Infant Fruits and Vegetables Brand Specific
Product Submission
Company Name
Contact Person
*
E-mail
*
Street Address
*
Phone Number
-
Area Code
Phone Number
City
*
State
*
Zip Code
*
Enter product information below:
All products must meet current CA WIC Standards
How many products you want to add?
Please Select
1
2
3
4
5
Submission 1
UPC Code
*
(12 digits and no space)
Brand Name
*
Please Select
Beech-Nut
Early On
Earth's Best Organic
FirstChoice
Gerber
HappyBaby Organics
Mom's Natural Choice
Mom's Organic Choice
O Organics
Parent's Choice
Pic Select Fresh
Raley's Organic
Tippy Toes
Tippy Toes Organic
Wild Harvest
Yummy Organics
Product Name
*
Stage
*
Please Select
Stage 1
Stage 1 1/2
Stage 2
Container Size
*
Please Select
4 oz.
Package Size
*
Please Select
single
2 pack
3 pack
4 pack
5 pack
6 pack
7 pack
8 pack
9 pack
10 pack
11 pack
12 pack
13 pack
14 pack
15 pack
16 pack
17 pack
18 pack
20 pack
22 pack
Package Type
*
Please Select
Jar
Plastic
Organic
*
Please Select
Yes
No
I certify that this product does not contain added sugar, salt, starch, or spice.
*
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
Submission 2
UPC Code
*
(12 digits and no space)
Brand Name
*
Beech-Nut
Early On
Earth's Best Organic
FirstChoice
Gerber
HappyBaby Organics
Mom's Natural Choice
Mom's Organic Choice
O Organics
Parent's Choice
Pic Select Fresh
Raley's Organic
Tippy Toes
Tippy Toes Organic
Wild Harvest
Yummy Organics
Product Name
*
Stage
*
Stage 1
Stage 1 1/2
Stage 2
Container Size
*
4 oz.
Package Size
*
single
2 pack
3 pack
4 pack
5 pack
6 pack
7 pack
8 pack
9 pack
10 pack
11 pack
12 pack
13 pack
14 pack
15 pack
16 pack
17 pack
18 pack
20 pack
22 pack
Package Type
*
Jar
Plastic
Organic
*
Yes
No
I certify that this product does not contain added sugar, salt, starch, or spice.
*
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
Submission 3
UPC Code
*
(12 digits and no space)
Brand Name
*
Please Select
Beech-Nut
Early On
Earth's Best Organic
FirstChoice
Gerber
HappyBaby Organics
Mom's Natural Choice
Mom's Organic Choice
O Organics
Parent's Choice
Pic Select Fresh
Raley's Organic
Tippy Toes
Tippy Toes Organic
Wild Harvest
Yummy Organics
Product Name
*
Stage
*
Please Select
Stage 1
Stage 1 1/2
Stage 2
Container Size
*
Please Select
4 oz.
Package Size
*
Please Select
single
2 pack
3 pack
4 pack
5 pack
6 pack
7 pack
8 pack
9 pack
10 pack
11 pack
12 pack
13 pack
14 pack
15 pack
16 pack
17 pack
18 pack
20 pack
22 pack
Package Type
*
Please Select
Jar
Plastic
Organic
*
Please Select
Yes
No
I certify that this product does not contain added sugar, salt, starch, or spice.
*
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
Submission 4
UPC Code
*
(12 digits and no space)
Brand Name
*
Please Select
Beech-Nut
Early On
Earth's Best Organic
FirstChoice
Gerber
HappyBaby Organics
Mom's Natural Choice
Mom's Organic Choice
O Organics
Parent's Choice
Pic Select Fresh
Raley's Organic
Tippy Toes
Tippy Toes Organic
Wild Harvest
Yummy Organics
Product Name
*
Stage
*
Please Select
Stage 1
Stage 1 1/2
Stage 2
Container Size
*
Please Select
4 oz.
Package Size
*
single
2 pack
3 pack
4 pack
5 pack
6 pack
7 pack
8 pack
9 pack
10 pack
11 pack
12 pack
13 pack
14 pack
15 pack
16 pack
17 pack
18 pack
20 pack
22 pack
Package Type
*
Please Select
Jar
Plastic
Organic
*
Please Select
Yes
No
I certify that this product does not contain added sugar, salt, starch, or spice.
*
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
Submission 5
UPC Code
*
(12 digits and no space)
Brand Name
*
Please Select
Beech-Nut
Early On
Earth's Best Organic
FirstChoice
Gerber
HappyBaby Organics
Mom's Natural Choice
Mom's Organic Choice
O Organics
Parent's Choice
Pic Select Fresh
Raley's Organic
Tippy Toes
Tippy Toes Organic
Wild Harvest
Yummy Organics
Product Name
*
Stage
*
Please Select
Stage 1
Stage 1 1/2
Stage 2
Container Size
*
4 oz.
Package Size
*
single
2 pack
3 pack
4 pack
5 pack
6 pack
7 pack
8 pack
9 pack
10 pack
11 pack
12 pack
13 pack
14 pack
15 pack
16 pack
17 pack
18 pack
20 pack
22 pack
Package Type
*
Jar
Plastic
Organic
*
Yes
No
I certify that this product does not contain added sugar, salt, starch, or spice.
*
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
California Department of Public Health
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