Waiver Approval Letter

Neila Santos

Email: [email protected]

November 29, 2050

Peter Holms

1565 Orphan Road

Long Lake, WI 54542

Dear Mr. Holms,

I am writing to inform you that your recent request for a waiver, submitted on November 15, 2050, has been carefully reviewed and approved by the Risk Management Department of St. Mary's General Hospital.

Details of the approved waiver are as follows:

• Waiver Request Reference: WR-2050-456

• Recipient: Peter Holms

• Type of Waiver: Fee Waiver

• Effective Date: November 30, 2050

• Expiration Date (if applicable): December 31, 2050

The waiver is granted under the condition that all associated fees are paid by the specified expiration date.

We trust that you will comply with the terms specified above. Failure to do so may result in the revocation of the granted waiver.

Should you have any questions or require further clarification, please do not hesitate to contact Johnny Downey, Risk Manager, at [email protected] or 222 555 7777.

Thank you for your understanding and cooperation.

Yours sincerely,
Neila Santos

Director of Risk Management