Exhibit 7-G: Sample Formula Denial Letter (PDF: 12KB/1 page)
- Exhibit 7-H: Sample Letter Denying Pediasure (PDF: 14KB/1 page)
- Exhibit 7-I: Tracking Log for Returned Formula (PDF: 15KB/1 page)
- Exhibit 7-J: Mom and Baby WIC Food Package (PDF: 45KB/1 page)
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Adobe Acrobat Reader (free download from Adobe's website).

