In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.
Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) either online or at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:
U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410;
(2) fax: (202) 690-7442; or
(3) email: email@example.com.
This institution is an equal opportunity provider.
The USDA Program Discrimination Complaint Form is also available in these languages:
You have the right to ask for a Fair Hearing to appeal a decision about your WIC benefits in person, by phone, or by mail or email to the State or local agency. This request must be made within sixty (60) days from the effective date of the decision. If you need help filling out the form you may ask for assistance.
Fair Hearing Appeal Form
Complete the form and mail to:
State WIC Director
Vermont WIC Program
108 Cherry Street, PO Box 70
Burlington, VT 05401
Or, you may scan and email the form to WIC@Vermont.gov (email for the State WIC Office).