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.

Related to Declination form

  • Election Form means the form established from time to time by the Committee that a Participant completes, signs and returns to the Committee to make an election under the Plan.

  • Application Form means any application form to be completed by subscribers for Shares as prescribed by the Company from time to time.

  • Deferral Election Form means each form established from time to time by the Administrator that the Executive completes, signs and returns to the Administrator to designate the amount of Deferrals.

  • Beneficiary Designation Form means the form established from time to time by the Plan Administrator that the Executive completes, signs, and returns to the Plan Administrator to designate one or more Beneficiaries.

  • Distribution Election Form means the form established from time to time by the Plan Administrator that the Director completes, signs and returns to the Plan Administrator to designate the time and form of distribution.