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UPC Submission Form

UPC Submission Form

Regular price $0.00

Note: This product is only available for WIC Vendors.

Description: Form to submit the UPC of a new food item to the WIC program to add to the Approved Products List (APL).

Quantity: Order in total amount needed (example: 50, 100). 

Format: One-sided paper form. Size 5.5" x 8.5" 

Languages available in print: English

Languages available electronically only: English

Form number: 57-1025

Revision date: 08/01/2025


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