Examples of For Agent in a sentence
Pre-Application❑ 2) Supplement I ( required)❑ 3) Replacement Form❑ 4) Pre-Auth Withdrawal❑ 5) Conditional Receipt❑ 6) TIADB❑ 7) Additional (Please Specify)❑ 8) Full Illustration, UL Only❑ Special Instructions: PLAG.9149 (10.08) For Agent Information only.
For Agent acting for Individual/ Joint Online Bidders, the following documents shall be uploaded during online registration;3.
For Agent websites both the Agent and that Agent’s Designated Broker must complete this agreement.
For Agent Services In Connection With an SBA Disaster Assistance Loan Business Name (if different from Loan Applicant): Loan applicant name: Agent’s Agreement: By signing this Agreement, the undersigned Agent agrees that it has not nor will not directly or indirectly charge or receive any payment in connection with the application for or making of the SBA loan except for services actually performed on behalf of Applicant and identified in this Agreement.
Underwriting Exhibit For Agent Use Only and/or Not For Use with General Pu Offered and Underwritten by Solstice Benefits, Inc., a Life and Health Insurer pursuant to the Florida Insurance Code.
For UnitedHealthcare: For Agent or Agency: Signature – UnitedHealthcare Vice President of Sales Signature BRIAN GARRISONPrintedName PrintedName VP of Sales – South FloridaTitle SSN/TIN Date Title Date FOR UNITEDHEALTHCARE INTERNAL USE ONLY: Date Received: / / PCIS Producer ID: Request for Appointment of Insurance ProducerFor UnitedHealthcare Office Use Only:Indiv.
For UnitedHealthcare: For Agent or Agency: Signature – UnitedHealthcare Vice President of Sales Signature Printed Name Printed Name Title SSN/TIN Date Title Date Request for Appointment of Insurance Producer For UnitedHealthcare Office Use Only: Indiv.
Signed on behalf of Sasria SOC Limited Countersigned at On the day of Year Executive Manager For: Agent NOTE:• It is recommended that only one declaration basis be used, i.e. without the Stock Declaration Conditions.• Stock values are limited to the Insured’s cost price for replacement at the time of the incident causing the claim.
Please complete next pageElectronic Funds Transfer (EFT)Authorization For Direct Deposits (ACH Credits) (For Agent Use Only) Joe Smith123 Any StreetAny City, US 123451234 Date Pay to the order of $ Dollars ABC BankPO Box 111Any City, US 11111Memo _ :107198557: 11111111234Name of Account Bank Name Transit /ABA No. Checking AccountNumber Check Number 3.
For Agent to enroll individuals in QHPs or to assist individuals to apply for APTC or CSR, federal regulations at 45 C.F.R. Part 155 require that the Agent agrees to: (i) register with YHI in advance; (ii) receive training from YHI in the range of QHP options and Insurance Affordability Programs; and (iii) comply with YHI’s privacy and security standards for Insurance Producers.