The Indiana State Health Department J-1 Visa Waiver ProgramAffidavit and Agreement • September 5th, 2014
to review my application for the purpose of recommending a waiver of the foreign residency requirement set forth in my J-1 Visa, pursuant to the terms and conditions as follows:
Delta Regional Authority J-1 Visa Waiver ProgramAffidavit and Agreement • October 13th, 2022
I, , being duly sworn, hereby request the Delta Regional Authority (DRA) to review my application for the purpose of recommending a waiver of the foreign residency requirement set forth in my J-1 Visa, pursuant to the terms and conditions as follows:
Construction Management ContractAffidavit and Agreement • April 26th, 2021 • Georgia
WHITFIELD COUNTY, GEORGIAAffidavit and Agreement • December 13th, 2021
WHITFIELD COUNTY, GEORGIAAffidavit and Agreement • July 2nd, 2021
ContractAffidavit and Agreement • July 28th, 2020
I, , being duly sworn, hereby request the Delta Regional Authority (DRA) to review my application for the purpose of recommending a waiver of the foreign residency requirement set forth in my J-1 Visa, pursuant to the terms and conditions as follows:
GEORGIA SECURITY AND IMMIGRATION COMPLIANCE ACT AFFIDAVIT AND AGREEMENTAffidavit and Agreement • January 24th, 2018
Effective July 1, 2007, the following language is required to be included in all contracts entered into by the Clayton County Board of Commissioners for the physical performance of services within this State of Georgia:
Attachment A J-1 VISA WAIVER POLICY AFFIDAVIT AND AGREEMENTAffidavit and Agreement • October 23rd, 2012
I, , being duly sworn, hereby request the Wyoming Department of Health to review my application for the purpose of recommending waiver of the foreign residency requirement set forth in my J-1 Visa, pursuant to the terms and conditions as follows:
AFFIDAVIT AND AGREEMENT FOR ISSUANCE OF DUPLICATE WARRANTAffidavit and Agreement • December 23rd, 2008
AFFIDAVITAffidavit and Agreement • November 2nd, 2020
Letterhead of Claiming Agency] AFFIDAVIT AND AGREEMENT RE: Abandoned Property Belonging to __________________Affidavit and Agreement • October 11th, 2020
_________________(agency)______________, hereby certifies that, to the best of his/her knowledge and belief, the _____________(agency)___________is the owner of abandoned property totaling ___(amount)___, presently being held in the Abandoned Fund Account of the Missouri State Treasury.
Delta Regional Authority J-1 Visa Waiver ProgramAffidavit and Agreement • November 18th, 2020
I, , being duly sworn, hereby request the Delta Regional Authority (DRA) to review my application for the purpose of recommending a waiver of the foreign residency requirement set forth in my J-1 Visa, pursuant to the terms and conditions as follows:
AFFIDAVIT and AGREEMENT Nevada Division of Public and Behavioral Health Eligibility Requirements for EmployersAffidavit and Agreement • May 5th, 2020
Affidavit and Agreement for Issuance of Duplicate CheckAffidavit and Agreement • February 13th, 2023
• In consideration of the issuance and delivery to me of a new or duplicate check in like amount I hereby agree that I will promptly surrender the warrant first described should such warrant ever come into my possession, custody or control.
APPLICATION FOR J-1 VISA WAIVER / STATE CONRAD 30 PROGRAMAffidavit and Agreement • August 8th, 2017
I, , being duly sworn, hereby request the New Jersey Department of Health, hereinafter known as the (Department), to review my application for the purpose of recommending waiver of the foreign residency requirement set forth in my J-1 Visa, pursuant to the terms and conditions as follows:
ContractAffidavit and Agreement • October 22nd, 2020
I, , being duly sworn, hereby request the Federal Co- Chair of the Appalachian Regional Commission to review my application for the purpose of recommending waiver of the foreign residency requirement set forth in my J-1 Visa, pursuant to the terms and conditions as follows:
ContractAffidavit and Agreement • March 8th, 2016
I, , being duly sworn, hereby request the Federal Co-Chair of the Appalachian Regional Commission to review my application for the purpose of recommending waiver of the foreign residency requirement set forth in my J-1 Visa, pursuant to the terms and conditions as follows:
ContractAffidavit and Agreement • April 15th, 2024
I, , being duly sworn, hereby request the Federal Co- Chair of the Appalachian Regional Commission to review my application for the purpose of recommending a waiver of the foreign residence requirement set forth in my J-1 Visa, pursuant to the terms and conditions as follows:
Foresters Life Insurance and Annuity Company Affidavit and Agreement Pertaining to Proceeds of Lost or Destroyed Contract/PolicyAffidavit and Agreement • July 31st, 2015
I, , being duly sworn, depose and say that I am the Beneficiary under Contract/Policy No. which was issued by Foresters Life Insurance and Annuity Company (“FLIAC”); that said contract/policy has been lost or destroyed and I have no knowledge as to its whereabouts; that no person or persons, corporation or association, has any claim or interest in said contract/policy by virtue of any sale, assignment or pledge thereof, as follows:
CHICAGO TITLE INSURANCE COMPANYAffidavit and Agreement • September 19th, 2007
In consideration of said conveyance, and to induce Chicago Title Insurance Company to issue a title insurance policy without exception for parties in possession or mechanic's/materialman's liens, the undersigned hereby represent and agree as follows:
AFFIDAVIT AND AGREEMENT TO COMPLY WITH CITY OF BEVERLY HILLS FERAL CAT TRAP- NEUTER-RETURN PROGRAM REGULATIONS AND GUIDELINESAffidavit and Agreement • September 14th, 2009
AFFIDAVIT AND AGREEMENTAffidavit and Agreement • February 12th, 2013
I, , residing at the undersigned member (the words "I", "me", or "my" in this document refer to the member) of the Bethpage Federal Credit Union (the "Credit Union") do hereby request that payment be stopped on the following official check:
Delta Regional Authority J-1 Visa Waiver ProgramAffidavit and Agreement • November 18th, 2020
I, , being duly sworn, hereby request the Delta Regional Authority (DRA) to review my application for the purpose of recommending a waiver of the foreign residency requirement set forth in my J-1 Visa, pursuant to the terms and conditions as follows:
The Delta Regional Authority J-1 Visa Waiver ProgramAffidavit and Agreement • March 31st, 2005
I, , being duly sworn, hereby request the Delta Regional Authority to review my application for the purpose of recommending a waiver of the foreign residency requirement set forth in my J-1 Visa, pursuant to the terms and conditions as follows:
Affidavit and AgreementAffidavit and Agreement • September 16th, 2015
Each of the undersigned, separately, with intent to be legally bound, in consideration of proctoring and administering examinations in agreement with the provisions in The Institutes’ Test Administrators Guide (TAG), under oath certify, attest, pledge, swear, and affirm that:
GEORGIA SECURITY AND IMMIGRATION COMPLIANCE ACT AFFIDAVIT AND AGREEMENTAffidavit and Agreement • December 18th, 2013
By executing this affidavit, the undersigned contractor verifies its compliance with O.C.G.A. § 13-10-91, stating affirmatively that the individual, firm or corporation
AFFIDAVIT AND AGREEMENT OF INDEMNIFICATIONAffidavit and Agreement • July 14th, 2011
The undersigned, being first duly sworn, says: I am the proper payee of the City of Mercer Island warrant issued in payment of goods or services, and that said warrant has been lost or destroyed and to the best of my knowledge has not been paid. I understand that the City will issue a warrant in place of the original and I hereby agree to hold the City of Mercer Island harmless from the payment of the original warrant and all costs and charges on account should the original warrant be presented and paid in due course.
GEORGIA SECURITY AND IMMIGRATION COMPLIANCE ACT AFFIDAVIT AND AGREEMENTAffidavit and Agreement • April 10th, 2018
By executing this affidavit, the undersigned contractor verifies its compliance with O.C.G.A. § 13-10-91, stating affirmatively that the individual, firm or corporation
WHITFIELD COUNTY, GEORGIAAffidavit and Agreement • December 5th, 2019
Vendor Affidavit and AgreementAffidavit and Agreement • September 11th, 2012
By executing this Affidavit and Agreement, the undersigned vendor verifies its compliance with State of Alabama Act 2011‐535, Section 9, stating affirmatively that the individual, firm or corporation which is contracting with Jacksonville State University has registered with and is in compliance with State of Alabama Act 2011‐535.
Affidavit and Agreement Pertaining to Loss or Destruction of PolicyAffidavit and Agreement • August 15th, 2014
Said Policy has been lost, mislaid, or destroyed and I have no knowledge as to its whereabouts. The circumstances of the loss or destruction were as follows:
Domestic Partnership Affidavit and AgreementAffidavit and Agreement • September 9th, 2013
The purpose of this Affidavit is to document benefit eligibility for your domestic partner and/or your domestic partner’s dependent(s).
ContractAffidavit and Agreement • May 11th, 2022
I, , being duly sworn, hereby request the Southeast Crescent Regional Commission (SCRC) to review my application for the purpose of recommending a waiver of the foreign residency requirement set forth in my J-1 Visa, pursuant to the terms and conditions as follows:
E-VERIFY CONTRACTOR AFFIDAVIT AND AGREEMENTAffidavit and Agreement • December 16th, 2020
The Brunswick-Glynn County Joint Water and Sewer Commission and Contractor agree that compliance with the requirements of O.C.G.A. § 13-10-91 and Rule 300-10-1-.02 of the Rules of the Georgia Department of Labor are conditions of this Agreement for the physical performance of services.
GEORGIA SECURITY AND IMMIGRATION COMPLIANCE ACT AFFIDAVIT AND AGREEMENTAffidavit and Agreement • June 24th, 2013
