Lì JJJJJJJJJJJJJJJJJJJJJJJJJJ Data JJJ/

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Transcript Lì JJJJJJJJJJJJJJJJJJJJJJJJJJ Data JJJ/

Spett.le Cooperativa Sociale O.N.L.U.S Lidea
Via Della Ferriera, 22 33170 Pordenone (PN)
Lì __________________________ Data ___/___/______
RICHIESTA DI CAMBIO ASSISTENTE FAMILIARE
Il/La sottoscritto/a Sig./ra ____________________________________________________
Referente/contraente del contratto in essere del servizio di assistenza a favore
del/la Sig./ra ______________________________________________________________
si richiede la sostituzione dell’assistente domiciliare _______________________________
per i seguenti motivi:
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In attesa del Vostro Riscontro, porgo
Distinti saluti.
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COOPERATIVA SOCIALE LIDEA O.N.L.U.S. Via della Ferriera, 22 -­‐ 33170 Pordenone (PN) -­‐ C.F./P.IVA: 03477220986 N. REA PN-­‐101672 Tel. 0434-­‐371156 – Fax. 0434-­‐371156 – Mail: [email protected]