ILLINOIS WIC AND SENIOR FARMERS' MARKET NUTRITION PROGRAM ILLINOIS DEPARTMENT OF HUMAN SERVICES

Transcription

1 ILLINOIS WIC AND SENIOR FARMERS' MARKET NUTRITION PROGRAM ILLINOIS DEPARTMENT OF HUMAN SERVICES

2 WIC & Senior Farmers Market Mission Encourage low-income families & seniors to eat more fruits & vegetables Help family farmers increase their sales of locally-grown fruits and vegetables Increase awareness of farmer markets in communities

3 Farmers Market Nutrition Program 515 farmers at 145 markets Counties participating in FMNP: Adams Jersey Peoria Boone Kankakee Perry Bureau Lake Rock Island Champaign Logan St. Clair Clinton Macon Sangamon Coles Madison Tazewell Cook Marion Union Edgar McDonough Vermilion Franklin-Williamson McHenry Washington Jackson McLean Knox Jefferson Morgan

4 FARMER APPLICATION State of Illinois - Department of Human Services WIC/Senior FARMERS MARKET NUTRITION PROGRAM FARMER APPLICATION FOR PARTICIPATION Please Type or Print Name: Mailing Address: Street City State Zip Code Telephone: Fax: Contact Person: If different than name above Business Name: Doing Business As: Taxpayer ID #: (SSN or FEIN) LEGAL STATUS (Check only One): Sole Proprietorship Partnership Estate or Trust Corporation (includes Not for Profit) Primary County where you will be accepting Farmer s Market Nutrition Program checks: (Check only One) Adams County Franklin/Williamson Macon County Perry County Boone County Jackson County Madison County Rock Island County Bureau County Jefferson County Marion County Sangamon County Champaign County Jersey County McDonough County St. Clair County Clinton County Kankakee County McHenry County Tazewell County Coles County Knox County McLean County Union County Cook County Lake County Morgan County Vermillion County Edgar County Logan County Peoria County Washington County Name the Primary Market in the county (checked above) where you will be accepting Farmer s Market Nutrition Program Checks: Name the Other Counties and Markets where you expect to accept checks: List produce you grow and plan to sell at the markets:

5 FARMER APPLICATION I have read the training manual for the Illinois Farmers Market Nutrition Program (FMNP) and request to be considered for authorization to participate. I am the grower of fresh fruits and/or vegetables which I sell at the markets. I understand I will only be paid for checks accepted in designated counties, this season, based on dates listed. I understand that the Illinois Department of Human Services (IDHS) reserves the right to select participating FMNP Farmers. By signing this form I acknowledge that I understand the FMNP the changes that have been implemented for the current season and that I must have an executed contract with IDHS before accepting FMNP checks. Signed: Please mail the completed application to: Date: Farmers Market Nutrition Program Illinois Department of Human Services 815/823 E. Monroe Springfield, IL The U.S. Department of Agriculture prohibits discrimination against its customers, employees, and applicants for employment on the bases of race, color, national origin, age, disability, sex, gender, identity, religion, reprisal, and where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual s income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to all programs and/or employment activities.) If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at or at any USDA office, or call (866) to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C , by fax (202) or at program.intake@usda.gov. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) ; or (800) (Spanish). USDA is an equal opportunity provider and employer. Page 2

6 FARMER CERTIFICATION All Farmers will apply for 3-year contract Farmer reads training manual/handbook & submits completed application to DHS DHS reviews application & contract is mailed to farmer Farmer completes and submits contract to DHS DHS obtains approval & signature of Secretary

7 FARMER CERTIFICATION Executed contract to farmer with FMNP signs & stamp with new 4-digit ID number Farmer receives training from WIC staff Farmer displays Farmers Market Checks Accepted Here sign Farmer can begin accepting FMNP checks

8 FARMERS MARKET NUTRITION PROGRAM REQUIREMENTS Farmer applications will not be accepted after August 31 st All farmers must have an executed contract to participate in the program Checks must be used to purchase locally grown fresh fruits, vegetables and herbs

9 FY14 WIC FARMERS MARKET June Checks (June 1 June 30) Regular Season Checks (July 1 October 31) Each check valued at $3.00 Checks distributed through the WIC program

10 FY14 SENIOR FARMERS MARKET Regular Season Checks (July October) Each check valued at $3.00 One booklet per eligible participant per season Checks distributed through the Department on Aging area agencies and Catholic Charities of the archdiocese of Chicago

11 Market Application

12 FARMERS MARKETS Market Application & Farmer Training Manual/Handbook available to Market Managers DHS maintains database of FMNP Markets & Active Farmers

13 For More Information For additional information contact: Bureau of Family Nutrition Sue Couri - Sue.Couri@illinois.gov