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Special Formula Change Request Form WIC392C Purpose:To change or correct a Special Formula Shipping Request Form (396C) submitted to the Distribution Center. The Special Formula Change Request Form

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How to fill out special formula change request

01

Step 1: Obtain the special formula change request form from the concerned department.

02

Step 2: Read the instructions on the form carefully to understand the information required.

03

Step 3: Fill in your personal details, such as your name, employee ID, and contact information, in the designated fields.

04

Step 4: Provide a detailed explanation of the special formula change you are requesting.

05

Step 5: Include any supporting documents or evidence that may be relevant to your request.

06

Step 6: Review the completed form to ensure all the required information is provided and accurate.

07

Step 7: Submit the filled-out special formula change request form to the designated authority or department.

08

Step 8: Keep a copy of the completed form for your reference and future communication.

Who needs special formula change request?

01

Employees who require a change in the special formula they use for work.

02

Individuals who have specific dietary or medical needs that necessitate a special formula change.

03

Staff members who need to adjust the formula due to changes in their health conditions or requirements.

04

Workers who have received recommendations from healthcare professionals to modify their current formula.

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