Request/Agreement Sample Contracts

LEVELS 2-4 DISTRIBUTED GENERATION INTERCONNECTION REQUEST AGREEMENT
Request Agreement • June 16th, 2021 • Iowa

This agreement ("Agreement") is made and entered into this day of , by and between ("interconnection customer"), as an individual person, or as a organized and existing under the laws of the State of , and

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IMPORTANT NOTE: Completed and signed agreement must be returned to the school guidance counselor prior to the approval of the student course request and must
Request Agreement • July 11th, 2021

Important: Online courses are available to all HCS students, but it is important for students as well as parents/guardians to have a clear understanding of what is involved in online instruction and what it takes to be successful in an online course. Students should be highly motivated, good readers, technology proficient, self-disciplined, and well-organized. Students and parents/guardians are advised to meet with school guidance counselors to discuss online learning expectations and requirements in-depth prior to course enrollment.

Lab Room Request Agreement
Request Agreement • September 11th, 2021

The Social Behavior Lab is a research facility in the Department of Psychology at the University of Southern California. The primary function of the lab is to facilitate and promote research investigating social behavior. Students and faculty from Psychology are welcome to use the lab, although researchers from related fields may also use the lab on a per-­‐project basis. Studies conducted the lab should have approval from the University of Southern California’s Internal Review Board. Researchers and assistants interacting with human participants should have received CITI training.

Lab Room Request Agreement
Request Agreement • June 10th, 2019

Students and faculty from Psychology are welcome to use the lab, although researchers from related fields may also use the lab on a per-project basis. Studies conducted in the lab must have approval from the University of Southern California’s Internal Review Board. Researchers and assistants interacting with human participants must have received CITI training.

International Wire Transfer Request Agreement
Request Agreement • July 27th, 2022

The following rules shall apply to wire transfer services provided by Ridgedale Federal Credit Union. As used in the Wire Transfer Request Agreement, the words "us," "we" or "our" shall apply to and mean "Ridgedale Federal Credit Union". The words “I”, "you" and "your" shall apply to and mean the member and all owners listed on the account that have requested or utilized the wire transfer services stated herein. This Wire Transfer Agreement supersedes any inconsistent terms contained in Ridgedale Federal Credit Union's member account agreements and any previous Wire Transfer Notice and/or Agreements.

BC Organization & Club Funding Request Agreement
Request Agreement • September 19th, 2019

The Organization & Club funding program is designed to support student-led clubs and organizations. The monies that BC Organizations/Clubs receive may be used to fund activities, programs, or services that embrace your BC experience. Uses of the money must be consistent with the mission of Bryan College.

Lab Room Request Agreement
Request Agreement • September 7th, 2023

Students and faculty from Psychology are welcome to use the lab, although researchers from related fields may also use the lab on a per-project basis. Studies conducted in the lab must have approval from the University of Southern California’s Internal Review Board. Researchers and assistants interacting with human participants must have received CITI training.

City of Osakis
Request Agreement • August 4th, 2021

By signing this agreement, it is hereby understood by the applicant that water/sewer/garbage is billed monthly and payment is due in the City Clerk’s office on or before the 10th of every month to avoid any late charges. If your bill is delinquent for two months you will be notified and if no payment is made within 10 days of the delinquent notice your utilities will be shut-off. The applicant will be required to pay the balance in full, plus a $25.00 reconnection fee.

INTRODUCTION:
Request Agreement • May 5th, 2011

The Meridian Health, Health Information Exchange (“HIE”) enables the mobilization of healthcare information electronically across our health system. The mission of the HIE is to securely and reliably share patient information among all health care providers. The goal of the HIE is to facilitate access to and retrieval of clinical data in order to provide safer, timely, efficient, effective, equitable, patient- centered care. This agreement sets forth the terms and conditions for access to the Meridian Health Information Exchange. By signing the Agreement, the person seeking access to Health Information Exchange acknowledges and agrees to be bound the terms and conditions of this Agreement. Access to the Meridian HIE is conditioned upon your signing this Agreement, abiding by the terms of this Agreement and is provided at the sole discretion of Meridian Health.

LAMAR UNIVERSITY KEY/ELECTRONIC ACCESS REQUEST AGREEMENT
Request Agreement • March 2nd, 2021

TYPE QUANTITY APPROVAL LEVEL PRINTED NAME SIGNATURE INDIVIDUAL INTERIOR DOOR CHAIR/DIRECTOR BUILDING ENTRYKEY CHAIR/DIRECTOR INTERIOR SUB- MASTER VICE PRES/DEAN BUILDING MASTER VICE PRES/DEAN GRAND MASTER PRESIDENT

APOSTILLE REQUEST/AGREEMENT
Request/Agreement • August 31st, 2021
NOVARTIS FEDERAL CREDIT UNION
Request Agreement • December 9th, 2013

The following rules shall apply to wire transfer services provided by Novartis Federal Credit Union. As used in the Wire Transfer Request Agreement, the words "us," "we" or "our" shall apply to and mean "Novartis Federal Credit Union". The words “I”, "you" and "your" shall apply to and mean the member and all owners listed on the account that have requested or utilized the wire transfer services stated herein. This Wire Transfer Agreement supersedes any inconsistent terms contained in Novartis Federal Credit Union's member account agreements and any previous Wire Transfer Notice and/or Agreements.

HUDSON RIVER COMMUNITY CREDIT UNION
Request Agreement • March 21st, 2018 • New York

The following rules shall apply to wire transfer services provided by Hudson River Community Credit Union. As used in the Wire Transfer Request Agreement, the words, “us”, “we”, “our” or “Credit Union” shall apply and mean “Hudson River Community Credit Union”. The words “you” and “your” shall apply to and mean the member and all owners listed on the account that have requested or utilized the wire transfer services stated herein. This Wire Transfer Agreement supersedes any inconsistent terms contained in Hudson River Community Credit Union’s member account agreements and any previous Wire Transfer Notice and/or Agreements. This Wire Transfer Agreement is subject to modification and or termination upon five (5) days’ written notice to you. Any account holder signature on this agreement allows that all owners of the account have authorization to perform wire transfer transactions provided the security procedures listed in this agreement are followed. You agree to be bound by the terms a

MASTER AMENDMENT NO. 3 TO THE U.S. RECEIVABLES LOAN AGREEMENT, U.S. SERVICING AGREEMENT AND TRANSACTION DOCUMENTS
Request Agreement • May 2nd, 2013 • Huntsman CORP • Chemicals & allied products • New York
Service Request Agreement
Request Agreement • July 28th, 2020

If the maintenance request is to fix something that was due to tenant damage or responsibility, the tenant will be charged. If you have questions on what is tenant responsibility, please visit our website or call us at 619-575- 6200 X 204.

Contract
Request Agreement • December 28th, 2017

Thank you for your interest in reserving an athletic field(s) from Greenville County Rec. Please carefully review all the information in this request agreement and return this form to rdixon@greenvillecounty.org. Athletic field rental rates are based on demand and location. Please refer to the 2018 Rental Rates on Page 2. We look forward to serving you in your athletic field needs.

APOSTILLE REQUEST/AGREEMENT
Request/Agreement • August 31st, 2021
Wire Transfer Request Agreement
Request Agreement • June 8th, 2023 • Texas
City of Osakis
Request Agreement • July 24th, 2023

By signing this agreement, it is hereby understood by the applicant that water/sewer/garbage is billed monthly and payment is due in the City Clerk’s office on or before the 10th of every month to avoid any late charges. If your bill is delinquent for two months you will be notified and if no payment is made within 10 days of the delinquent notice your utilities will be shut-off. The applicant will be required to pay the balance in full, plus a $25.00 reconnection fee.

Student Reference‌
Request Agreement • July 18th, 2023
Advance Check Request Agreement
Request Agreement • February 5th, 2018

This form is for the use of advance funding; all areas must be filled in and constitutes a binding agreement: Club/Organization/Program Requesting Advance: Date of Event: Amount: Party to be paid*: Reason for Advance:

REQUEST/AGREEMENT FOR LIVE TRAP
Request/Agreement • May 26th, 2017

I, the undersigned, request a “Live Animal Trap” from the Bolingbrook Animal Control Department to aid in the removal of unwanted nuisance animals living on my property. Traps will not be given out to set for wildlife passing through on property. I authorize the Bolingbrook Animal Control Department, or designated representative, to enter onto my property to remove the trapped/nuisance animal without my being present. I further agree to follow, without deviation, the rules set forth (see below) by the Bolingbrook Animal Control Department for the safe and effective use of the live animal trap. I understand that failing to honor this agreement will result in the removal of the trap and the denial of its future use.

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Reprint Request Agreement
Request Agreement • May 4th, 2016

Please complete this agreement and email it to val.harmon@oregonpatientsafety.org. You will be contacted within 2 to 5 business days with a response to your request.

Meter Hooding Request/Agreement
Request/Agreement • March 14th, 2019

On-­‐street and off-­‐street meter requests are subject to availability and subject to change or cancellation based on operational needs at any time for any reason. Submitting a request for meter hooding does not guaranty meter hooding. See Meter Hooding Supplement for a list of rules and regulations, as well as current fees associated with meter hooding services. A copy of the Meter Hooding Supplement can and/or will be provided to you by a member of the Park Cedar Rapids staff. Requests along with signed agreement must be submitted 48 hours in advance for review and approval. Any additional concerns or questions regarding the meter hooding program can be directed to the Park Cedar Rapids Office at 319-­‐365-­‐7275 or 319-­‐423-­‐7060 after hours.

AUTHORIZATION AGREEMENT FOR
Request Agreement • December 16th, 2023

By signing below, I authorize Carmine State Bank to rely on voice instructions or instructions received through a fax or via email to make Wire Transfers from the account(s) listed above. A call back to the phone number(s) listed above will be preformed for all instructions received by phone, fax, or email.

FIELD USE REQUEST/AGREEMENT
Request/Agreement • May 27th, 2021

Date of Use Requested Day of Week Requested(Please check) HoursRequested From Date To Date Mon Tues Wed Thurs Fri Sat Sun FromAM/PM ToAM/PM

AGREEMENT BETWEEN MO DEPT. OF CONSERVATION (MDC), Municipal Park Grant Commission of St. Louis County AND:
Request / Agreement • March 30th, 2021

Landowner/Cooperator Name:City of Crestwood Address1 Detjen Drive City:Crestwood State:MO Zip:63126 Phone(s):314-729-4700 County:Saint Louis Township: Range: Section:

Contract
Request Agreement • July 21st, 2019

Thank you for your interest in reserving an athletic field(s) from Greenville County Rec. Please carefully review all the information in this request agreement and return this form to rdixon@greenvillecounty.org. Athletic field rental rates are based on demand and location. Please refer to the *NEW* 2019-2020 Rental Rates on Page 2. We look forward to serving you in your athletic field needs.

CABOT PUBLIC SCHOOLS
Request Agreement • October 20th, 2008

If the auditorium is requested, a separate contract will need to be completed with the Auditorium Supervisor, Gwen Brooks, at (501) 605-6014.

GROUP TOURREQUEST/AGREEMENT Saint Joseph Abbey offers group tours of the church and monks’ refectory on Tuesday and Thursday morning from 9am – 11am. Please complete ALL information below. Failure to complete any part may delay the scheduling of your...
Request/Agreement • October 16th, 2023

Please arrive on time, allowing time to park/off-load and coordinate your group in front of the church. While on our property, please be courteous and respectful of our tour guides, facilities, and landscape.

Service Request Agreement
Request Agreement • September 7th, 2020

If the maintenance request is to fix something that was due to tenant damage or responsibility, the tenant will be charged. If you have questions on what is tenant responsibility, please visit our website or call us at 619-575- 6200 X 204.

BIDET INSTALLATION REQUEST & AGREEMENT
Request & Agreement • August 25th, 2023
MACKENZIE GAS GATHERING AND PROCESSING FACILITIES CAPACITY REQUEST AGREEMENT
Request Agreement • November 10th, 2005 • Alberta

WHEREAS IORVL, ConocoPhillips, Shell and EMCP are currently proposing to develop facilities which generally consist of gathering lines from the Niglintgak, Taglu and Parsons Lake fields, a gas and liquids processing facility in the Inuvik area and a liquids transportation line from the outlet of the gas and liquids processing facility to an interconnection with the existing Enbridge pipeline at Norman Wells, as set out in Schedule "A" hereto (the "Facilities");

SPACE USE REQUEST & AGREEMENT
Request & Agreement • April 10th, 2013

To request use of our facility, please fill out Section 1: Space Request and mail it to the church or email it to staff@umcofhartford.org at least two weeks prior to your event. When your reservation is confirmed, your deposit is due and this agreement (Section 3) is signed by both parties.

REQUEST/AGREEMENT FOR LIVE TRAP
Request/Agreement • April 18th, 2017

I, the undersigned, request a “Live Animal Trap” from the Bolingbrook Animal Control Department to aid in the removal of unwanted nuisance animals living on my property. Traps will not be given out to set for wildlife passing through on property. I authorize the Bolingbrook Animal Control Department, or designated representative, to enter onto my property to remove the trapped/nuisance animal without my being present. I further agree to follow, without deviation, the rules set forth (see below) by the Bolingbrook Animal Control Department for the safe and effective use of the live animal trap. I understand that failing to honor this agreement will result in the removal of the trap and the denial of its future use.

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