• HOME
• TOPICS
  • Certificates & Records
  • Data & Statistics
  • Diseases & Conditions
  • Emergency Preparedness
  • Environments & Your Health
  • Facilities & Professions
  • Health Care & Coverage
  • Injury, Violence & Safety
  • Life Stages & Populations
  • Policy, Economics & Legislation
  • Prevention & Healthy Living
• ABOUT US

Women, Infants, and Children (WIC) Program

• WIC Home Page
• About WIC
• Breastfeeding
• Eligibility for WIC
• Frequently Asked Questions about WIC Foods
• Información en Español
• Information in Somali
• Non-Discrimination Statement
• Nutrition
• Recipes that Use WIC Foods
• Welcome to Minnesota WIC Video
• WIC Agency Directory
• WIC Foods
• WIC Grocery Store Search
• WIC Surveillance & Evaluation Data

Information for

• Local Agencies
• IT Staff
• Reports
• Grocery Stores & Pharmacies
• Food Manufacturers & Distributors
• Health Care Providers
• Outreach

Additional Links

• Commodity Supplemental Foods Program (CSFP)
• MDH Text4baby

Attention: Non-MDH Links

• National WIC Association (NWA)
• United States Department of Agriculture (USDA)
• WIC Works
• More...

Exhibit 9A - 9C

Chapter 9: Information System Operations

MN WIC Operations Manual

---

• Exhibit 9-A: Request for Supplies from Covansys - Revised 08/09 - Automated Form

• Exhibit 9-B: Software Related Request (SRR) Form - revised 4/10/07

• WORD Form - fillable fields (8KB/2 pages)
• PDF Form - print only (30KB/2 pages)

• Exhibit 9-C: Automation Equipment Request Form - Revised 04/08 - Automated Form

---

To view the PDF files, you will need Adobe Acrobat Reader (free download from Adobe's website).

• Share This

To reach the Minnesota State WIC Office call 1-800-657-3942 or 1-651-201-4404