DONOR MILK DROP-OFF FORM
for Depot Coordinators
This form is available to help us use every precious drop of a donor’s milk. Please submit this form when each donor drops off her milk. Having the estimated milk volume allows us to coordinate safe transport by air or vehicle. Questions? Contact milkdrop@mnmilkbank.org
or call 763
-
290-1882.
Depot Name:
Donor ID (one per form):
Date of Drop-Off:
Number of Blue Bags/Containers (please describe):
Estimated Date of Oldest Milk:
How many Blue Bags/Containers are currently in your freezer?:
How full is your freezer?
Your Name (Person Submitting Form):
Contact Phone Number:
Email Address for Confirmation:
Comments/Questions:
Thank You for Helping Babies Close to Home!
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