In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.

Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.

To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/USDA-OASCR%20P-Complaint-Form-0508-0002-508-11-28-17Fax2Mail.pdf, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:

  1. mail:
    U.S. Department of Agriculture
    Office of the Assistant Secretary for Civil Rights
    1400 Independence Avenue, SW
    Washington, D.C. 20250-9410; or
  2. fax:
    (833) 256-1665 or (202) 690-7442; or
  3. email:
    program.intake@usda.gov

This institution is an equal opportunity provider.

Appeals
Translated information

Shqip (Albanian) | العربية (Arabic) | မြန်မာစာ (Burmese) | 简体字 (Simplified Chinese) | 繁體中文 (Traditional Chinese) | دری (Dari) | English | Français (French) | Kirundi | नेपाली (Nepali) | پښتو (Pashto) | Soomaali (Somali) | Español (Spanish) | Kiswahili (Swahili) | Tiếng Việt (Vietnamese)

 

You have the right to appeal a decision about your WIC benefits if the WIC program does not enroll you/your child or disqualifies you/your child and you feel the decision was unfair. Appeal requests must be made within sixty (60) days from the effective date of the decision. To appeal a decision, you may ask for a Local Office Conference and/or a Fair Hearing. A Local Office Conference is a meeting between you, the local office supervisor, and the State WIC Director or representative. A Local Office Conference is not mandatory and is separate from a Fair Hearing. Fair Hearings are held by the Vermont Agency of Human Services, Human Services Board (HSB) and take place in front of an HSB Hearing Officer.

If you have been denied WIC benefits due to a participant violation your request for a Fair Hearing must be made within sixty (60) days from the date the decision letter is postmarked.

How To Request a Local Conference and/or Fair Hearing

WIC Appeal Form

You may make an appeal request for a Fair Hearing and/or Local Office Conferences in person, by phone, mail, or email to the WIC state office, the Human Services Board, or your local WIC office.

To submit electronically, complete an Appeal Form for each Fair Hearing and/or Local Office Conference request. If you need help filling out the form you may ask for assistance. The fillable Appeal form should be emailed to WIC@vermont.gov  (email for the State WIC Office) and/or the Human Services Board at contact.hsb@vermont.gov.  

The appeal form is also available in paper format. When your request is made in person, the paper form will be provided. Translated materials in preferred language and interpreter services may be requested. You may ask for assistance if you would like help filling out the form. Staff will scan and email the form to the state WIC office and the Human Services Board. Or, you may scan and email the form to the state WIC office at WIC@vermont.gov or the Human Services Board at Contact.HSB@vermont.gov, or mail the form to:

State WIC Director

Vermont WIC Program

280 State Drive

Waterbury, VT 05671-8360

 

USDA nondiscrimination statement

Contact us

For help or more information, contact the Vermont WIC Program by email at wic@vermont.gov or call 800-464-4343 | 802-863-7200 | Fax: 802-863-7229 | TTY/TDD: Dial 711 first. Or contact your local office.

USDA nondiscrimination statement

 

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