Forms and Documents Clause Samples

Forms and Documents. 1. Member Group Enrollment Application (Master Application) – SDIS will create and maintain a Member Group specific form. The form must be completed by all newly enrolling Member Groups, even if the Member Group was previously enrolled in the Plan. 2. Employee Enrollment Application – SDIS will create and maintain a Member Group specific form. The form must be completed by each enrolling employee. If eligible employee declines to enroll, she/he must complete a Waiver form instead. 3. For existing SDIS Member Groups moving to another SDIS Plan with no lapse in coverage, SDIS will accept a letter from the Member Group confirming no change in enrollment in lieu of enrollment applications. 4. Summary Plan Description – SDIS will provide benefit Summary Plan Descriptions at the Member Group level and distributed electronically to each Member Group. Electronic copies can also be accessed through the SDIS website.

Forms and Documents. Necessary forms or documents to be utilized under this procedure shall be adopted by the parties.

Forms and Documents link Providers to all downloadable documents needed to complete the Subsidy Renewal Application.

Forms and Documents. A. Licensee acknowledges that the following permits may be required in order to have the Event at the Property (note – such list is non-exclusive and may not include all possible required permits): sound permit, food service permit, and ABC permit. B. All required rental fees, insurance certificates, sound permits, or other forms and permits are due at least thirty (30) days prior to the start of the Event. C. If Licensee does not provide all required rental fees, insurance certificates, sound permits, or other forms and permits in a timely manner, the City will terminate this Agreement and Licensee’s access to the Property. In the event of such a termination, Licensee must complete this Agreement and provide the required rental fees, insurance certificates, sound permits, or other forms and permits in order to re-book the Property for the Event at a later date.

Forms and Documents a) Need to submit the original 10th & 12th Mark-sheets on the Date of Joining. b) The documents would be under the safeguard of the company until the bond period is over. c) The company takes the full responsibility of keeping the documents secure and won't be releasing it before the bond period is over. d) In case the employee needs the document for some work, the employee would have to submit an alternative original document to release the old document, during the bond period.

Forms and Documents. The below listed documents are to be used by the Contractor and Owner during the administration of this Contract. Additional administrative forms may supplement this list upon written notice by the Owner (or Owner's Authorized Representative). Owner reserves the right to modify these forms as it deems necessary. Contractor shall maintain logs for Items A-I and provide to Owner monthly:

Forms and Documents. If you require medical and other forms to be completed for third parties, please let your provider know at the beginning of your session and your provider will discuss the completion of the forms while they meet with you in your session. Please allow 7 to 10 business days for the completion of these forms. Generally, such forms are considered an addition to the appointment and incur a separate charge. Disability and FMLA paperwork: To the extent permitted by law, there will be a charge of $50.00 for the completion of medical forms up to 5 pages. Any additional pages will be $15.00 per additional page, as permitted by applicable law. Charges for workers’ compensation and other forms will not exceed permissible fees. In order to complete the forms, you may need to come in for an appointment. Payment is due at the time that you request these forms. Psychiatry of Texas does not accept patients seeking treatment for the sole purpose of obtaining disability benefits or patients seeking long-term disability benefits. It is possible that after evaluating you, your provider may be willing to complete disability paperwork on your behalf, however, your provider is not required to do so and Psychiatry of Texas may assess a fee, as permitted by applicable law, to assist with such a request. Your provider may also need you to schedule a separate follow-up appointment with them for this purpose. Psychiatry of Texas providers generally do not provide treatment for substance use disorders, such as treatment for detoxification, acute withdrawal, or medication-assisted treatment in an outpatient setting. Consequently, if necessary, you may be required to be admitted to inpatient treatment at a hospital. If you require substance use disorder treatment, please reach out to your insurance plan for assistance in finding an appropriate treatment provider or facility.

Forms and Documents. 12.1 The below listed documents are to be used by the Construction Manager and Town during the administration of this Contract. Additional administrative forms may supplement this list upon written notice by the Town (or Town's Authorized Representative). Town reserves the right to modify these forms as it deems necessary. Construction Manager shall maintain logs for Items A-K and provide to Town monthly. A. Request for Information B. Field Instruction C. Construction Change Proposal D. Change Order E. Construction Change Directive F. Submittal Transmittal

Forms and Documents. Clicking this button will allow you access to download and print participant documents.