Processing a Claim Clause Samples

Processing a Claim. 1. Where the agency of one Contracting State receives a claim of a person, who has completed periods of coverage under the legislation of the other or both Contracting States, this agency shall send the claim through the liaison agency to the agency of the other Contracting State, indicating the date on which the claim has been received. Along with the claim, it will also transmit to the agency of the other Contracting State: - any available documentation that may be necessary for the agency of the other Contracting State to establish the claimant’s eligibility for the benefit, - form which will indicate, in particular, the periods of coverage completed under the legislation of the first Contracting State, - and, eventually, a copy of its own decision on benefit if it has been taken on. 2. The agency of the other Contracting State subsequently determines the claimant’s eligibility and notifies through the liaison agency its decision to the agency of the first Contracting State. Along with its decision, it will also transmit, if necessary or upon the request, to the agency of the first Contracting State: - any available documentation that may be necessary for the agency of the first Contracting State to establish the claimant’s eligibility for the benefit, - form which will indicate, in particular, the periods of coverage completed under the legislation which it applies. 3. The agency of the Contracting State with which a claim for benefits has been filed shall verify the information pertaining to the claimant and his family members. The type of information to be verified shall be agreed upon by the liaison agencies of the two Contracting States.
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Processing a Claim. 1. Where the institution of one Contracting State receives a claim of a person, who has completed periods of insurance under the legislation of the other or both Contracting States, this institution shall send the claim through liaison bodies to the competent institution of the other Contracting State, indicating the date on which the claim has been received. Along with the claim, it will also transmit to the competent institution of the other Contracting State: - any available documentation that may be necessary for the competent institution of the other Contracting State to establish the claimant’s eligibility for the benefit, - form which will indicate, in particular, the periods of insurance completed under the legislation of the first Contracting State, - and, eventually, a copy of its own decision on benefit if it has been taken on. 2. The competent institution of the other Contracting State subsequently determines the claimant’s eligibility and notifies through the liaison bodies its decision to the competent institution of the first Contracting State. Along with its decision, it will also transmit, if necessary or upon the request, to the competent institution of the first Contracting State: - any available documentation that may be necessary for the competent institution of the first Contracting State to establish the claimant’s eligibility for the benefit, - form which will indicate, in particular, the periods of insurance completed under the legislation which it applies. 3. The personal information regarding an individual contained in the claim shall be certified by the competent institutions which will confirm that the information is corroborated by documentary evidence. Certification of this information on the form releases the competent institutions from sending the original documents. The competent institutions will agree on the type of information that will be confirmed by this manner.
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Processing a Claim. 1. If the competent institution of a Party receives a claim for a benefit under the legislation of the other Party, it will, without delay, send the claim, through its liaison agency, to the liaison agency of the other Party, indicating the date on which the claim has been received. Along with the claim, it will also transmit any available documentation which may be necessary for the competent institution of the other Party to establish the claimant’s eligibility for the benefit. 2. The personal information regarding an individual contained in the claim will be certified by the competent institution of the Czech Republic or the liaison agency of Canada, as the case may require, which will confirm that the information is corroborated by documentary evidence; the transmission of the form so certified will exempt them from sending the corroboratory documents. They will agree on the type of information to which this paragraph applies. 3. In addition to the claim and documentation referred to in paragraph 1, the competent institution of the first Party will send, through its liaison agency, to the liaison agency of the other Party, a form which will indicate, in particular, the creditable periods under the legislation of the first Party. 4. The competent institution of the other Party will subsequently determine the claimant’s eligibility and, through its liaison agency, notify the liaison agency of the first Party of its decision.
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Processing a Claim. 1. When the liaison agency or competent institution receives a claim for a benefit under the legislation administered by the other liaison agency or competent institution, it will, without delay, send the claim to the other liaison agency or competent institution, indicating the date of the claim. 2. Along with the claim, the first liaison agency or competent institution will also transmit any documentation available to it which is necessary for the other liaison agency or competent institution to establish the claimant’s eligibility for the benefit. 3. The information contained in the claim will be certified by the first liaison agency or competent institution which will confirm that the information is supported by documentation. The transmission of the information so certified will exempt that liaison agency or competent institution from sending the supporting documents. 4. In addition to the claim and documentation referred to in subparagraphs 1 and 2 of this paragraph, the first liaison agency or competent institution will send to the other liaison agency or competent institution a form which will certify, in particular, the creditable periods under the legislation which it administers. 5. The liaison agencies and competent institutions will inform each other of the decision to grant or deny the right to a benefit.
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Processing a Claim. 1. The competent institution of a Contracting Party which receives a claim for benefits payable under the legislation of the other Contracting Party shall note thereon the date of receipt of the claim and shall, without delay, send the claim form through the liaison agency, to the liaison agency of the other Contracting Party. 2. Along with the claim form, the liaison agency shall also transmit any documentation available to it which may be necessary for the competent institution of the other Contracting Party to establish the claimant’s entitlement to a benefit. 3. The personal data regarding an individual contained in the claim form shall be duly certified by theliaison agency. The transmission of the certified form regarding the personal data shall exempt the liaison agency from sending the original documents to the other Contracting Party. 4. Each competent institution shall subsequently determine the claimant’s eligibility to a benefit and notify the other institution, through the liaison agency, of its decision in respect of the claim.
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Processing a Claim. 1. If the Competent Institution of one Contracting Party receives a claim for a benefit under the legislation of the other Contracting Party, it will send the claim to the Competent Institution of the other Contracting Party, indicating the date on which the claim was received. 2. Along with the claim, the Competent Institution of the first Contracting Party may, in exceptional cases, where indispensable, transmit any documentation available to it for the Competent Institution of the other Contracting Party to establish the claimant's eligibility for the benefit. 3. The personal data regarding a claimant and his/her family members contained in the claim will be verified by the Competent Institution of the first Contracting Party, which will confirm that the information is corroborated by documentary evidence. 4. In addition to the claim and documentation referred to in subparagraphs 1 and 2 of this Paragraph, the Competent Institution of the first Contracting Party will send to the Competent Institution of the other Contracting Party a liaison form which will indicate the period of insurance completed under the legislation of the first Contracting Party. 5. The Competent Institution of the other Contracting Party will subsequently determine the claimant's eligibility and notify the claimant and the Competent Institution of the first Contracting Party of its decision.
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Related to Processing a Claim

  • Sending a Claim Notice Before beginning a lawsuit, mediation or arbitration, you and we agree to send a written notice (a claim notice) to each party against whom a claim is asserted, in order to provide an opportunity to resolve the claim informally or through mediation. Go to ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/ claim for a sample claim notice. The claim notice must describe the claim and state the specific relief demanded. Notice to you may be provided by your billing statement or sent to your billing address. Notice to us must include your name, address and Account number and be sent to American Express ADR c/o CT Corporation System, ▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇. If the claim proceeds to arbitration, the amount of any relief demanded in a claim notice will not be disclosed to the arbitrator until after the arbitrator rules.

  • Filing a Complaint If an employee believes that they have been harassed and/or discriminated against on the basis of any prohibited ground of discrimination, there are specific actions that may be taken to put a stop to it. First, request a stop of the unwanted behaviour. Inform the individual that is doing the harassing or the discriminating against you that the behaviour is unwanted and unwelcome. It is advisable to document the events, complete with times, dates, location, witnesses and details. However, it is also understood that some victims of discrimination or harassment are reluctant to confront their harasser or they may fear reprisals from the harasser, lack of support from their work group, or disbelief by their supervisor or others. The incident should be brought to the attention of your Supervisor and/or Committeeperson.

  • Sub-Processing 10.1 In respect of any Processing of Personal Data performed by a third party on behalf of a Party, that Party shall: (a) carry out adequate due diligence on such third party to ensure that it is capable of providing the level of protection for the Personal Data as is required by the contract, and provide evidence of such due diligence to the other Party where reasonably requested; and (b) ensure that a suitable agreement is in place with the third party as required under applicable Data Protection Legislation.

  • Payment Processing Citizens may require any other information from Vendor that Citizens deems necessary to verify any compensation request placed under this Agreement and Vendor agrees that it will provide such information as reasonably requested by Citizens. Payment shall be due net thirty (30) calendar days of Citizens’ actual receipt of a complete and undisputed invoice. Where a submitted invoice is incomplete, such as not containing the information described in this Section, Citizens will return the incomplete invoice to Vendor for correction within thirty (30) calendar days of Citizens’ actual receipt of such invoice. Where Citizens reasonably disputes any part of a complete invoice, such as the amount of the compensation request, Citizens shall pay any undisputed portion of the invoiced amount within (30) calendar days of Citizens’ actual receipt of the complete invoice and will describe the basis for the disputed portion of the invoiced amount. Where Vendor disagrees with Citizens dispute of any invoice, the Parties shall seek to resolve the dispute in accordance with the Dispute Resolution Process further described in this Agreement. In no case shall Citizens be subject to late payment interest charges where Vendor has submitted an incomplete invoice or where Citizens has reasonably disputed an invoice. Where Vendor fails to submit an invoice within twelve (12) calendar months of the Services for which compensation is being requested, Vendor acknowledges and agrees that any payment due for such Services is forfeited by Vendor for its failure to timely submit an invoice.