Sample Notification Letter Form Page 2

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Sample 2
Notification Letter
Dear WIC Client:
An electric breastpump was provided to you on _________________ to help you give the
best nutrition to your baby. Now another client is in need of the breastpump to help feed
her baby.
This is the second request we have made for you to return the breastpump. You agreed to
return the pump within 7 days of our request when it was issued to you. We would
appreciate you returning the pump to the WIC clinic within 7 days of receipt of this letter.
Thank you for helping give other women the chance to successfully breastfeed their
babies. If you have any questions or need assistance in returning the pump to us, please
call us at ______________________.
Local Agency WIC Staff

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