Statement Form definition

Statement Form means the form presented to Detainees that requests them to admit to theft of ▇▇▇▇'▇ merchandise.

Examples of Statement Form in a sentence

  • The parties further agree to make no change or alteration of the Form 8594 and to file no Supplement Statement Form 8594 without at least fifteen (15) days prior written notice to the other party of the nature and extent of the changes, which notice shall include the revised or Supplemental Statement Form 8594.

  • Investor also agrees to file a UCC Financing Statement (Form UCC1) with the Utah Department of Commerce in the manner set forth in the Pledge Agreement in order to perfect Company’s security interest in the Collateral.

  • Owner has been advised that part of the collateral securing such financial accommodations is the granting of a first priority security interest (the “Security Interest”) in the System to Lender to be perfected by the filing of a Financing Statement (Form UCC-1) under the Uniform Commercial Code.

  • Services also include any services disclosed in the Company’s latest Registration Statement, Form 10-K, Form 10-Q or Form 8-K (or successor form) filed with the SEC.

  • The forms required under this subpart include: Form AC (Application for Conversion); Form PS (Proxy Statement); Form OC (Offering Cir- cular); and Form OF (Order Form).

  • Required Forms • Sworn Statement Pursuant to Section 287.133 (3)(A), Florida Statutes, On Entity Crimes • Drug-Free Workplace Form • Information Sheet for Transactions and Conveyances Corporate Identification • Conflict of Interest Statement Form • Acknowledgment of Addenda, include assigned and dated copy of last addendum issued by the County, if any.

  • After an applicant has drawn and used a grant from the Bank, he/she shall be required to provide a new up-to-date Sick Leave Bank Request Form and an up-to-date Sick Leave Bank Physician’s Statement Form.

  • With respect to those Transferred Employees who are employed by Buyer within the same calendar year as the Closing, Buyer shall, in accordance with and to the extent permitted pursuant to Revenue Procedure 2004-53, 2004-34 I.R.B. 320, assume all responsibility for preparing and filing Form W-2, Wage and Tax Statement, Form 941, Employer’s Quarterly Federal Tax Return, Form W-4, Employee’s Withholding Allowance Certificate and Form W-5, Earned Income Credit Advance Payment Certificate.

  • The Committee will not honor any physician’s statement unless it is on the official Sick Leave Bank Physician’s Statement Form.

  • At the conclusion of any Department-approved travel or training, the concerned employee shall submit a Personal Expense Statement (Form General 16) to FOD within ten (10) working days of such travel detailing all authorized expenditures along with all required supporting documentation.

Related to Statement Form

  • Investment Form means a standardized form prescribed by the Management Company to be duly filled by the investor to purchase Units and will be stated in this Offering Document.

  • Assignment Form means the assignment form attached as Annex 2 hereto.

  • Consent Form means the forms provided to each holder of Pre-Formation Interests to consent to the Formation Transactions and to make such holder’s irrevocable elections with respect to consideration to be received in the Formation Transactions.

  • ASBA Form means an application form, whether physical or electronic, used by ASBA Bidders to submit Bids, which will be considered as the application for Allotment in terms of the Red ▇▇▇▇▇▇▇ Prospectus and the Prospectus;

  • Enrollment Form means an agreement pursuant to which an Eligible Employee may elect to enroll in the Plan, to authorize a new level of payroll deductions, or to stop payroll deductions and withdraw from an Offering Period.