Designation of Employer Sample Clauses

Designation of Employer. ☐ Check this box if this form is being used to change the Employer of Record on an existing participant’s account. Date the change requested: / / . This change will be effective starting the next scheduled service period after paperwork is processed.
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Designation of Employer. ☐ Check this box if this form is being used to change the Employer of Record on an existing participant’s account. Date the change requested: / / . This change will be effective starting the next scheduled service period after paperwork is processed. PARTICIPANT INFORMATION Full Name Last 4 of SSN ☐ The employer of record must recruit, hire, train, supervise, and terminate employees who provide support to the participant. This includes overseeing employee tasks and schedules, completing enrollment forms, and submitting timesheets. The employer of record functioning, must be over the age of 18, demonstrate a strong commitment to the participant, display knowledge about and respect for the participant’s preferences, and use sound judgment to act on the participant’s behalf. EMPLOYER INFORMATION First Name Middle Name Last Name Social Security Number Email Date of Birth (mm/dd/yyyy) Relationship to Participant Gender Parent ☐ Spouse Other Non-relative ☐☐ Child ☐ Legal Guardian ☐ Power of Attorney Other: ☐☐ Male emale ☐ Physical Address (Street Address, Including Apt. #) City State Zip County Mailing Address (Street Address, Including Apt. #) – if different than the physical address City State Zip County Phone1 Phone2 Preferred Method of Communication Email Mail Phone / Voicemail ☐ ☐ ☐ The employer does not receive monetary compensation for directing care on the participant’s behalf in the course of the self-directed program. Employers cannot provide direct support services to the participant. Employees must have no convictions involving exploitation, abuse, or assault on another person and must be fully capable of the EN-310000-DSE-1.0 responsibilities associated with managing support staff and handling financial aspects of the self-directed program, including proper utilization of the budget and verifying the accuracy of reports provided by Xxxxx. By completing this form and signing below, all parties agree that the individual named herein shall accept the responsibilities of the employer of record. The employer has provided an email address that belongs to him or her and understands that Xxxxx is not responsible for providing information to an incorrect email address supplied by him or her. The employer has read and agrees to Xxxxx's Notice of Privacy Practices and the Terms and Conditions of Palco's enrollment system and agrees to receive information, notifications, and other correspondence electronically to the email address provided in this document. Suc...
Sample 1
Designation of Employer. All Personnel shall be hired as employees or independent contractors of LU; provided, however, that, except for sales personnel for LU's retail stores and technical personnel to operate the System who are physically located in BTAs, the Manager may in its discretion use its own employees and independent contractors to discharge Management Services functions. If an independent contractor is utilized, Manager shall be responsible for selecting and contracting on behalf of LU with such Independent Contractor, but shall be subject to the Construction Budget and Operation Budget.
Sample 1

Related to Designation of Employer

  • Compensation of Employee Employer shall pay Employee, and Employee shall accept from Employer, in full payment for Employee's services hereunder, compensation as follows:

  • Resignation of Employment The Executive confirms his/her resignation of his/her employment and of his/her position as an officer of the Company effective (the “Resignation Date”). The parties hereby acknowledge and agree that the Executive’s resignation of employment constitutes a “separation from service” from the Company within the meaning of Section 409A(a)(2)(A)(i) of the Internal Revenue Code of 1986, as amended (the “Code”), and Treasury Regulation Section 1.409A-1(h) (a “Separation from Service”). As of the Resignation Date, the Employment Agreement shall automatically terminate and be of no further force and effect, and neither the Company nor the Executive shall have any further obligations thereunder, except as expressly provided herein. Notwithstanding the foregoing, the Company shall be obligated to Executive for severance payments and continuation of benefits as contemplated by Section 7 of the Employment Agreement and as set forth in Section 3 below.

  • Termination of Employment Executive's employment hereunder may be terminated under the following circumstances:

  • Separation of Employment (a) If an employee is discharged by the Employer, he shall be paid in full for all monies owing to him by the Employer on the date of his discharge.

  • Termination of Employees Agent may in its discretion stop using any Retained Employee at any time during the Sale, subject to the conditions provided for herein. In the event that Agent desires to cease using any Retained Employee, Agent shall notify Merchant at least seven (7) days prior thereto, so that Merchant may coordinate the termination of such employee; provided, however, that, in the event that Agent determines to cease using an employee “for cause” (which shall consist of dishonesty, fraud or breach of employee duties), the seven (7) day notice period shall not apply, provided further, however, that Agent shall immediately notify Merchant of the basis for such “cause” so that Merchant can arrange for termination of such employee. From and after the date of this Agreement and until the Sale Termination Date, Merchant shall not transfer or dismiss Retained Employees except “for cause” without Agent’s prior consent. Notwithstanding the foregoing, Agent shall not have the right to terminate the actual employment of any Retained Employee, but rather may only cease using such employee in the Sale and paying any Expenses with respect to such employee.

  • Location of Employment The Executive's principal place of business shall continue to be at the Company's headquarters to be located within thirty (30) miles of Doylestown, Pennsylvania; provided, that the Executive acknowledges and agrees that the performance by the Executive of his duties shall require frequent travel including, without limitation, overseas travel from time to time.

  • Cessation of Employment In the event Executive shall cease to be employed by the Company for any reason, then Executive's compensation and benefits shall cease on the date of such event, except as otherwise provided herein or in any applicable employee benefit plan or program.

  • Compensation of Employees Compensate its employees for services rendered at an hourly rate at least equal to the minimum hourly rate prescribed by any applicable federal or state law or regulation.

  • Voluntary Termination of Employment If during the Employment Term, Executive terminates his employment under circumstances other than those specified elsewhere in this Section 8, Executive shall be entitled to the payments and benefits specified in Section 8(a).

  • Termination of Employment for Cause If Optionee’s employment with the Bancorp or a subsidiary corporation is terminated for cause, this option shall expire thirty (30) days from the date of such termination. Termination for cause shall include, but not be limited to, termination for malfeasance or gross misfeasance in the performance of duties or conviction of a crime involving moral turpitude, and, in any event, the determination of the Board of Directors with respect thereto shall be final and conclusive.

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