- File a discrimination complaint with the USDA
- Formulario de Denuncia por Discriminación del Programa del USDA Departamento de Agricultura de los EE. UU.
WIC Forms
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Related resources
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PDF [197KB]WIC Participant Complaint Form (English) PDF [197KB]1114e
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PDF [925KB]WIC Participant Complaint Form (Spanish) PDF [925KB]1114s
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PDF [929KB]WIC Participant Complaint Form (Vietnamese) PDF [929KB]1114v
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PDF [988KB]WIC Local Agency Application Form 1368e PDF [988KB]March 22, 2024
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PDF [334KB]Request for Medical Formula for Infants PDF [334KB]Form 972
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PDF [49KB]Request for Medical Formula for Women and Children PDF [49KB]Form 263
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Mississippi State Department of Health • 570 East Woodrow Wilson Dr • Jackson, MS 39216 • 866‑HLTHY4U • Contact and information
