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.
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.
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. 12.1 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. Requests for Disability 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. Requests for Substance Use Disorder Treatment 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. Clicking this button will allow you access to download and print participant documents.
Forms and Documents. Contractor shall base form and document design on existing forms and documents to support the Agency’s goals and objective for the multifamily new construction and retrofit program forms that shall include but not be limited to:
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.
