Peanut Butter
Product Submission
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Enter product information below:
All products must meet federal WIC requirements
How many products you want to add?
Please Select
1
2
3
4
5
Product #1
UPC Code
*
(12 digits and no space)
Brand Name
*
Product Name
*
Peanut Butter Spread Not Allowed
Type
*
Please Select
Plain
Regular
Low Sodium
Low Sugar
Texture
*
Creamy
Crunchy
Chunky
Super Crunchy
Super Chunky
Smooth
Old Fashion
Natural
Other
Container Size
*
(16 - 18 ounce)
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
I verify that this product is distributed in California.
*
check here
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.
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of
Submit Form
Print Form
Product #2
UPC Code
*
(12 digits and no space)
Brand Name
*
Product Name
*
Peanut Butter Spread Not Allowed
Type
*
Plain
Regular
Low Sodium
Low Sugar
Texture
*
Creamy
Crunchy
Chunky
Super Crunchy
Super Chunky
Smooth
Old Fashion
Natural
Other
Container Size
*
(16 - 18 ounce)
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
*
Peanut Butter Spread Not Allowed
Type
*
Plain
Regular
Low Sodium
Low Sugar
Texture
*
Creamy
Crunchy
Chunky
Super Crunchy
Super Chunky
Smooth
Old Fashion
Natural
Other
Container Size
*
(16 - 18 ounce)
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
*
Peanut Butter Spread Not Allowed
Type
*
Plain
Regular
Low Sodium
Low Sugar
Texture
*
Creamy
Crunchy
Chunky
Super Crunchy
Super Chunky
Smooth
Old Fashion
Natural
Other
Container Size
*
(16 - 18 ounce)
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
*
Peanut Butter Spread Not Allowed
Type
*
Plain
Regular
Low Sodium
Low Sugar
Texture
*
Creamy
Crunchy
Chunky
Super Crunchy
Super Chunky
Smooth
Old Fashion
Natural
Other
Container Size
*
(16 - 18 ounce)
Suggested Retail Price Per Unit
*
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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