Other Service Information Sample Clauses

Other Service Information. D.1 Other Information The Housing Support Provider is to provide information on service planning and policy implications if requested by the Owner. This information may include, but is not limited to information on new or unmet needs, service gaps, business processes, innovations in service delivery, policy review options, and systems issues. Attachment 8: Reportable Incident Form This form is to be completed and sent to xxxxxxx.xxxxxxxx@xxxxx.xxx.xxx.xx Organisation Details Organisation Service Contact Person Contact Person’s Position Contact Person’s Phone Number Consumer Information Details of the consumer affected by this incident. Last Name First Name Gender Date of Birth Address Is the consumer subject to any legal orders? (If Yes, please Specify) Incident Details Details of when and where this incident occurred. Location of Incident Incident Incident Date Time Reported By Position Witnessed By Position Notifications Who has been notified about this incident (Police, ambulance, family etc.)? Name / Relationship Time and Date Name / Relationship Time and Date Name / Relationship Time and Date Incident Type Please indicate the nature of the incident that occurred (type of injury, cause/s of injury). Specific Incident Details Please provide a clear, factual summary, including any contributing factors to the incident. Actions Taken What actions were taken immediately following the incident? Further Planned Actions What actions will be taken next? Name of Person Completing this Form Signature Position Date
Sample 1
AutoNDA by SimpleDocs
Other Service Information 
Sample 1Sample 2Sample 3See All (7)

Related to Other Service Information

  • 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

  • Voice Information Service Traffic 5.1 For purposes of this Section 5, (a) Voice Information Service means a service that provides [i] recorded voice announcement information or [ii] a vocal discussion program open to the public, and (b) Voice Information Service Traffic means intraLATA switched voice traffic, delivered to a Voice Information Service. Voice Information Service Traffic does not include any form of Internet Traffic. Voice Information Service Traffic also does not include 555 traffic or similar traffic with AIN service interfaces, which traffic shall be subject to separate arrangements between the Parties. Voice Information Service Traffic is not subject to Reciprocal Compensation charges under Section 7 of the Interconnection Attachment.

  • Service Information Pages Verizon shall include all VarTec NXX codes associated with the geographic areas to which each directory pertains, to the extent it does so for Verizon’s own NXX codes, in any lists of such codes that are contained in the general reference portion of each directory. VarTec’s NXX codes shall appear in such lists in the same manner as Verizon’s NXX information. In addition, when VarTec is authorized to, and is offering, local service to Customers located within the geographic area covered by a specific directory, at VarTec’s request, Verizon shall include, at no charge, in the “Customer Guide” or comparable section of the applicable alphabetical directories, VarTec’s critical contact information for VarTec’s installation, repair and Customer service, as provided by VarTec. Such critical contact information shall appear alphabetically by local exchange carrier and in accordance with Verizon’s generally applicable policies. VarTec shall be responsible for providing the necessary information to Verizon by the applicable close date for each affected directory.

  • Notice Information Notice identifier/version: 4b0dc758­f0da­45e7­b7bb­8b9faca6d8be ­ 01 Form type: Competition Notice type: Contract or concession notice – standard regime Notice dispatch date: 2024­02­01Z 23:32:31Z Languages in which this notice is officially available: English

  • Submission of Grievance Information a) Upon appointment of the arbitrator, the appealing party shall within five days after notice of appointment forward to the arbitrator, with a copy to the School Board, the submission of the grievance which shall include the following:

  • 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.

  • False Information The Borrower or any Obligor has given the Bank false or misleading information or representations.

  • - 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.

  • Processing of Personal Information We treat your personal information confidentially and in accordance with applicable legislation. When you purchase insurance from us, we gather information in connection with enrolment, filing a claim and use of our digital platforms, e.g. civil registration number, telephone number, e-mail address, membership of Sygeforsikringen ”danmark”, industry, employment, marital status and any health information. This information is used to create and administer the insurance policy for use in case of a claim and in the ongoing case processing to ensure the best possible service and as part of sales management, product development, quality assurance, advice and determination of general user behaviour. We retain the gathered information for as long as neces- sary and in accordance with the applicable legislation. You can always contact us if you want to know which personal information we have registered about you. You are entitled to change incorrect information. On our website, xx-xxxxxxx.xx, you can read more about data security and how we handle your personal information. In some cases, we pass personal information about you to the suppliers with whom we cooperate.

  • Handling of Personal Information The Organiser may use the personal information of individuals from exhibition related parties for any communications necessary for the holding of the Exhibition. In addition, the Organiser may send electronic mails or other advertising materials to exhibition related parties for promoting the Exhibition or other exhibitions to be organised by the Organiser. Exhibition related parties give their consent to the Organiser to provide their personal information to its designated partner company or a trade publication that gathers or features information related to the Exhibition whenever the Organiser deems such a provision necessary. Governing Law and Jurisdiction The Exhibition Rules and Regulations shall be governed by and construed in accordance with the laws of Japan. The Tokyo District Court shall have the exclusive jurisdiction over any dispute arising in connection with the Exhibition Rules and Regulations as the court of the first instance. Xxxx Exhibitions Japan Ltd. 18F Shinjuku-Nomura Bldg., 1-26-2 Nishishinjuku, Shinjuku-ku, Tokyo 000-0000, Japan TEL: +00-0-0000-0000 FAX: +00-0-0000-0000 A division of Xxxx Business Registered in England, Number 678540 AUTHORISED SIGNATURE

Time is Money Join Law Insider Premium to draft better contracts faster.