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VACCINES FOR CHILDREN AFC PROGRAMPARTICIPATION WITHDRAWAL REQUEST FORM Complete and fax to the AFC Program at (877) 3299832 at least 30 days before withdrawing program participation. INSTRUCTIONS:

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How to fill out participation withdrawal request form

01

First, obtain a copy of the participation withdrawal request form from the relevant organization or institution.

02

Read the instructions and requirements stated on the form carefully.

03

Provide your personal information, such as your name, address, contact details, and any identification numbers requested.

04

Indicate the reason for your participation withdrawal and provide any necessary supporting documents, if required.

05

Specify the date on which you wish the withdrawal to take effect.

06

Review the completed form to ensure all information is accurate and complete.

07

Sign and date the form.

08

Submit the participation withdrawal request form to the designated department or individual as instructed.

09

Keep a copy of the form for your records.

Who needs participation withdrawal request form?

01

Individuals who wish to withdraw their participation from a specific program, organization, or institution.

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What is participation withdrawal request form?

The participation withdrawal request form is a document used to formally request to withdraw from participation in a program or activity.

Who is required to file participation withdrawal request form?

Anyone who wishes to withdraw from participation in a program or activity is required to file the participation withdrawal request form.

How to fill out participation withdrawal request form?

The participation withdrawal request form can be filled out by providing personal information, reason for withdrawal, and any other required details as outlined in the form.

What is the purpose of participation withdrawal request form?

The purpose of the participation withdrawal request form is to formally request to withdraw from participation in a program or activity.

What information must be reported on participation withdrawal request form?

The participation withdrawal request form may require reporting personal information, reason for withdrawal, and any other details necessary to process the request.

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