Contact Information Form definition

Contact Information Form. This form is provided below as the “Business Relationship Contact Form” and must be completed to facilitate communication with all MassHousing Departments. • Direct Deposit Sign-Up Form: This is also referred to as the 1199A form and is available through this link Standard Form 1199A. This is used by the MassHousing Treasury Department to identify the financial institution and bank account number to which electronic payments are made. The staff at MassHousing are working remotely during the Covid-19 Pandemic so there is no MassHousing staff to receive the original signed 1199A form sent via regular mail. We are asking you to have the CFO or Comptroller sign the 1199A Form and send it with a voided check as a PDF to ▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ in the same E-mail with the other documents. We will contact the CFO or Comptroller to confirm the request.
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Contact Information Form means the Member Contact Information Form attached to the Membership Agreement and completed by the Member in connection with its admission, or such other form as may be designated by the Company from time to time for purposes of collecting such information.
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Contact Information Form. This form is provided below as the “Business Relationship Contact Form” and must be completed to facilitate communication with all MassHousing Departments. • Direct Deposit Sign-Up Form: This is also referred to as the 1199A form and is available through this link Standard Form 1199A. This is used by the MassHousing Treasury Department to identify the financial institution and bank account number to which electronic payments are made. The 1199A Form must be an original form with signatures. 1199A forms that are copied, faxed or in PDF formats are not acceptable. As previously mentioned, the original 1199A form should be sent via USPS / UPS / FedEx to: MassHousing, ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ - ▇▇▇ ▇▇▇▇▇, ▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ – Attention: Quality Assurance.
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Examples of Contact Information Form in a sentence

  • Any notice, demand, information, report, or item otherwise required, authorized, or provided for in this Omnibus Agreement shall be given in writing and shall be deemed properly given if (i) delivered personally, (ii) transmitted and received by telephone facsimile device, or electronically, and confirmed by telephone, or (iii) sent by United States Mail, postage prepaid, to the Party County Emergency Program Managers at the address designated in each Party County’s Emergency Contact Information Form.

  • Providers can update their information by submitting the Provider Contact Information Form at ▇▇▇.▇▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇▇▇▇, or by contacting Provider Relations at ▇▇▇-▇▇▇-▇▇▇▇ or ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇.▇▇▇.

  • Contact information changes must be documented on a revised Provider Contact Information Form and submitted to the Council contract manager within five (5) working days of occurrence.

  • Staff contacts identified by the Provider on the Provider Contact Information Form shall be accessible via e-mail throughout the subcontract period and respond timely to Council contract manager communications.

  • Provide each Party County with a copy of any new or updated Emergency Contact Information Form submitted by a Party County.

  • The Provider shall submit a Provider Contact Information Form to the Council contract manager for execution of this subcontract.

  • Emergency Contact Information Form is the form to be submitted by each Party County that lists names, addresses, and 24-hour numbers for the County’s Contact Person(s).

  • The Provider shall submit a Provider Contact Information Form to the Network contract manager with signature pages for execution of this subcontract.

  • Maintain a manual containing a master copy of this Omnibus Agreement (as amended or revised), a list of Party Counties, and a copy of each Party County’s Emergency Contact Information Form.

  • Provide the Emergency Program Manager or designee of the Party County selected to serve as the administrator of this Omnibus Agreement with a copy of the County’s Emergency Contact Information Form at the annual meeting of the Emergency Program Managers or whenever information in the form changes.

Related to Contact Information Form

  • contact information means information to enable an individual at a place of business to be contacted and includes the name, position name or title, business telephone number, business address, business email or business fax number of the individual;

  • Business Contact Information means the names, mailing addresses, email addresses, and phone numbers of a party’s personnel, officers and directors and, with respect to Client, such information regarding Client’s vendors and customers that Accenture may have access to in maintaining the parties’ business relationship.

  • Federal contract information means information, not intended for public release, that is provided by or generated for the Government under a contract to develop or deliver a product or service to the Government, but not including information provided by the Government to the public (such as on public Web sites) or simple transactional information, such as necessary to process payments.

  • Appendix Information means the information which must be provided for the selected modules as set out in the Appendix of the Approved EU SCCs (other than the Parties), and which for this Addendum is set out in:

  • information folder means the complete folder, including the information document, file, data, drawings, photographs, and so on, supplied by the applicant, it being permissible to supply the information folder in the form of an electronic file;