Related form definition

Related form means any form, created by or

Related form means any form, created by or on behalf of a licensee, which a viator or viatical settlement purchaser is required to sign or initial. The forms include, but are not limited to, a power of attorney, a release of medical information form, a suitability questionnaire, a disclosure document, or any addendum, schedule, or amendment to a viatical settle- ment contract or viatical settlement purchase agreement considered neces- sary by a provider to effectuate a viatical settlement transaction.

Related form means any form, created by or on behalf of a licensee, which a viator or viatical settlement purchaser is required to sign or initial.

Examples of Related form in a sentence

• Please ensure this information is consistent with question number three (3) of the Research and Related form.

• Insurance Requirements Submission date: 6 February 2023, 12:09PM Receipt number: 753 Related form version: 17 The requirements herein apply to contracts to be issued by the City of Lincoln, Lancaster County, the Xxxxxxx- Xxxxxxxxx County Public Building Commission, and the West Haymarket Joint Public Agency.

• The CPA was completed after the Health Related form was conducted and reviewed by the DHA.

• HR will make the necessary arrangements to return the employee to work as soon as possible and complete the Doctor Visit/ Modified Work Assignment (Work Related) form (CD-032301.2) or the Doctor Visit/ Modified Work Assignment (Non-Work Related) form (CD-032301.3).

• Insurance Requirements Submission date: 13 January 2023, 8:30AM Receipt number: 712 Related form version: 17 The requirements herein apply to contracts to be issued by the City of Lincoln, Lancaster County, the Xxxxxxx- Xxxxxxxxx County Public Building Commission, and the West Haymarket Joint Public Agency.

• The applicant, by its signature on the SF424 Research & Related form, represents: Representation Regarding the Prohibition on Using Funds Under Other Transaction Agreements with Entities That Require Certain Internal Confidentiality Agreements.

• Functional perspective represents the activities and their decomposition into smaller units and information flows.

• EXECUTION BY XXXXXXX-XXXXXXXXX COUNTY PUBLIC BUILDING COMMISSION ATTEST: _ Public Building Commission Attorney Chairperson, Public Building Commission dated Insurance Requirements Submitted on 31 July 2023, 9:27AM Receipt number 1007 Related form version 18 The requirements herein apply to contracts to be issued by the City of Lincoln, Lancaster County, the Xxxxxxx-Xxxxxxxxx County Public Building Commission, and the West Haymarket Joint Public Agency.

• State program staff review the Needs Assessment, the Health Related form, the Emergency Back-Up Plan, the Consumer Agreement form and the Individualized Budget to assess whether they appear to meet the needs of the participant, that all information is complete, and that forms are signed by the participant or representative.

• Insurance Requirements Submitted on 24 May 2023, 2:04PM Receipt number 925 Related form version 18 The requirements herein apply to contracts to be issued by the City of Lincoln, Lancaster County, the Xxxxxxx-Xxxxxxxxx County Public Building Commission, and the West Haymarket Joint Public Agency.

More Definitions of Related form

Related form means any form, created by or on behalf

Related form means any form, created by or on behalf of a licensee, which a viator is required to sign or initial. The forms include, but are not limited to, a power of attorney, a release of medical information form, a suitability questionnaire, a disclosure document, or any addendum, schedule, or amendment to a viatical settlement contract considered necessary by a provider to effectuate a viatical settlement transaction.