Please complete and submit this online form if you believe someone is committing fraud and/or abuse of the Missouri WIC Program.
* Name of WIC Participant OR WIC Store:
Address of Location:
OR County of Location: Select One Adair Andrew Atchison Audrain Barry Barton Bates Benton Bollinger Boone Buchanan Butler Caldwell Callaway Camden Cape Girardeau Carroll Carter Cass Cedar Chariton Christian Clark Clay Clinton Cole Cooper Crawford Dade Dallas Daviess Dekalb Dent Douglas Dunklin Franklin Gasconade Gentry Greene Grundy Harrison Henry Hickory Holt Howard Howell Iron Jackson Jasper Jefferson Johnson Knox Laclede Lafayette Lawrence Lewis Lincoln Linn Livingston Macon Madison Maries Marion McDonald Mercer Miller Mississippi Moniteau Monroe Montgomery Morgan New Madrid Newton Nodaway Oregon Osage Ozark Pemiscot Perry Pettis Phelps Pike Platte Polk Pulaski Putnam Ralls Randolph Ray Reynolds Ripley Saline Schuyler Scotland Scott Shannon Shelby St. Charles St. Clair St. Francois St. Louis Ste. Genevieve Stoddard Stone Sullivan Taney Texas Vernon Warren Washington Wayne Webster Worth Wright
* Issue: (select one)
Not reporting all of the family income when applying for WIC
Selling or giving away formula or other foods purchased with WIC checks through newspaper ads, Facebook, Craigslist, or any other means
Buying non-WIC food at the store with WIC checks
Trading WIC checks or WIC foods for other items or cash
Store charging the wrong amount for WIC checks
Other
* Please describe the issue (500 characters or less):
If this is possible fraud being done on Facebook, Craigslist, etc., please list the web address for the posting:
Your name (optional):
Telephone (optional):
To prove you're a person (not a spam script), type the security text shown in the picture. Text is case sensitive.
* Anti-spam text:
Missouri Department of Health & Senior Services