Michigan WIC Store Complaint

Submission Details

Contact information is important for complaint follow-up and resolution. If you would like to remain anonymous, please enter N/A. However, please note that this may make it more difficult to resolve your complaint.

1. Submitted by/Your name *This question is required.

2. Phone number *This question is required.

3. Email *This question is required.

4. Local Agency/Unit, if applicable

5. Are you filling this form out on behalf of someone else? If yes, please complete questions 6 and 7 below. *This question is required.

6. Name of person making the complaint.

7. Phone number of person making the complaint.