Follow the steps to successfully complete the MT WIC Compliance Form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the date reported in the designated field to document when the complaint was received.
3. Indicate the name of the person against whom the complaint is filed by selecting from WIC Participant, WIC Staff, or Retailer.
4. Fill in the name of the local agency or store involved in the complaint.
5. Check the appropriate box that relates to the alleged program abuse. Review options for WIC Participant or WIC Retailer and ensure the correct issue is selected.
6. Provide a brief description of how the complaint was received. If applicable, attach a copy of the Program Complaint Form and any related documents that detail the incident.
7. Complete the follow-up section for participant complaints by capturing the participant's statement and the decision made regarding their status in the program.
8. For retailer complaints, document the date of follow-up, retailer statement, and decision taken.
9. Include follow-up for staff complaints, ensuring to capture the employee statement and decision.
10. Provide any additional comments as necessary for each section, then ensure all signatures are obtained before submission.
11. Once all fields are accurately filled, save any changes. You may then download, print, or share the form as needed.

Start filling out the MT WIC Compliance Form online today for a seamless complaint process.