Michigan WIC UPC Request

If there is a food item that meets current WIC Food Guide allowable criteria but is not scanning on your WIC-capable POS system, please complete this form for its consideration. If a product is not scanning and you feel it should be shown in the Michigan WIC Food Guide, please use the following form. This will provide the State of Michigan team the information needed to look into the issue further.

Contact the Food Authorization Committee at MDHHS-WICFoodSubmissions@Michigan.gov with questions.

1. Your details *This question is required.

	Your Name
	Entity Name (store, local agency, company)
	Address (Number and Street)
	City
	Zip Code

2. Email address *This question is required. This question requires a valid email address.

3. Phone number *This question is required.

4. Food Category *This question is required.

Please include as much information as you can for the product.

5. Food Name *This question is required.

6. Food Description *This question is required.

7. Item Retail Price (your store) *This question is required.

8. Package Size (if applicable)

9. Name of Manufacturer *This question is required.

10. Please provide the full 12 or 13 digits of a UPC code, including the first and last digits.

*This question is required. This question requires a valid number format.

UPC Number

11. Please upload a picture of the UPC bar code on the product.

File: {{filename}} delete

12. Please upload a picture of the customer-facing product label.

File: {{filename}} delete

13. Please upload a picture of the nutrition facts label on the product

File: {{filename}} delete

14. Fresh Fruits and Vegetable Codes

Some fresh produce have other identifying numbers, such as PLU and/or GTIN-14 for the food item.

	Product Look-Up (PLU) 4-5 digits
	Global Trade Item Number (GTIN) 14 digits