Maine WIC Shopping Experience (clinic)

Clinic Contact Information

Contact Name

Preferred Contact Info
EmailPhone

Email

Phone

Clinic Number

Household ID

Problem Description

A PIN problemA great shopping experienceAR can’t buy specific product(s)AR can buy nothingCashier rude or needs trainingOther problem at checkout

Description of issue (if cashier issue, include cashier name or description):

STOP HERE if problem was A PIN problem

Purchase Information

Store Name and Location

Date of issue (required)

Time of issue

Attach product pictures and receipts or list UPCs (required if AR was having difficulty with a purchase):

Use WIC Shopper “I couldn't buy this!” functionality to attach pictures.
Please mention that you have reported the problem in your WIC Shopper submission.