Common use of Facsimile Number Clause in Contracts

Facsimile Number. Payment by JAC under this Due Process Contract may only be made to Vendor or the Legal Entity to whom Vendor is associated. Vendor designates that payment by JAC under this Due Process Contract shall be made to: XXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXX Name (Vendor or Legal Entity) Federal Employer Identification Number* * A DFS SUBSTITUTE FORM W-9 FOR THE PAYEE MUST BE ON FILE WITH DFS. STATE OF FLORIDA JUSTICE ADMINISTRATIVE COMMISSION XXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXX ▇▇▇▇▇ ▇. "Rip" ▇▇▇▇▇▇, ▇▇. Date Executive Director Please check the box next to the description of the service you provide. Court Reporter 1. Court Reporter (Stenographic) 2. Court Reporter (Electronic) 3. Court Reporter – Transcription of Recordings (other than Hearings and Depositions) Videographer Video Conference Services Expert Witness 1. Accounting 2. Accident Reconstructionist 3. Attending/Treating Physician 4. Audio Video Forensics 5. Ballistic/Firearms 6. Biomechanics 7. Blood Splatter 8. Cell Phone/Cellular Tower Mapping 9. Chemist 10. Child Abuse 11. Child Sexual Abuse 12. Crime Scene Reconstruction 13. Computer Forensics 14. DNA Analysis/Testing/Expert 15. Engineering 16. Eyewitness Testimony 17. False Confessions 18. Fingerprint Analysis/Examiner 19. Forensic Pathologist/Medical Examiner 20. Forensic Photography 21. GPS Forensics 22. Handwriting 23. Internet/Social Media 24. Medical Dr./Physician Expert 25. Neurologist 26. Neuropsychologist 27. Nurse Practitioner (RN, LPN) 28. Pediatric Doctor 29. Pharmacologist 30. Physical/Medical Testing (PET Scan, MRI, EEG, QEEG, X-Ray & Brain Imaging) 31. Physician’s Assistant (PA) 32. Polygrapher 33. Psychologist/ Mental Health Expert 34. Radiologist 35. Sanity/Competency Evaluations 36. Sex Offender Evaluation 37. Sexual Predator Commitment Evaluation/Expert 38. Social Worker/Licensed Clinical Social Worker 39. Toxicologist 40. Use of Force 41. Other - Please describe services in box below: Interpreter/Translator 1. Spanish 2. French 3. Haitian/Creole 4. Chinese 5. Other, Specify Sign Language Interpreter REVIEW ONLY

Facsimile Number. Payment by JAC under this Due Process Contract may only be made to Vendor or the Legal Entity to whom Vendor is associated. Vendor designates that payment by JAC under this Due Process Contract shall be made to: XXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXX XXXX_XXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXX Name (Vendor or Legal Entity) Federal Employer Identification Number* * A DFS SUBSTITUTE FORM W-9 FOR THE PAYEE MUST BE ON FILE WITH DFS. STATE OF FLORIDA FLORIDA, JUSTICE ADMINISTRATIVE COMMISSION XXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXX_XX XXXXXXXXXXXXXXXXX ▇▇▇▇▇ ▇. "Rip" ▇▇▇▇▇▇, ▇▇. Date Executive Director Please check the box next to the description of the service you provide. Court Reporter 1. Court Reporter (Stenographic) 2. Court Reporter (Electronic) 3. Court Reporter – Transcription of Recordings (other than Hearings and Depositions) Videographer Video Conference Services Expert Witness 1. Accounting 2. Accident Reconstructionist 3. Attending/Treating Physician 4. Audio Video Forensics 5. Ballistic/Firearms 6. Biomechanics 7. Blood Splatter 8. Cell Phone/Cellular Tower Mapping 9. Chemist 10. Child Abuse 11. Child Sexual Abuse 12. Crime Scene Reconstruction 13. Computer Forensics 14. DNA Analysis/Testing/Expert 15. Engineering 16. Eyewitness Testimony 17. False Confessions 18. Fingerprint Analysis/Examiner 19. Forensic Pathologist/Medical Examiner 20. Forensic Photography 21. GPS Forensics 22. Handwriting 23. Internet/Social Media 24. Medical Dr./Physician Expert 25. Neurologist 26. Neuropsychologist 27. Nurse Practitioner (RN, LPN) 28. Pediatric Doctor 29. Pharmacologist 30. Physical/Medical Testing (PET Scan, MRI, EEG, QEEG, X-Ray & Brain Imaging) 31. Physician’s Assistant (PA) 32. Polygrapher 33. Psychologist/ Mental Health Expert 34. Radiologist 35. Sanity/Competency Evaluations 36. Sex Offender Evaluation 37. Sexual Predator Commitment Evaluation/Expert 38. Social Worker/Licensed Clinical Social Worker 39. Toxicologist 40. Use of Force 41. Other - Please describe services in box below: Interpreter/Translator 1. Spanish 2. French 3. Haitian/Creole 4. Chinese 5. Other, Specify Sign Language Interpreter REVIEW ONLY