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This document informs a client that the child care provider will no longer be able to provide services after a certain date. It includes the fees owed and refunds due. The client signs to acknowledge receiving written notice of the change in services.

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Pamm
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© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
132 views1 page

PDF Created With Pdffactory Pro Trial Version

This document informs a client that the child care provider will no longer be able to provide services after a certain date. It includes the fees owed and refunds due. The client signs to acknowledge receiving written notice of the change in services.

Uploaded by

Pamm
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Dear _____________________________

As of ______________, I will no longer be able to provide child care


services for your family.

Fees you owe total $ _________

Fees to be returned to you $_________

Provider‘s Signature _______________________Date___________

Please sign
__ _ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ _ __ _

I have received written notice that as of ________________,

[Name of Provider] will no longer be able to provide child care

services for my family.

________________________________Date______________

PDF created with pdfFactory Pro trial version www.pdffactory.com

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