Report a WIC Shopping Problem

This form is for Women, Infants, and Children (WIC) participants in Dane County, Wisconsin. To report a problem using your WIC benefits to buy eligible items, please use this form or email Our staff will contact you to discuss the problem further.

Contact Information
May we contact you by phone to discuss this problem further?
Problem Information
Date & Time Group
Did you use another form of payment for the items?
You can attach pictures of the items and your receipt. Please make sure the items barcode is visible.
Maximum 3 files. 10 MB limit. Allowed types: jpg, jpeg, png, pdf, doc, docs, xls, xlsx.
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