Claim Information Clause Samples
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Claim Information. As per clause H7.4, in respect of each ARRC Claim you submit under this Agreement, you must provide the NHI number of each Service User who was registered with your Pharmacy as receiving ARRC Pharmacy Services. From an indicative date of 1 February 2013 (subject to amendment after applying the Transitional Change Mechanism provisions in clause L7), you must also provide the DoB of each Service User in respect of all claims covered in clause H7.
Claim Information. Each Party shall promptly:
(a) inform the other by written notice of any actual or threatened Claim to which Sections 15.1 or 15.2 apply;
(b) provide to the other Party copies of all papers and official documents received in respect of any such Claim; and
(c) cooperate as reasonably requested by the other Party in the defense of any such Claim.
Claim Information. Each Party shall promptly:
7.5.1 inform the other by written notice of any actual or threatened Claim to which Sections 7.1 or 7.2 apply;
7.5.2 provide to the other Party copies of all papers and official documents received in respect of any such Claim; and
7.5.3 cooperate as reasonably requested by the other Party in the defense of any such Claim, provided any actual out of pocket costs incurred in connection with such cooperation shall be at the expense of the indemnifying Party.
Claim Information. Disclose all lawsuits, arbitrations and claims filed or raised by or against the Proposer over the last five (5) years, specifically identifying: • The project involved. • The parties involved. • The nature of the claim(s). • Amount at issue. • Disposition or status. • Litigation, case style, number, and jurisdiction.
Claim Information. 6.2.1 Claimant is responsible for providing sufficient information to substantiate Customer's rights to remedies under this Exhibit C. Boeing may reject a claim for lack of sufficient information. At a minimum, such information must include:
(i) identity of claimant;
(ii) serial or block number of the aircraft on which the defective Boeing Product was delivered;
(iii) part number and nomenclature of the defective Boeing Product;
(iv) purchase order number and date of delivery of the defective spare part
(v) description and substantiation of the defect;
(vi) date the defect was discovered;
(vii) date the Correction was completed;
(viii) the total flight hours or cycles accrued;
(ix) an itemized account of direct labor hours expended in performing the Correction; and (x) an itemized account of any direct materials incorporated in the Correction.
6.2.2 Additional information may be required based on the nature of the defect and the remedies requested.
Claim Information. 6.2.1 Claimant is responsible for providing sufficient information to substantiate Customer’s rights to remedies under this Exhibit C. Boeing may reject a claim for lack of sufficient information. At a minimum, such information must include:
(i) identity of claimant;
(ii) serial or block number of the aircraft on which the defective Boeing Product was delivered;
(iii) part number and nomenclature of the defective Boeing Product;
(iv) purchase order number and date of delivery of the defective spare part;
(v) description and substantiation of the defect;
(vi) date the defect was discovered;
(vii) date the Correction was completed; AGTA-FED C
(viii) the total flight hours or cycles accrued, if applicable;
(ix) an itemized account of direct labor hours expended in performing the Correction; and
(x) an itemized account of any direct materials incorporated in the Correction.
6.2.2 Additional information may be required based on the nature of the defect and the remedies requested.
Claim Information. 6.2.1 Claimant is responsible for providing sufficient information to substantiate Customer's rights to remedies under this Exhibit C. Boeing may reject a claim for lack of sufficient information. At a minimum, such information must include:
(i) identity of claimant;
(ii) serial or block number of the aircraft on which the defective Boeing Product was delivered;
(iii) part number and nomenclature of the defective Boeing Product;
(iv) purchase order number and date of delivery of the defective spare part;
(v) description and substantiation of the defect;
(vi) date the defect was discovered;
(vii) date the Correction was completed;
(viii) the total flight hours or cycles accrued, if applicable;
(ix) an itemized account of direct labor hours expended in performing the Correction; and
(x) an itemized account of any direct materials incorporated in the Correction.
(xi) for 787 model aircraft the name and revision level of the AMS that documents the required inspection and the specific reference to the inspection requirement contained therein.
6.2.2 Additional information may be required based on the nature of the defect and the remedies requested.
Claim Information. If you need additional space to complete this form, please attached additional pages, and clearly identify by question number which question(s) you are answering on your attached pages.
1. Please identify the address of the building which contains or contained one or more Pella ProLine Casement Window(s) for which this claim applies, if different from the above: Mailing Address, including apartment, unit or box number City State Zip Code
a. Type of Structure: Single Family Home Apartment Condo Commercial Other:
b. Number of units, if not a single family home:
2. Identify the number of Pella ProLine Casement Windows(s) installed. Please attach whatever documentation you have establishing the number of Pella ProLine Casement Windows that are/were installed. Pella’s name may appear on the knob of the window crank. The following questions seek information and documentation establishing that you meet the requirements to receive Arbitration and/or benefits under the Settlement. You will need to produce documentation sufficient to establish these items in order to receive Arbitration and/or benefits under the Settlement.
3. If known, please identify the purchase date of your Pella ProLine Casement Window(s) identified above and from whom the windows were purchased. Include all purchase order numbers, if known.
a. Date of purchase – – MM DD YYYY
b. From whom the windows were purchased (Individual or Business)
c. Purchase order numbers (if known) Purchase Order 1 Purchase Order 2 Purchase Order 3 02-CA5163 K4092 v.▇▇ ▇▇.▇▇.▇▇▇▇ QUESTIONS? Call ▇-▇▇▇-▇▇▇-▇▇▇▇ or visit ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇
4. If known, please identify the date of installation of your Pella ProLine Casement Window(s) identified above. If not known, please identify the date your home was built. Installation Date: Date Home was ▇▇▇ t: – – OR – – MM DD YYYY MM DD YYYY
5. If available, please provide the glass etch information for each window. This information is located on the glass in one of the corners of each window.
Claim Information. Check the injury Claimant is claiming from ▇▇▇▇▇▇▇▇’s use of DCOCs and indicate the date(s) of occurrence: Injury Type Date
Claim Information. 6.2.1 Claimant is responsible for providing sufficient information to substantiate Customer's rights to remedies under this Exhibit C. Boeing may reject a claim for lack of sufficient information. At a minimum, such information must include:
(i) identity of claimant;
(ii) serial or block number of the aircraft on which the defective Boeing Product was delivered;
(iii) part number and nomenclature of the defective Boeing Product;
(iv) purchase order number and date of delivery of the defective spare part;
(v) description and substantiation of the defect;
(vi) date the defect was discovered; and,
(vii) date the Correction was completed.
6.2.2 Additional information may be required based on the nature of the defect and the remedies requested.