Delegate Information Sample Clauses

Delegate Information. A delegate is a person that has been granted permission by the patient to create a MyChart™ account on their behalf. By signing off on this agreement and providing the delegate information below, the delegate will have access to the patients’ health information that is available on MyChart™. Delegate Last Name Delegate First Name Date of Birth (YYYY/MM/DD) Delegate Address Delegate Phone Number Delegate Email Relationship to Patient SIGNATURES (required for all requests – please use ink) I give permission to Sunnybrook Health Sciences Centre to release my personal health information as indicated in this form. This form will authorize the release of my personal health information gathered prior to the date of signature. I may withdraw my permission at any time, in writing, as long as the information has not already been released. Delegate MyChart™ accounts will only be closed upon the request of the patient directly to MyChart™ administration. Only parents who are requesting access to a MyChart™ account on behalf of their child (less than 14 years old) are exempted from a patient signature. Please note that photo identification for both the patient and the delegate is required upon submission for those applications not completed/submitted in-person. Patient Signature: Date: AND
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Delegate Information. It is essential that delegate information is provided in full no later than 10 business days before the date of the class starting. EXHIBIT B SUPPORT SERVICES SUPPORT LEVELS AND TERMS AND CONDITIONS SUMMARY OF SUPPORT SERVICES BY PLAN TYPE: Support Levels Bronze Silver Gold Source Code YES YES YES Updates / Bug Fixes (Maintenance Releases) YES YES YES Web Support 12 x 5 24 x 7 24 x 7 Email Support 12 x 5 24 x 7 24 x 7 Phone Support 8 x 5 12 x 5 24 x 7 Authorized Support Contacts 2 5 10 Priority Case Routing Not included Included Included Accelerated SLAs Not included Included Included Business Reviews & Strategic Planning Not included Not included Included SERVICES DETAIL:
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Delegate Information. The Employer advises the shop xxxxxxx or his assistant of any course, seminar, conference which are given to the negotiation team.
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Delegate Information. EXHIBIT B SUPPORT SERVICES SUPPORT LEVELS AND TERMS AND CONDITIONS SUMMARY OF SUPPORT SERVICES BY PLAN TYPE: Support Levels Bronze Silver Gold Source Code YES YES YES Updates / Bug Fixes (Maintenance Releases) YES YES YES Web Support 12 x 5 24 x 7 24 x 7 Email Support 12 x 5 24 x 7 24 x 7 Phone Support 8 x 5 12 x 5 24 x 7 Authorized Support Contacts 2 5 10 Priority Case Routing Not included Included Included Accelerated SLAs Not included Included Included Business Reviews & Strategic Planning Not included Not included Included SERVICES DETAIL:
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Delegate Information. For training courses involving elements of a practical nature, candidates are required to provide their own Personal Protective Equipment (in clean and working order) as detailed on the Joining Instructions issued. Additionally, candidates must be physically fit to withstand the rigours of training. The onus is entirely on the candidate to ensure their fitness and suitability to undergo training and CMT cannot and will not accept any responsibility in this regard. Consumption of any alcohol or illegal substances is not permitted before or during any CMT courses or testing. If there is any evidence of such, instructors are obliged to refuse to train/test the candidate. Equipment must not be removed from the training environment. Any damage caused by wilful misuse or negligence will be invoiced to The Client. For booking of any CPCS course or technical test the client is responsible for the candidate having achieved a valid Health and Safety Touch Screen Test. CPCS tests cannot be completed without the candidate having a valid CSCS Health, Safety and Environment Test. To be classed as valid under the rules of the CPCS scheme the CSCS Touch Screen Test must have been passed within 2 years of the CPCS test date. For example, if the candidate passed the test over 4 years ago, the Touch Screen Test must be taken again before completing a new CPCS test.
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Delegate Information. 9.1 The Sponsor must:
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Related to Delegate Information

  • Administrative information IV.2.2) Time limit for receipt of tenders or requests to participate Date

  • Accurate Information All information heretofore, herein or hereafter supplied to Secured Party by or on behalf of Debtor with respect to the Collateral is and will be accurate and complete in all material respects.

  • Rate Information The County Benefits Division will make health and dental plan rate information available upon request to employees and departments. In addition, the County Benefits Division will publish and distribute to employees and departments information about rate changes as they occur during the year.

  • Line Information Database 9.1 LIDB is a transaction-oriented database accessible through Common Channel Signaling (CCS) networks. For access to LIDB, e-Tel must purchase appropriate signaling links pursuant to Section 10 of this Attachment. LIDB contains records associated with End User Line Numbers and Special Billing Numbers. LIDB accepts queries from other Network Elements and provides appropriate responses. The query originator need not be the owner of LIDB data. LIDB queries include functions such as screening billed numbers that provides the ability to accept Collect or Third Number Billing calls and validation of Telephone Line Number based non-proprietary calling cards. The interface for the LIDB functionality is the interface between BellSouth’s CCS network and other CCS networks. LIDB also interfaces to administrative systems.

  • Program Information The Heritage Greece Program is generally described in the literature provided to the Student and available online at: xxxx://xxx.xxx.xxx. It is understood and agreed that the information contained therein is descriptive only and may be changed in the discretion of ACG which reserves the right to make Program changes at any time and for any reason, with or without notice. ACG and/or the Sponsor shall not be liable to the Student because of any such change. ACG reserves all rights, in its sole discre tion, to cancel the Program or any aspect thereof prior to or after departure, and in the case of cancellation after departure, to require the Student to return to the United States, if ACG determines or believes it is in the best interests of the Student.

  • SITE INFORMATION General description The Xxxxx Power Station is situated approximately half way between Bethal and Ogies on the R545, being just over 30 km from each town and 10 km north-west of Kriel town. Xxxxx Power Station is situated in a summer rainfall area with an average annual precipitation of about 750 mm falling almost entirely during the months of October to April. The average rainfall per month generally exceeds 40 mm during this period, although drought periods do occur which can last for 20 days or longer. Drought periods occur most frequently during the months of October/November and March/April. January is statistically the highest rainfall month with an average monthly rainfall of about 130 mm. June has the lowest rainfall with an average monthly rainfall of about 7 mm. Approximately 85% of the annual rainfall occurs in the summer months and heavy falls of 125 to 150 mm occasionally occur in a single day. The annual average number of thunderstorms is about 75. These storms are often violent with severe lightning and strong (but short-lived) gusty winds and are sometimes accompanied by hail. This region has among the highest hail frequencies in South Africa; about 4 to 7 occurrences (depending mainly on altitude) may be expected annually. January is normally the hottest month with an average daily maximum temperature of 27°C with a mean daily temperature in winter being about 16°C. Winter average daily temperatures vary from 18, 5°C maximum to -1°C minimum. The extreme temperatures recorded range from 34, 7°C to minus 12, 4°C for the period 1920 - 1984. (Source: Weather Bureau, Pretoria) Winds are generally light to moderate except during thunderstorms. Generally the prevailing wind directions are from the North West during the day and from the east at night. During daytime, the prevailing winds are from the north-western direction. During night-time, the prevailing winds are from the north-eastern direction. The highest recorded average wind speed is 17, 6 km/hour. The average wind velocity over the year is 14, 5 km/hour. (Source: Xxxxxx & Xxxxxx, 1996, Reference 4, page 2.5.) Existing buildings, structures, and plant & machinery on the Site Not applicable. The Contractor to specify any information required if necessary. Subsoil information Not applicable. The Contractor to specify any information required if necessary. Hidden services All known services will be brought to the attention of the Contractor by Employers Representative. Should the Contractor encounter any other services in the work area, he will immediately bring them to the attention of the Employers Representative who will issue instructions as to what actions are to be taken. The protection of all pipes, gauges and plant is of extreme importance. Should any damage take place, which is due to the Contractors negligence, another Contractor will be brought onto site to affect repairs. All costs will be to the account of the Contractor who caused damage. Other reports and publicly available information The assumed 1 in 10 year rainfall figures are: Month Cumulative rain (mm) No of days with rainfall > 10mm January 200 6 February 150 6 March 120 5 April 110 4 May 40 3 June 20 2 July 30 2 August 30 2 September 60 3 October 140 6 November 160 7

  • WHO WILL BE MADE AWARE OF THE INFORMATION DISCLOSED ON THE SPR AND ANY UPDATES? The information disclosed on the SPR and any updates will be a public record as defined by Chapter 119, Florida Statutes, and therefore may be inspected by any interested person. Also, the information will be made available to the Mayor and the BCC members. This information will accompany the other information for the principal’s project or item.

  • Service Information Service Visit Date Mode of service Face-to face, telephone, etc. Responsibility for payment Used to exclude federal govt., WCB, etc. Main and secondary diagnoses ICD10-CA codes Main and other interventions and attributes CCI procedure codes and attributes Type of Anesthetic Identifies the type used for interventions (general, spinal, local, etc.) Provider types NACRS code assigned to provider type (MD, Dentist, RN, etc.) Doctor name and identifier Physician specific information Admit via Ambulance Used if a Client is brought to the service delivery site by ambulance Institution from and institution to Used when a Client is transferred from or to another acute care facility Visit disposition Discharged, admitted, left without being seen, etc. Schedule “D” Appendix 2 Additional Elements Required for Data Management (XXX) Client Identifying Information Province Client‟s Home Province AB, BC, SK, MB, NL, PE, NS, NB, QC, ON, NT, YT, NU, US, OC (Other Country), NR (Unsp. Non-resident) Service Information Facility Code AHS provided code that indicates service being provided. Facility Fee Dollar value of service being provided Alberta Health Physician Fee Billing Code Alberta Health Physician Service Fee code that further defines facility code Regional standard format and submission method remains as is via excel file and email. NOTE: Submission method may be adjusted in accordance with security standards of AHS. Schedule “D” Appendix 3

  • Root-­‐zone Information Publication ICANN’s publication of root-­‐zone contact information for the TLD will include Registry Operator and its administrative and technical contacts. Any request to modify the contact information for the Registry Operator must be made in the format specified from time to time by ICANN at xxxx://xxx.xxxx.xxx/domains/root/.

  • User Information Any user or usage data or information collected via Station’s digital properties or related to Station’s digital properties, or any information collected from websites operated by Station’s affiliates under this Agreement, shall be the property of Station and/or such affiliates. Advertiser shall have no rights in such information by virtue of this Agreement.

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