Application Denial Letter

This letter informs the vendor that his/her application has been denied. The letter gives the reasons for the denial, and appeal rights information.

The template for this letter is AP008.DOC. The following actions generate this letter:

• The OK or Print button is selected on the Vendor Denial screen. This displays the Send Letter screen that generates the letter.

• The OK or Print button is selected on the First Denial Letter Returned screen. This displays the Send Letter screen that generates the letter.

VAddressLine1 - Vendor Address Line 1

This value is the first line of the vendor physical address. The value comes from the PhysicalAddress1 column of the V_Vendor view.

VAddressLine2 - Vendor Address Line 2

This value is the second line of the vendor physical address. The value comes from the PhysicalAddress2 column of the V_Vendor view.

VCity - Vendor City

This value is the city in which the vendor resides. The value comes from the PhysicalCity column of the V_Vendor view.

VState - Vendor State

This value is the State in which the vendor resides. The value comes from the PhysicalStateCd column of the V_Vendor view.

VZipCode - Vendor ZIP Code

This value is the ZIP code in which the vendor resides. The value comes from the PhysicalZIPCode column of the V_Vendor view.

DeniedReason1 / DeniedReason2 / DeniedReason3 - Denied Reason

This value is one of the first three reasons why the vendor application was denied. For the first denial letter, this value comes from the Description column of the Reference Dictionary table (CATEGORYID = "DENIALREASON"). For the subsequent denial letters, this value comes from the Description column of the Reference Dictionary table (CATEGORYID = "DENYLETRETURNREASON").

<<LetterDate>>

Recipient <<Person>>

<<Vendor>>

<<AddressLine1>>

<<AddressLine2>>

<<City>>, <<ST>> <<ZIPCode>>

SUBJECT: Application Denial

Dear Recipient <<Salutation>> <<LastName>>:

The application for your store <<Vendor>> located at <<VAddress Line 1>> <<VAddress Line 2>>, <<VCity>>, <<VState>> <<VZIPCode>> for the contract period FY 20XX-20XX has been reviewed to determine if the vendor selection criteria was met as stipulated by the State WIC Program.

The store did not meet the following criteria:

<<DeniedReason1>>

<<DeniedReason2>>

<<DeniedReason3>>

Please see the enclosures for additional information. Since your store does not meet the requirements for participation in the WIC Program, the application is being denied.

You have the right to appeal this decision within 20 days of receipt of this notice. You may request a hearing by calling or writing Legal Representative Name, Office of Legal Services, State Department of Health, PO Box 360, Anytown, ST 46204-0360. The telephone number is (000) 000-0000.

Sincerely,

Program Manager Name

Program Manager

State WIC Services

JM/<<userid>>

Enclosures