Frozen Vegetables
Product Submission
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How many products you want to add?
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Please Select
1
2
3
4
5
Enter product information below:
All products must meet federal WIC requirements
Product #1
UPC Code
*
(12 digits and no space)
Brand Name
*
Product Name as named on Package
*
Vegetable Type
*
Please Select
Artichokes
Asparagus
Avocados
Bamboo
Beanettes
Beans, Green
Beans, Lima
Beans, Other
Beets
Blackeye Peas
Broccoflower
Broccoli
Brussels Sprouts
Cabbage
Carrots
Cauliflower
Celery
Chili
Chive
Choy
Corn
Cranberries
Cress
Cucumber
Eggplant
Endive
Garlic
Gourd
Greens
Hominy
Leeks
Mixed Vegetables
Mushrooms
Okra
Onion
Peas
Peas, Sugar Snap
Pepper
Pumpkin
Radish
Rhubarb
Spinach
Sprouts
Squash
Sweet Potato
Tomatoes
Watercress
Zucchini
xOther Vegetable (Please Specify)
If Other Vegetable Type (Please Specify)
*
Size
*
Package Type
*
Please Select
Bag
Box
Organic
*
Please Select
Yes
No
I certify that this product has NO added sugars, fats, oils, or salt
*
Please Select
Yes (Required)
Suggested Retail Price Per Unit
*
Suggested Retail Price must be filled to be considered.
Comments
Upload image of product label including:
front label, Nutrition Facts, legible Ingredients list and UPC Please shrink image size
Name image using the 12 digit UPC.
*
Upload a File
Max upload file size is 5000 KB; preferred file type is PDF but, will also accept doc, xls, jpg, or jpeg.
Cancel
of
I verify that this product is distributed in California.
*
check here
Submit Form
Print Form
Product #2
UPC Code
*
(12 digits and no space)
Brand Name
*
Product Name as named on Package
*
Vegetable Type
*
Artichokes
Asparagus
Avocados
Bamboo
Beanettes
Beans, Green
Beans, Lima
Beans, Other
Beets
Blackeye Peas
Broccoflower
Broccoli
Brussels Sprouts
Cabbage
Carrots
Cauliflower
Celery
Chili
Chive
Choy
Corn
Cranberries
Cress
Cucumber
Eggplant
Endive
Garlic
Gourd
Greens
Hominy
Leeks
Mixed Vegetables
Mushrooms
Okra
Onion
Peas
Peas, Sugar Snap
Pepper
Pumpkin
Radish
Rhubarb
Spinach
Sprouts
Squash
Sweet Potato
Tomatoes
Watercress
Zucchini
xOther Vegetable (Please Specify)
If Other Vegetable Type (Please Specify)
*
Size
*
Package Type
*
Please Select
Bag
Box
Organic
*
Please Select
Yes
No
I certify that this product has NO added sugars, fats, oils, or salt
*
Please Select
Yes (Required)
Suggested Retail Price Per Unit
*
Suggested Retail Price must be filled to be considered.
Comments
Upload image of product label including:
front label, Nutrition Facts, legible Ingredients list and UPC Please shrink image size
Name image using the 12 digit UPC.
*
Upload a File
Max upload file size is 5000 KB; preferred file type is PDF but, will also accept doc, xls, jpg, or jpeg.
Cancel
of
I verify that this product is distributed in California.
*
check here
Submit Form
Print Form
Product #3
UPC Code
*
(12 digits and no space)
Brand Name
*
Product Name as named on Package
*
Vegetable Type
*
Artichokes
Asparagus
Avocados
Bamboo
Beanettes
Beans, Green
Beans, Lima
Beans, Other
Beets
Blackeye Peas
Broccoflower
Broccoli
Brussels Sprouts
Cabbage
Carrots
Cauliflower
Celery
Chili
Chive
Choy
Corn
Cranberries
Cress
Cucumber
Eggplant
Endive
Garlic
Gourd
Greens
Hominy
Leeks
Mixed Vegetables
Mushrooms
Okra
Onion
Peas
Peas, Sugar Snap
Pepper
Pumpkin
Radish
Rhubarb
Spinach
Sprouts
Squash
Sweet Potato
Tomatoes
Watercress
Zucchini
xOther Vegetable (Please Specify)
If Other Vegetable Type (Please Specify)
*
Size
*
Package Type
*
Please Select
Bag
Box
Organic
*
Please Select
Yes
No
I certify that this product has NO added sugars, fats, oils, or salt
*
Please Select
Yes (Required)
Suggested Retail Price Per Unit
*
Suggested Retail Price must be filled to be considered.
Comments
Upload image of product label including:
front label, Nutrition Facts, legible Ingredients list and UPC Please shrink image size
Name image using the 12 digit UPC.
*
Upload a File
Max upload file size is 5000 KB; preferred file type is PDF but, will also accept doc, xls, jpg, or jpeg.
Cancel
of
I verify that this product is distributed in California.
*
check here
Submit Form
Print Form
Product #4
UPC Code
*
(12 digits and no space)
Brand Name
*
Product Name as named on Package
*
Vegetable Type
*
Artichokes
Asparagus
Avocados
Bamboo
Beanettes
Beans, Green
Beans, Lima
Beans, Other
Beets
Blackeye Peas
Broccoflower
Broccoli
Brussels Sprouts
Cabbage
Carrots
Cauliflower
Celery
Chili
Chive
Choy
Corn
Cranberries
Cress
Cucumber
Eggplant
Endive
Garlic
Gourd
Greens
Hominy
Leeks
Mixed Vegetables
Mushrooms
Okra
Onion
Peas
Peas, Sugar Snap
Pepper
Pumpkin
Radish
Rhubarb
Spinach
Sprouts
Squash
Sweet Potato
Tomatoes
Watercress
Zucchini
xOther Vegetable (Please Specify)
If Other Vegetable Type (Please Specify)
*
Size
*
Package Type
*
Please Select
Bag
Box
Organic
*
Please Select
Yes
No
I certify that this product has NO added sugars, fats, oils, or salt
*
Please Select
Yes (Required)
Suggested Retail Price Per Unit
*
Suggested Retail Price must be filled to be considered.
Comments
Upload image of product label including:
front label, Nutrition Facts, legible Ingredients list and UPC Please shrink image size
Name image using the 12 digit UPC.
*
Upload a File
Max upload file size is 5000 KB; preferred file type is PDF but, will also accept doc, xls, jpg, or jpeg.
Cancel
of
I verify that this product is distributed in California.
*
check here
Submit Form
Print Form
Product #5
UPC Code
*
(12 digits and no space)
Brand Name
*
Product Name as named on Package
*
Vegetable Type
*
Artichokes
Asparagus
Avocados
Bamboo
Beanettes
Beans, Green
Beans, Lima
Beans, Other
Beets
Blackeye Peas
Broccoflower
Broccoli
Brussels Sprouts
Cabbage
Carrots
Cauliflower
Celery
Chili
Chive
Choy
Corn
Cranberries
Cress
Cucumber
Eggplant
Endive
Garlic
Gourd
Greens
Hominy
Leeks
Mixed Vegetables
Mushrooms
Okra
Onion
Peas
Peas, Sugar Snap
Pepper
Pumpkin
Radish
Rhubarb
Spinach
Sprouts
Squash
Sweet Potato
Tomatoes
Watercress
Zucchini
xOther Vegetable (Please Specify)
If Other Vegetable Type (Please Specify)
*
Package Type
*
Please Select
Bag
Box
Size
*
Organic
*
Please Select
Yes
No
Suggested Retail Price Per Unit
*
Suggested Retail Price must be filled to be considered.
I certify that this product has NO added sugars, fats, oils, or salt
*
Please Select
Yes (Required)
Comments
Upload image of product label including:
front label, Nutrition Facts, legible Ingredients list and UPC Please shrink image size
Name image using the 12 digit UPC.
*
Upload a File
Max upload file size is 5000 KB; preferred file type is PDF but, will also accept doc, xls, jpg, or jpeg.
Cancel
of
I verify that this product is distributed in California.
*
check here
Submit Form
Print Form
California Department of Public Health
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