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Southwest Wisconsin Technical College Verification of Breastfeeding Support Group Attendance Attendance of a series (3 meetings and a total of 6 hours) of La Leche League or other breastfeeding support
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How to fill out breastfeeding-verification-formpdf

How to fill out breastfeeding-verification-formpdf
01
Obtain a copy of the breastfeeding-verification-formpdf
02
Fill out your personal information including name, address, and contact information
03
Provide information about your healthcare provider including their name, address, and contact information
04
Complete the section detailing the purpose of the form and your specific needs for breastfeeding accommodations
05
Sign and date the form to certify the information provided is accurate
Who needs breastfeeding-verification-formpdf?
01
Individuals who require breastfeeding accommodations at their workplace
02
Mothers who need to provide verification of their breastfeeding needs to their employer
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What is breastfeeding-verification-formpdf?
It is a form used to verify and document breastfeeding in order to qualify for certain benefits or accommodations.
Who is required to file breastfeeding-verification-formpdf?
Mothers who are breastfeeding and need to provide proof of breastfeeding.
How to fill out breastfeeding-verification-formpdf?
You need to fill in your personal information, details about the child being breastfed, and have a healthcare provider certify the breastfeeding.
What is the purpose of breastfeeding-verification-formpdf?
The purpose is to confirm and document the act of breastfeeding in order to access benefits or accommodations.
What information must be reported on breastfeeding-verification-formpdf?
Information such as mother's name, child's name, date of birth, healthcare provider's certification, and duration of breastfeeding.
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