Client Authorization Form definition
Examples of Client Authorization Form in a sentence
Client may add additional Users beyond the authorized number at any time in accordance with the rate per additional user agreed to on the Client Authorization Form, or by execution of a mutually agreeable written amendment to the Authorization Form.
The Agency acknowledges that an adapted Agency Authorization to Release Information form must include an HMIS clause which permits the Agency to share restricted client information with select agencies (as specified on the Client Authorization Form) in compliance with the Agency’s approved Confidentiality Policies and Procedures.
The Agency will document client consent on the HMIS Client Authorization Form.
Sharing of restricted information is not covered under the general HMIS Client Authorization Form.
The Agency acknowledges that once the Client Authorization Form expires, a new Client Authorization Form must be obtained or no new information can be added to the database.
This signed Client Authorization Form may be considered as an application for credit, and therefore authorizes the PPP specified on this form and NatPay to investigate the credit of the Company specified on this form and its principals.
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To establish Online Banking - Business, the Company must complete a Online Banking - Business Client Authorization Form ("Authorization Form") evidencing the Company's desire to access its accounts using Online Banking - Business, and identifying the specific accounts that will be accessible (the "Covered Account(s)") and the specific Online Banking - Business functions that we will provide to the Company.