WV WORKS PERSONAL RESPONSIBILITY CONTRACT (PRC)Health and Human Resources • April 24th, 2008
• I understand that I am required to attend any meetings or appointments related to my eligibility for cash assistance and my self-sufficiency goals. These meetings or appointments include, but are not limited to, home visits, periodic review of my eligibility for benefits, assessment of my skills and progress in meeting my goals and becoming self-sufficient, employment interviews scheduled by or for me, etc. or I may be sanctioned.
LIEAP FUEL SUPPLIER AGREEMENTFuel Supplier Agreement • August 13th, 2004
In consideration for timely payments and authorization that will be provided by the OFFICE for households found eligible for assistance through the Low Income Energy Assistance Program (LIEAP), SUPPLIER agrees that:
Interagency Agreement BetweenInteragency Agreement • February 19th, 2013
GROUP RESIDENTIAL PROVIDER AGREEMENTGroup Residential Provider Agreement • August 30th, 2006
The West Virginia Department of Health and Human Resources, Bureau for Children and Families , Office of Finance and Administration, hereinafter DHHR, and Agency Name, hereinafter Provider, mutually covenant and agree that for and in consideration of the Provider’s delivery of group residential services, the Department will make payment in accordance with terms and conditions set forth in this Agreement.
WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES EMPLOYER INCENTIVE PROGRAM (EIP) AGREEMENTFebruary 2nd, 2007
WV WORKS - PERSONAL RESPONSIBILITY CONTRACT (PRC) PART 1 OF 2March 17th, 2004
• I understand that if I am a parent age 20 or above, I will have to get a job or be in a job activity, or both. I further understand that if I quit or refuse a job or job activity without good cause, I will be sanctioned.
ContractJuly 9th, 2008
AT EQUIPMENT LOAN AGREEMENTEquipment Loan Agreement • September 22nd, 2020
The family or professional borrowing the equipment will take responsibility for the equipment loaned to them. In signing this form, the family or professional is agreeing to return the equipment by the expiration date of the loan period. The family or professional will return the equipment in its original condition. If, during the loan period, the equipment is broken or in need of repair, the family or professional will contact the WV Birth to Three system and determine the best process for getting the equipment repaired, to be covered by WV Birth to Three. In some instances (such as purposeful breakage or negligence), the family or professional (borrower) will be responsible for the cost of repair.
VFC Storage Agreement PIN#January 18th, 2006
Providers who wish to receive Vaccines for Children vaccine must agree to provide the appropriate storage units as well as adhere to the Immunization Program’s handling requirements. Failure to comply may result in a suspension of vaccine provided.
180-DAY WASTE EVALUATION AGREEMENTAugust 16th, 2011
I hereby acknowledge that the above facility is currently generating in excess of fifty pounds of infectious medical waste per month.
FORM Conditional Employee or Food Employee Reporting Agreement 1-B Preventing Transmission of Diseases through Food by Infected Conditional Employees orReporting Agreement • April 28th, 2008
Food Employees with Emphasis on illness due to Norovirus, Salmonella Typhi, Shigella spp., Enterohemorrhagic (EHEC) or Shiga toxin-producing Escherichia coli (STEC), or hepatitis A Virus
JOINT OPPORTUNITIES FOR INDEPENDENCE (JOIN) CONTRACT BETWEEN WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES AND Addendum/RenewalNovember 3rd, 2003
This addendum shall be incorporated as part of the original Contract. All other aspects of original Contract shall remain in effect.
WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES CWEP INDIVIDUAL PARTICIPATION AGREEMENTNovember 3rd, 2003
COMMUNITY WORK EXPERIENCE PROGRAM (CWEP) CONTRACT BETWEENOctober 20th, 2003
This addendum shall be incorporated as part of the original Contract. All other aspects of the original Contract shall remain in effect.
PREPAREDNESS AND RESPONSE COOPERATIVE AGREEMENTCDC Bioterrorism • May 23rd, 2002
This cooperative agreement is a clear opportunity to strengthen preparedness and response capacity of West Virginia’s public health system and to develop a Public Health Threat Response Plan with our many partners. Threat Preparedness and Response is not a new topic to public health in WV. The Bureau for Public Health (BPH), in conjunction with the Department of Military Affairs and Public Safety, Office of Emergency Services, regularly responds to natural disasters (primarily floods) affecting much of our population. However, many factors need to be considered in addressing these issues. West Virginia is the only state entirely within Appalachia and communities are widely disparate both geographically and culturally across the state. West Virginia encompasses 24,282.45 square miles and has a population of approximately 1.8 million people living within its 55 counties. Both county size and rurality of locales vary widely.
AT EQUIPMENT LOAN AGREEMENTAt Equipment Loan Agreement • September 14th, 2020
The family or professional borrowing the equipment will take responsibility for the equipment loaned to them. In signing this form, the family or professional is agreeing to return the equipment by the expiration date of the loan period. The family or professional will return the equipment in its original condition. If, during the loan period, the equipment is broken or in need of repair, the family or professional will contact the WV Birth to Three system and determine the best process for getting the equipment repaired, to be covered by WV Birth to Three. In some instances (such as purposeful breakage or negligence), the family or professional (borrower) will be responsible for the cost of repair.
WEST VIRGINIA WISEWOMANWest Virginia Wisewoman • June 27th, 2019
INTERAGENCY AGREEMENTInteragency Agreement • November 14th, 2000
Note: This file copy of the Interagency Agreement is unsigned. A signed copy of the agreement will replace this file in the near future.
Establish a claim against the party most likely to repay first.January 30th, 2008
However, if a claim is established against the sponsor first and the sponsor fails to respond to the repayment letter within 30 days of receipt, a claim must then be established against the alien's AG.
AT Equipment Loan AgreementSeptember 22nd, 2020
The family or professional borrowing the equipment will take responsibility for the equipment loaned to them. In signing this form, the family or professional is agreeing to return the equipment by the expiration date of the loan period. The family or professional will return the equipment in its original condition. If, during the loan period, the equipment is broken or in need of repair, the family or professional will contact the WV Birth to Three system and determine the best process for getting the equipment repaired, to be covered by WV Birth to Three. In some instances (such as purposeful breakage or negligence), the family or professional (borrower) will be responsible for the cost of repair.
WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES JOIN INDIVIDUAL PARTICIPATION AGREEMENTNovember 3rd, 2003
WEST VIRGINIA WISEWOMANAugust 3rd, 2017
COMMUNITY WORK EXPERIENCE PROGRAM (CWEP) CONTRACT BETWEENOctober 20th, 2003
This addendum shall be incorporated as part of the original Contract. All other aspects of the original Contract shall remain in effect.
COMMUNITY WORK EXPERIENCE PROGRAM (CWEP) CONTRACT BETWEENHealth and Human Resources And • February 20th, 2004 • West Virginia
THIS CONTRACT is made this day of , 20 , by and between the West Virginia Department of Health and Human Resources, Division of Family Assistance and/or County Office (hereinafter referred to as the “Department”) and (hereinafter referred to as “Contractor”).
WV WORKS Diversionary Cash Assistance AgreementSeptember 8th, 2006
- To provide verification that I am employed, have a verified offer of employment or will have another verified source of income within two months of this application.
JOINT OPPORTUNITIES FOR INDEPENDENCE (JOIN) CONTRACT BETWEENNovember 3rd, 2003
This JOIN Contract between the West Virginia Department of Health and Human Resources, Division of Family Assistance and/or County Office, referred to as the “Department” and referred to as the “Contractor” is hereby revised effective as of to continue through June 30, .
WEST VIRGINIA WISEWOMANAugust 3rd, 2017
AGREEMENT TO SELL PROPERTYFebruary 2nd, 2007
Description of EACH Asset (If Real Property, show the address and location) Name of Owners Nature and Percentage of Ownership of each Estimated Current Market Value Amount still Owed if any Estimated Net Proceeds of Sale (after sales expenses and any amount owed) 1. 2. 3. My assets exceed the amount to qualify for cash assistance payments from the WV WORKS Program. I request that conditional payments be made to my family, for a period not to exceed six months, until I am able to sell the asset(s) described above for the current market value or highest price I am able to obtain. After the Department of Health and Human Resources notifies me of the approval of this agreement, I agree to the following:< To take all necessary actions to sell the asset(s) for the current market value within six months of the notice of this agreement’s approval; and< To notify DHHR within five business days of the sale’s completion; and< To repay DHHR all payments received with
ContractOctober 22nd, 2008
The Worker and the client agree on the amount needed for the family for overnight lodging, rent, utility deposits and food. These items are not verifiable, since the client does not yet have a place to live in the new state and does not know where he will stay overnight on the drive. It is reasonable to assume that these costs will be incurred in moving to another state, and the amount is negotiated.
PAYMENT AGREEMENTPayment Agreement • October 11th, 2005
, - - has been approved for Adult Family (client name) (social security #) Care in the home of at (provider name) (provider address) effective . The rate of payment is established at $ for a full month or $ per day for a partial month placement. The client currently receives SSI benefits in the amount of $ per month. Other resources to be applied toward the cost of care are: $ from . The client shall retain
Establish a claim against the party most likely to repay first.March 8th, 2010
However, if a claim is established against the sponsor first and the sponsor fails to respond to the repayment letter within 30 days of receipt, a claim must then be established against the alien's AG.
WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES CWEP INDIVIDUAL PARTICIPATION AGREEMENTNovember 3rd, 2003
AT EQUIPMENT LOAN AGREEMENTEquipment Loan Agreement • September 22nd, 2020
The family or professional borrowing the equipment will take responsibility for the equipment loaned to them. In signing this form, the family or professional is agreeing to return the equipment by the expiration date of the loan period. The family or professional will return the equipment in its original condition. If, during the loan period, the equipment is broken or in need of repair, the family or professional will contact the WV Birth to Three system and determine the best process for getting the equipment repaired, to be covered by WV Birth to Three. In some instances (such as purposeful breakage or negligence), the family or professional (borrower) will be responsible for the cost of repair.
STATE OF WEST VIRGINIAAugust 25th, 2006
MEMORANDUM OF UNDERSTANDING BETWEENMarch 29th, 2007
The West Virginia Department of Agriculture (WVDA) under West Virginia Code §19-10a et seq. has authority to regulate the production, processing, sale and distribution of eggs. The Bureau of Public Health (BPH) is charged under the West Virginia Code with inspecting food service establishments and retail food stores where eggs are sold and served.
