Declination form definition

Declination form means a form developed by the Department to document an employee or licensed independent consultant declination of influenza vaccine.
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Declination form means the form that is signed by and collected from Clients who decline voter registration services. A Client refusing to sign the Voter Registration Form is also a “Declination.”
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Examples of Declination form in a sentence

  • Renter has completed the Damage Waiver Declination form, preauthorizing Premiere Events to charge such loss or damage, should it occur, to the credit card provided, and, if the credit card provided is not processed by the issuer, to provide prompt payment (defined as 10 days from the date renter receives notification of any product loss or damage) for any inventory loss or damage in some other form acceptable to Premiere Events.

  • Any unit employee may terminate his/her membership and cancel the dues deduction during the anniversary month of the employee’s hire date, by notifying CCEA and completing the appropriate Membership Declination form provided by CCEA.

  • Renter has completed the Damage Waiver Declination form, preauthorizing Party Time to charge such loss or damage, should it occur, to the credit card provided, and, if the credit card provided is not processed by the issuer, to provide prompt payment (defined as 10 days from the date renter receives notification of any product loss or damage) for any inventory loss or damage in some other form acceptable to Party Time.

  • Renter has completed the Damage Waiver Declination form, preauthorizing Party Time Rentals to charge such loss or damage, should it occur, to the credit card provided, and, if the credit card provided is not processed by the issuer, to provide prompt payment (defined as 10 days from the date renter receives notification of any product loss or damage) for any inventory loss or damage in some other form acceptable to Party Time Rentals.