Disclosure Statement and Privacy Notice. The Department of Child Safety, Youth and Women (the department) is collecting the personal information on this form for the purpose of assessing your application to become or continue to be a xxxxxx or kinship carer. This is authorised under the Child Protection Xxx 0000 and the Child Protection Regulation 2011. Your personal information will be managed in accordance with the Information Privacy Xxx 0000. Under the Children’s Court Rules 2016 and the Director of Child Protection Litigation Xxx 0000, the department is required to provide relevant information to the Director of Child Protection Litigation (DCPL) in relation to child protection proceedings, and the DCPL has a duty to disclose documents relevant to the proceeding to each other party. Therefore, any information provided to the department that may be relevant to current or future court proceedings may be provided to the parties, including the parents. This may include applications for future child protection orders for children already in your care as an approved xxxxxx or kinship carer, such as long-term Child Protection Orders. Support Options Contact Details Other Information (detail relevant local information) Queensland Xxxxxx and Kinship Care Support Line Telephone: 0000 000 000 Availability: Monday to Friday 5:00 pm – 11:30 pm Saturday and Sunday 7:00 am – 11:30 pm Queensland Xxxxxx and Kinship Care (QFKC) Telephone: (00) 0000 0000 Email: FCQ – xxxxx@xxxx.xxx.xx Website: FCQ – xxx.xxxx.xxx.xx Xxxxxx and Kinship Care Service (please fill in contact details of local service supporting applicant/carer)
Disclosure Statement and Privacy Notice. You acknowledge receipt of a SMM Brochure and/or SPM Brochure (Form ADV, Part 2A), and a SPM/SMM Brochure Supplement at or before the execution of this Agreement. The parties have executed this Agreement, including the agreement to binding arbitration of disputes in Section 29 above, by their duly authorized representatives on , 20 .
Disclosure Statement and Privacy Notice. You acknowledge receipt of Part 2 of Form ADV (the “Disclosure Statement”) and you acknowledge that you have reviewed and agree to Commandiv’s Privacy Policy (xxx.xxxxxxxxx.xxx/xxxxxxx) and Terms of Use (xxx.xxxxxxxxx.xxx/xxxxx) at or before the execution of this Client Agreement.
Disclosure Statement and Privacy Notice. You acknowledge receipt of Part 2 of Form ADV (the “Disclosure Statement”) and the privacy notice at or before the execution of this Agreement. [The balance of this page is intentionally blank; the signature page follows immediately.] This Agreement, including the agreement to binding arbitration of disputes in Section 22, has been signed and delivered by their duly authorized representatives on the date indicated below. Client(s): Printed name and any representative capacity Client’s or representative’s signature Date Printed name and any representative capacity Client’s or representative’s signature (e.g., joint or co-trustee) Date Printed name and any representative capacity Client’s or representative’s signature (e.g., joint or co-trustee) Date
Disclosure Statement and Privacy Notice. Registered investment advisors are required to provide their advisory clients and prospective clients with a written disclosure document, as set forth in SEC Rule 204-3. As a registered advisor, we comply with this requirement by providing advisory clients and prospective clients with Part 2A and 2B of our Form ADV before or at the time of entering into an advisory contract. Client hereby acknowledges that prior to entering into this advisory contract, the Investment Advisor Representative (IAR) has made you aware of how to access the firm’s Disclosure Document and Privacy Notice. Specifically, the IAR has informed you that delivery of these required documents is done electronically via links on the Advisor’s website at xxx.xxxxxxxxxxxx.xxx. The Disclosure Document is referred to as “Advisory Services – Firm Brochure”. The Disclosure Document discusses the scope of Advisor’s services, fees, qualifications of IAR and any corresponding conflicts of interest. The Privacy Notice is referred to as “Privacy Policy”. The Privacy Notice discusses the manner in which the firm protects your private information. Client acknowledges that upon accessing the documents on the website, he/she must provide the following information: first name, last name, email address, IAR first name and IAR last name. By initialing here, , client hereby consents to this form of delivery. Client also consents to receiving annual electronic delivery of these documents. By initialing here, , client does not consent to this delivery method and, instead, the IAR and client together will contact the home office for delivery, prior to signing the agreement. By initialing here, , client certifies that the IAR has delivered a paper copy.
