Acknowledgement and Authorization Sample Clauses
The ACKNOWLEDGEMENT AND AUTHORIZATION clause serves to confirm that a party has read, understood, and agrees to certain terms, and explicitly grants permission for specific actions or uses of information. In practice, this clause may require a party to acknowledge receipt of disclosures or documents, and to authorize the collection, use, or sharing of personal or business information for defined purposes, such as background checks or data processing. Its core function is to ensure that all parties are aware of and consent to key actions or obligations, thereby reducing the risk of disputes over consent or awareness.
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Acknowledgement and Authorization. By signing below, I hereby authorize the obtaining of consumer reports and/or investigative consumer reports by the Company at any time after receipt of this authorization and throughout the course of my employment, if applicable. Signature: _ _ Date: _ First Name: _Middle Name: _ Last Name: _ Last Four Digits of SSN: __ _ In connection with my application for employment, I direct the following regarding my current employer: (please check one). Yes, my current employer may be contacted / No, my current employer cannot be contacted I understand that I have rights under the Fair Credit Reporting Act, and I acknowledge receipt of the Summary of Rights (initials). I authorize Company and Agency to use email communication with me to provide me with notices and information regarding any report or use of such report. If I do not have an email address or do not wish to share it, then communication will be by U.S. Mail, which will result in slower communication. If you have any questions concerning this background screening content, please contact: AmericanChecked, Inc. (Agency) at (▇▇▇) ▇▇▇-▇▇▇▇. Printed Full Name: Signature: Date: _/ / Company Name: _ Current Address: City State Zip Previous Address City State Zip For identification purposes: Social Security No.: Date of Birth: Driver’s License No.: _ _ _ State of Issue: _ Massachusetts applicants/employees only: The precise nature and scope of any investigative consumer report will be the same as described in Background Check Disclosure. You have a right to obtain a copy of any investigative consumer report upon request from AmericanChecked Inc., ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇. Ste. 120, Tulsa OK 74105, telephone ▇▇▇-▇▇▇-▇▇▇▇. New Jersey applicants/employees only: The precise nature and scope of any investigative consumer report will be the same as described in Background Check Disclosure. You have a right to obtain a copy of any investigative consumer report upon request from AmericanChecked, Inc. ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇., Ste. 120, Tulsa OK 74105, telephone ▇▇▇-▇▇▇-▇▇▇▇. For Oregon applicants/employees only: If the Company obtains information bearing on your credit worthiness, credit standing or credit capacity, it will be because the information is substantially related to the job for which you are being considered/are currently occupying and to evaluate whether you would present an unacceptable risk of theft or other dishonest behavior in the job for which you are being considered/are currently occupying. For Washington ...
Acknowledgement and Authorization. The undersigned verifies the accuracy of all the information contained in this contract and authorizes any credit reporting agency or other third party to release any personal or company information concerning the undersigned’s credit standing to ▇▇▇▇▇▇▇▇ Letter for Doctors & Patients, Inc. The advertiser agrees that TLfDP, Inc. may accept a facsimile copy of this contract agreement as an original, and that facsimile copies of customer’s signature will be treated as original and will be admissible as evidence of this contracted agreement or other document delivered by facsimile.
Acknowledgement and Authorization. By signing below, I authorize COB and BPL, or its authorized agents to obtain or prepare consumer reports or investigative consumer reports about me. I acknowledge receipt of a copy of the federal notice entitled A Summary of Your Rights under the Fair Credit Reporting Act and certify that I have read this Disclosure and Authorization as well as the summary document explaining my rights under the Fair Credit Reporting Act.
Acknowledgement and Authorization. The Company approves the foregoing Custodial Agreement and authorizes the Approved MBS Custodian to act in accordance with the terms thereof. The Company agrees to be bound by the terms of the Custodial Agreement (including all Exhibits thereto) to the same extent as if a party thereto. The Company agrees to indemnify the Approved MBS Custodian for, and hold the Approved MBS Custodian harmless against, any loss, liability or expense in connection with, arising out of or in any way related to the transaction contemplated and relationship established by the Custodial Agreement, or any action or omission by the Approved MBS Custodian in connection with the Custodial Agreement, or any agent, broker or dealer employed by the Approved MBS Custodian hereunder, including the reasonable costs and expenses incurred in defending any such claim of liability, except that the Company shall not be liable for (i) any loss, liability or expense that is determined by a judgment of a court of competent jurisdiction that is binding on the Approved MBS Custodian, final and not subject to review on appeal, to be the direct result of acts or omissions on the Approved MBS Custodian's part constituting gross negligence or willful misconduct, or (ii) any claim that is based on the Approved MBS Custodian's warranty as provided in Section 8-306(3) of the New York Uniform Commercial Code. PULTE MORTGAGE LLC, a Delaware limited liability company By:________________________________ Name:______________________________ Title:_____________________________ EXHIBIT A TO CUSTODIAL AGREEMENT FORM OF LETTER TO APPROVED MBS CUSTODIAN To: _________________________, as Approved MBS Custodian Re: Pulte Mortgage LLC; Custodial and Collateral Agency Instructions Ladies and Gentlemen: Reference is made to the attached schedule relating to a letter/certification to a transfer agent/trustee for the issuance of the Security described more particularly therein, which Security is supported by a pool of residential mortgage loans and/or mortgage-backed securities including mortgage loans and/or mortgage-backed securities in which the undersigned as collateral agent (in such capacity, the "Collateral Agent"), acting under that certain Third Amended and Restated Security and Collateral Agency Agreement dated as of ____________, 2003, as amended, extended or replaced from time to time, holds a first priority perfected security interest. The attached schedule is (i) Delivery Schedule Form 11705 in the case of G...
Acknowledgement and Authorization. You hereby authorize the obtaining of a consumer report and/or investigative consumer report at any time after receipt of this authorization by the Company, and if you are hired, throughout your employment, as permitted by law. You also confirm your understanding and provide consent for this report to be shared with a third-party for whom you may be placed to work as a representative of the Company, if applicable. Signature Today’s Date Full Legal Name (please print) Other or Former Names (please print) Address City/State County Zip Date of Birth** SSN Name on Driver’s License (if different from legal name) Driver’s License # State issued Contact Phone Number E-mail address I would like to receive a copy of my consumer report: ( ) Yes ( ) No
Acknowledgement and Authorization. CLIENT and JFMEL acknowledge that each has read and agrees to the Terms and Conditions printed on the reverse side of this document that are incorporated herein and made a part of this Agreement.
Acknowledgement and Authorization. You hereby authorize, without reservation, the obtaining of a “consumer report” and/or “investigative consumer report” at any time after receipt of this authorization and during the course of your contract, to the extent permitted by law. You also confirm your understanding and provide consent for this report to be shared with a third-party for whom you may be placed to work as a contractor of The Company, if applicable.
Acknowledgement and Authorization. By checking the boxes and providing your electronic signature, you agree that you have read and understand the above contract terms of this Agreement, and agree with the interpretation of this contract as it has been explained to you. You also agree to the terms and recurring payments as stated above. You authorize SLC Muay Thai to submit and process payments through the debit or credit card or cards you have designated on your account. You hereby certify that you are the holder of the debit or credit card, or an authorized user of the account. By checking the boxes and providing your electronic signature you agree to and acknowledge all terms of this release for all participants/members on your account and or as a parent or legal guardian of any participant/member minor [collectively hereinafter "participant" or "participants"] that is less than 18 years, old who wish to participate in practice sessions or events sponsored or conducted by Punisher Muay Thai Kickboxing and Fitness. In consideration of being allowed to participate in any way in the martial arts training, sports programs, and other events and activities conducted by SLC Muay Thai, you:
Acknowledgement and Authorization. I have read, understand, and agree to the above policies listed on page 1 and page 2. Regardless of any insurance I may have, I am ultimately responsible for payment of any professional services rendered. I authorize the release of medical information necessary to process a claim for benefits under my policy and assign payment of my insurance benefits to Waterview Dentistry. If my account should become delinquent, I agree to pay the costs of collection, including agency fees, attorney fees, and court costs. Signature of Patient or Parent if Minor (or legal Guardian) Date:
Acknowledgement and Authorization. This Change Order to the above mentioned contract was created to update the Procurement Officer information within the General Tab of ProcureAZ from ▇▇▇▇ ▇▇▇▇▇▇ to ▇▇▇▇ ▇▇▇▇▇▇▇.