Affirmation statement definition

Affirmation statement means a department document that when signed by a health care provider or an authorized repre- sentative of a health care provider submitting data to the depart- ment affirms, to the best of the signer’s knowledge, all of the fol- lowing:
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Affirmation statement means a document that, when signed by a hospital or ambulatory surgical treatment center administrator or an authorized representative of a hospital or ambulatory surgical treatment center submitting data to the Department, affirms, to the best of the signer's knowledge, thatall of the following: That any necessary corrections to data submitted to the Department have been made; and thatThat the data submitted are complete and accurate.
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Affirmation statement means a document that, when signed by a hospital or ambulatory surgical treatment center administrator or an authorized representative of a hospital or ambulatory surgical treatment center submitting data to the Department, affirms, to the best of the signer’s knowledge, all of the following:
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Examples of Affirmation statement in a sentence

  • Therefore, this Affirmation statement is not required, nor is the Release of Information required, in order for agencies to forward your personnel file to another City agency or to request your personnel folder from another City Agency.

  • In section F, read the Affirmation statement and select the circle to confirm your agreement.

  • In addition to the foregoing, you are required to tell us each year about any conflicts of interest or potential conflicts of interest as part of your Annual Affirmation statement.

  • In Section F, read the Affirmation statement and click on the circle to confirm your agreement.

  • Affirmation statement distributed to all staff involved in UM decision making 25 Pg __ including a statement regarding conflict of interest.

  • However, some agencies may require annual background checks and will not accept the Oath and Affirmation statement.

  • The project is an individual project that you must complete yourself, without assistance from other individuals.You will expected to sign a Professional Conduct Affirmation statement acknowl- edging these expectations.

  • Additionally, I have reviewed and signed the Affirmation statement which in included at the end of this document.Again, on behalf of all us at North Country Community College, I thank you and your team for the many kindnesses and the support you extended to us over these last several months.

  • Affirmation statement: Required on all relevant documents, acknowledged in the State of Indiana at the conclusion of the document with the prepared by statement.

  • To ensure that your personal information does receive an adequate level of protection outside the EEA we use the following protection measures: ▪ Transferring to countries approved by the European Commission ▪ Using model contractual clauses approved by the European Commission ▪ Requiring companies we transfer information to in the United States to be signed up to the EU/US Privacy Shield Framework Further details in respect of protective measures used outside of the EEA are available on request.


More Definitions of Affirmation statement

Affirmation statement means a statement on the mail absentee return envelope which the voter subscribes to affirming that the voter requested an absentee ballot, is a resident of the district and precinct in which the voter is registered, and is entitled to vote an absentee ballot.
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Related to Affirmation statement

  • Termination statement means an amendment of a financing statement which:

  • Information Statement has the meaning set forth in Section 6.6.

  • Continuation statement means an amendment of a financing statement which:

  • Consent Solicitation Statement means the consent solicitation statement included as part of the Registration Statement with respect to the solicitation by the Company of the Company Stockholder Approval.

  • New Registration Statement has the meaning set forth in Section 2(a).

  • Allocation Statement has the meaning set forth in Section 2.5.

  • Distribution Statement has the meaning set forth in Section 5.02(c) of the Trust Agreement.

  • Initial Registration Statement means the initial Registration Statement filed pursuant to this Agreement.

  • Merger Registration Statement means the registration statement, together with all amendments, filed with the SEC under the Securities Act for the purpose of registering shares of NYB Common Stock to be offered to holders of Synergy Common Stock in connection with the Merger.

  • Rule 462(b) Registration Statement means a registration statement and any amendments thereto filed pursuant to Rule 462(b) relating to the offering covered by the registration statement referred to in Section 1(a) hereof.

  • Remainder Registration Statement has the meaning set forth in Section 2(a).

  • Form S-4 Registration Statement means the registration statement on Form S-4 to be filed with the SEC by Parent in connection with issuance of Parent Common Stock in the Merger, as said registration statement may be amended prior to the time it is declared effective by the SEC.

  • IPO Registration Statement means the Registration Statement on Form S-1 (File No. 333-196099), as amended, filed by the Partnership with the Commission under the Securities Act to register the offering and sale of the Common Units in the Partnership’s initial public offering of such Common Units to the public.

  • Additional Registration Statement means a registration statement or registration statements of the Company filed under the 1933 Act covering any Additional Registrable Securities.

  • Demand Registration Statement has the meaning set forth in Section 2.01(a).

  • Special Registration Statement means (i) a registration statement relating to any employee benefit plan or (ii) with respect to any corporate reorganization or transaction under Rule 145 of the Securities Act, any registration statements related to the issuance or resale of securities issued in such a transaction or (iii) a registration related to stock issued upon conversion of debt securities.

  • Original Registration Statement. As used in this Agreement, the terms “amendment” or “supplement” when applied to the Registration Statement or the Prospectus shall be deemed to include the filing by the Company with the Commission of any document under the Exchange Act after the date hereof that is or is deemed to be incorporated therein by reference. All references in this Agreement to financial statements and schedules and other information which is “contained,” “included” or “stated” in the Registration Statement or the Prospectus (and all other references of like import) shall be deemed to mean and include all such financial statements and schedules and other information which is or is deemed to be incorporated by reference in or otherwise deemed under the Securities Act to be a part of or included in the Registration Statement or the Prospectus, as the case may be, as of any specified date; and all references in this Agreement to amendments or supplements to the Registration Statement or the Prospectus shall be deemed to mean and include, without limitation, the filing of any document under the Exchange Act which is or is deemed to be incorporated by reference in or otherwise deemed under the Securities Act to be a part of or included in the Registration Statement or the Prospectus, as the case may be, as of any specified date. At the time the Registration Statement was or will be originally declared effective and at the time the Company’s most recent annual report on Form 10-K was filed with the Commission, if later, the Company met the then-applicable requirements for use of Form S-3 under the Securities Act. During the Agency Period, each time the Company files an annual report on Form 10-K the Company will meet the then-applicable requirements for use of Form S-3 under the Securities Act.

  • Resale Registration Statement means a registration statement under the Securities Act registering the Securities for resale pursuant to the terms of the Registration Rights Agreement.

  • Registration Statements means the Initial Registration Statement and the additional registration statement as proposed to be filed or as proposed to be amended by the post-effective amendment to be filed shortly prior to its Effective Time, and (iii) "Prospectus" shall mean the prospectus included in the Registration Statements.

  • Resale Shelf Registration Statement shall have the meaning given in subsection 2.3.1.

  • Exchange Registration Statement shall have the meaning assigned thereto in Section 2(a) hereof.

  • Registration Statement means any registration statement that covers the Registrable Securities pursuant to the provisions of this Agreement, including the Prospectus included in such registration statement, amendments (including post-effective amendments) and supplements to such registration statement, and all exhibits to and all material incorporated by reference in such registration statement.

  • Automatic Shelf Registration Statement means an “automatic shelf registration statement” as defined in Rule 405 promulgated under the Securities Act.

  • Exchange Offer Registration Statement means an exchange offer registration statement on Form S-4 (or, if applicable, on another appropriate form) and all amendments and supplements to such registration statement, in each case including the Prospectus contained therein or deemed a part thereof, all exhibits thereto and any document incorporated by reference therein.

  • Company Registration Statement means the Registration Statement, including the Prospectus, amendments and supplements to the Registration Statement or Prospectus, including pre- and post-effective amendments, all exhibits thereto, and all material and exhibits incorporated by reference or deemed to be incorporated by reference in such registration statement.

  • Initial Shelf Registration Statement has the meaning set forth in Section 2(a) hereof.