Financial Institution Information Section Sample Clauses

Financial Institution Information Section. Financial institution prints or types the name and address of the payee/company's financial institution who will receive the ACH payment, ACH coordinator name and telephone number, nine-digit routing transit number, depositor (payee/company) account title and account number. Also, the box for type of account is checked, and the signature, title, and telephone number of the appropriate financial institution official are included.
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Financial Institution Information Section. Financial institution prints or types the name and address of the payee/company's financial institution who will receive the ACH payment, ACH coordinator name and telephone number, nine-digit routing transit number, depositor (payee/company) account title and account number. Also, the box for type of account is checked, and the signature, title, and telephone number of the appropriate financial institution official are included. Burden Estimate Statement The estimated average burden associated with this collection of information is 15 minutes per respondent or recordkeeper, depending on individual circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be directed to the Financial Management Service, Facilities Management Division, Property and Supply Branch, Room B-000, 0000 Xxxx Xxxx Xxxxxxx, Xxxxxxxxxxx, XX 00000 and the Office of Management and Budget, Paperwork Reduction Project (1510-0056), Washington, DC 20503. [Agency Partner Name] – Project Summary [CESU Name] Cooperative Ecosystem Studies Unit Agreement Modification Form FUNDING AGENCY: SUB-AGREEMENT/MODIFICATION NUMBER: [CESU USE ONLY] COOPERATIVE AGREEMENT NUMBER: FUNDING AMOUNT: PROJECT TITLE: EFFECTIVE PROJECT DATES: PROJECT PURPOSE: STATEMENT OF MUTUAL BENEFIT AND INTEREST: Key Words: Federal Agency Contact(s) and Signature(s) Partner Signature(s) [Agency] Project Technical Representative & Project Leader: Technical Rep: Address: Phone: Fax: Email: Project Leader: Phone: Email: No Signature Needed [Agency] Administrator: Signature: Date: Principal Investigator: Signature: Date: Agreement / Grant Administrator: Signature: Date: Project Type: Research Technical Assistance Education Project Discipline(s): Biological Cultural Physical Social Interdisciplinary Annual Performance Report Required: Report(s) Received: Publications on File:
Sample 1
Financial Institution Information Section. Financial institution prints or types the name and address of the payee/company's financial institution who will receive the ACH payment, ACH coordinator name and telephone number, nine-digit routing transit number, depositor (payee/company) account title and account number. Also, the box for type of account is checked, and the signature, title, and telephone number of the appropriate financial institution official are included. Burden Estimate Statement The estimated average burden associated with this collection of information is 15 minutes per respondent or recordkeeper, depending on individual circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be directed to the Financial Management Service, Facilities Management Division, Property and Supply Branch, Xxxx X-000, 0000 Xxxx Xxxx Xxxxxxx, Xxxxxxxxxxx, XX 00000 and the Office of Management and Budget, Paperwork Reduction Project (1510-0056), Xxxxxxxxxx, XX 00000. PROJECT PLAN FOR THE FY 2012 COMMERCIAL VEHICLE INFORMATION SYSTEMS AND NETWORKS (CVISN) DEPLOYMENT GRANT PROGRAM EXPANDED CVISN Date _Dec. 5, 0000 Xxxxx Xxxxxxx Xxxxx CVISN Program Manager Name Telephone E-mail Address Xxxx Xxxxx (000) 000-0000 xxxx.xxxxx@xxx.xxxxx.xx.xx State CVISN System Architect Name Telephone E-mail Address Xxxxxxx Xxxxxx (000) 000-0000 xxxxxxx@x-xxxxxxx.xxx State Point of Contact for FY 2012 Expanded CVISN Project Plan (this document) Name Telephone E-mail Address Xxxx Xxxxx (000) 000-0000 xxxx.xxxxx@xxx.xxxxx.xx.xx Signing date for the interagency Memorandum of Understanding (MOU) between the state’s CVISN agencies (please state if only one agency is involved in CVISN) Date May 25, 2000 Date of approval and title of the Expanded CVISN Program Plan/Top-Level Design Date February 1, 2010 Title Expanded CVISN Program Plan and Top-Level Design For the State of Florida Date of letter that certified the State as Core CVISN Certified (please attach the core certification letter to the application) Date February 24, 2009_ Instructions to Preparer This template includes: • Numbered chapters containing the required textual information and graphics. • Project chapter templates. • Blank tables for the required tabular elements. • Imbedded instructions. Note: For each project, the State must include a chapter (e.g., Chapters 2, 3, … through n in the State’s Fiscal Year (FY) 2012 Expanded CVISN Project Plan) that provides all relevant information for the proposed proje...
Sample 1

Related to Financial Institution Information Section

  • Union Information On a quarterly basis, the Employer shall provide the Union with the name, address, telephone number, hire date, classification, employment status, and pay rate of bargaining unit members.

  • Application Information Employees’ spouses, registered same-sex domestic partners and eligible dependents who choose to participate in the Student Fee Authorization Program must follow the University’s application and enrollment procedures.

  • Transaction Information The Adviser shall furnish to the Trust such information concerning portfolio transactions as may be necessary to enable the Trust or its designated agent to perform such compliance testing on the Funds and the Adviser’s services as the Trust may, in its sole discretion, determine to be appropriate. The provision of such information by the Adviser to the Trust or its designated agent in no way relieves the Adviser of its own responsibilities under this Agreement.

  • Insurance and Fingerprint Requirements Information Insurance If applicable and your staff will be on TIPS member premises for delivery, training or installation etc. and/or with an automobile, you must carry automobile insurance as required by law. You may be asked to provide proof of insurance. Fingerprint It is possible that a vendor may be subject to Chapter 22 of the Texas Education Code. The Texas Education Code, Chapter 22, Section 22.0834. Statutory language may be found at: xxxx://xxx.xxxxxxxx.xxxxx.xxxxx.xx.xx/ If the vendor has staff that meet both of these criterion: (1) will have continuing duties related to the contracted services; and (2) has or will have direct contact with students Then you have ”covered” employees for purposes of completing the attached form. TIPS recommends all vendors consult their legal counsel for guidance in compliance with this law. If you have questions on how to comply, see below. If you have questions on compliance with this code section, contact the Texas Department of Public Safety Non-Criminal Justice Unit, Access and Dissemination Bureau, FAST-FACT at XXXX@xxxxx.xxxxx.xx.xx and you should send an email identifying you as a contractor to a Texas Independent School District or ESC Region 8 and TIPS. Texas DPS phone number is (000) 000-0000. See form in the next attribute to complete entitled: Texas Education Code Chapter 22 Contractor Certification for Contractor Employees

  • Distribution of Union Information At non-secure facilities, the Union shall be permitted to place and distribute materials at mutually agreed to locations frequented by employees, before and after work, and during breaks and meals periods. At secure facilities, the Union shall be permitted to place informational materials for employees at the work site. The placement will be limited to roll call areas, and in or near officers' dining room. The information shall be placed at a table provided by the Employer and may have a sign of identification. This placement must be done by an employee or a Union staff representative designated by the Union during the employee's non-working hours. Distribution of materials will be done in a non-secure area during non-work hours.

  • Insurance and Fingerprint Requirements Information Insurance If applicable and your staff will be on TIPS member premises for delivery, training or installation etc. and/or with an automobile, you must carry automobile insurance as required by law. You may be asked to provide proof of insurance. Fingerprint It is possible that a vendor may be subject to Chapter 22 of the Texas Education Code. The Texas Education Code, Chapter 22, Section 22.0834. Statutory language may be found at: xxxx://xxx.xxxxxxxx.xxxxx.xxxxx.xx.xx/ If the vendor has staff that meet both of these criterion: (1) will have continuing duties related to the contracted services; and (2) has or will have direct contact with students Then you have ”covered” employees for purposes of completing the attached form. TIPS recommends all vendors consult their legal counsel for guidance in compliance with this law. If you have questions on how to comply, see below. If you have questions on compliance with this code section, contact the Texas Department of Public Safety Non-Criminal Justice Unit, Access and Dissemination Bureau, FAST-FACT at XXXX@xxxxx.xxxxx.xx.xx and you should send an email identifying you as a contractor to a Texas Independent School District or ESC Region 8 and TIPS. Texas DPS phone number is (000) 000-0000. See form in the next attribute to complete entitled: Texas Education Code Chapter 22 Contractor Certification for Contractor Employees

  • Verizon Information Upon request by CBB, Verizon shall make available to CBB the following information to the extent that Verizon provides such information to its own business offices: a directory list of relevant NXX codes, directory and Customer Guide close dates, and Yellow Pages headings. Verizon shall also make available to CBB, on Verizon’s Wholesale website (or, at Verizon’s option, in writing) Verizon’s directory listings standards and specifications.

  • De-identified Information De-identified Information may be used by the Operator only for the purposes of development, product improvement, to demonstrate or market product effectiveness, or research as any other member of the public or party would be able to use de-identified data pursuant to 34 CFR 99.31(b). Operator agrees not to attempt to re-identify De-identified Information and not to transfer De-identified Information to any party unless (a) that party agrees in writing not to attempt re- identification, and (b) prior written notice has been given to LEA who has provided prior written consent for such transfer. Operator shall not copy, reproduce or transmit any De-identified Information or other Data obtained under the Service Agreement except as necessary to fulfill the Service Agreement.

  • - CLEC INFORMATION CLEC agrees to work with Qwest in good faith to promptly complete or update, as applicable, Qwest’s “New Customer Questionnaire” to the extent that CLEC has not already done so, and CLEC shall hold Qwest harmless for any damages to or claims from CLEC caused by CLEC’s failure to promptly complete or update the questionnaire.

  • Insurance Information The Borrower shall deliver to the Administrative Agent information concerning insurance at the times and in the manner specified in Section 7.8;

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