This Web Site requires JavaScript to be enabled. Please enable JavaScript and try again.
Este sitio web requiere Javascript para estar habilitado. Por favor, activa JavaScript y vuelva a intentarlo.
This Web Site requires JavaScript to be enabled. Please enable JavaScript and try again.
Este sitio web requiere Javascript para estar habilitado. Por favor, activa JavaScript y vuelva a intentarlo.
Program Integrity is a team within the Arizona Department of Health Services, Bureau of Nutrition and Physical Activity (BNPA). Program Integrity protects these programs: Women, Infants and Children (WIC), Commodity Supplemental Food Program (CSFP) and Farmers' Market Nutrition Program (FMNP).
Your session will time out in 5 minutes. Please save your work.
If you wish to be anonymous any contact information you wish to give us will not be shared with outside sources. This includes the person or people you are making a complaint about.
Your contact information makes it easier to contact you if we have further questions on the incident.
Would you like to be anonymous?
A clinic can be a local non-profit company such as a health center, a county health department, or a tribal entity. Each of them can provide WIC, CSFP, and FMNP services.
A grocery store allowed to accept WIC checks. Vendors can also be a military commissary, a pharmacy or a farmer/grower.
All information provided to us is private and will not be shared.
A complainant is a person submitting a complaint.
A witness is someone who saw rules of WIC, CSFP, or FMNP not being followed.
Both can remain anonymous.
A name is unknown or not provided.
You are not required to provide your contact information, but please know your information will not be shared with anyone. In fact, it can help us with the investigation.
This list the most common types of complaints we receive. You can choose up to 4 types of complaints.
If you want to report something not listed here, choose “poor customer service”.
You can choose a date the event happened using the calendar . Click on the icon to open it.
You can select the time the event happened using the clock . Click on the icon to open it.
Please note the clock will only allow you to choose half hour intervals. If you are not able to select the exact time, please enter the closest time you can.
If you know the address of the vendor or clinic:
If you don’t know the address of the vendor or clinic:
If more than one person was involved, please include their name here. If you don’t know their name, please provide a description of them (i.e., gender, height, weight, hair color, age, etc.).
If many people were involved please include as much information as you can in the description box.
Please tell us in detail what happened. Be as specific as possible.
You may add up to 3 files.
Each file must be 4MB or less.
File extensions allowed: