In the box below, please provide a description of the complaint against the WIC participant or caregiver. Be sure to include the important details such as names of persons involved and dates if available.
You are able to file a WIC Participant/Caregiver complaint anonymously, but if you would like the WIC State Agency to contact you, please complete the fields below:
Please enter the e-mail address and retrieve code that you used to save your data.
Please enter the e-mail address that you used to save your data.
Please provide an e-mail address and a retrieve code that you will use to retrieve your data. After you click on the 'Save' button, an e-mail with the information for retrieving your saved data will be sending to this e-mail address.
