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Insurance Cert. Sample C
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Assumption Of Risk U.S. National Whitewater Center Activities
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Legal document outlining participant risks and liability assumptions for outdoor activities at the U.S. National Whitewater Center.
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Master Services Agreement
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A master agreement between Chartis International and MMR Information Systems for providing electronic medical record storage services to insurance customers.
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ContractorS Affidavit For Final Payment
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Legal document used by contractors to confirm full payment of all project-related expenses and to request final payment from the University of Illinois.
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ContractorS Affidavit For Final Payment
PDF template
Legal document certifying full payment and release of claims for a construction project by a contractor.
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Macao SAR Temporary Residency Application Form
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Official form for applying for or renewing temporary residency in Macao Special Administrative Region (SAR)
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Louisiana Residential Agreement To Buy Or Sell
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A standard residential real estate transaction agreement for property sales in Louisiana, outlining terms and conditions for buying or selling property.
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Citizen Inquiry Processing
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Policy detailing how non-agendaed citizen inquiries are processed during county commission meetings and followed up by staff.
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Eureka County Board Of Commissioners Meeting Minutes
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Official record of the Eureka County Board of Commissioners meeting held on January 20, 2022, discussing administrative matters and expenditures.
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Contract Modification Procedures
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Outlines administrative and procedural requirements for handling contract modifications, changes, and supplemental instructions in a construction project.
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McVeigh V. UnumProvident Corporation And Provident Life Accident Insurance Company
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A federal court order addressing diversity jurisdiction in a disability benefits lawsuit filed by Michael C. McVeigh against insurance companies.
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Eureka County Board Of Commissioners Meeting Minutes
PDF template
Official meeting minutes documenting the proceedings of the Eureka County Board of Commissioners on February 7, 2022.
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Travel Policy
PDF template
Policy establishing regulations and procedures for authorized travel and reimbursement for Leon County officials, employees, and authorized persons.
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NO SURPRISE BILLING PROTECTION FORM
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A document explaining patient protections from unexpected medical bills and out-of-network care costs, with options to waive those protections.
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Mutual Of Omaha Claim Form Fill Able
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A detailed claim form for reporting accidents and injuries for insurance purposes.
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Contractor Limited Power Of Attorney
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A notarized form allowing a contractor to designate a representative to obtain permits and sign applications on their behalf.
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Loss Claim Form
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Guide for fish harvesters and processors to claim compensation for gear and vessel damage or oil spills related to the Hebron project.
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Chapter 100 Sales Of Cemetery Merchandise, Funeral Merchandise And Funeral Services
PDF template
Administrative rules defining regulations for sales of cemetery and funeral merchandise and services in Iowa.
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Sales Of Cemetery Merchandise, Funeral Merchandise And Funeral Services Rules
PDF template
Regulatory rules implementing Iowa Code chapter 523A for the sale of cemetery, funeral merchandise, and services.
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Wexford County Board Of Commissioners Meeting Notice
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Official notice and agenda for a regular meeting of the Wexford County Board of Commissioners
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Driver Monitoring And Contract Amendment
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Documents related to driver record monitoring services and a contract amendment for Mason County's health services.
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ATTACHMENT E PRICE PROPOSAL FORM INSTRUCTIONS
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Instructions for completing a price proposal form for a service delivery solicitation, detailing requirements for unit pricing and calculations.
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United States Court Of Appeals For The Third Circuit Stone Webster Case
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Appellate court opinion involving a legal dispute between Saudi American Bank, Shaw Group, and Stone & Webster related to bankruptcy and liability
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PNST Application Form 2025
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Application form for post-graduate study on Nano-Satellite Technologies, offering master's and doctoral fellowships through the UN/Japan program.
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Policy Loan Agreement Form
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A comprehensive form for requesting a loan against a life insurance policy with personal and banking details collection
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Initial Disability Claim Form
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A comprehensive form for filing an initial disability insurance claim, collecting patient and policyholder information, and documenting disability details.
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Travel Expense Reimbursement Form
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A form for documenting and calculating travel-related expenses for an employee attending a professional conference.
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Amicus Curiae Brief Auto Owners Insurance Company V. Pozzi Window Company
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Amicus curiae brief filed by construction industry associations in support of Pozzi Window Company in an insurance coverage dispute
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10A NCAC 13P .1506 EMS VEHICLE PERMITS
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Regulations governing the issuance, suspension, and revocation of ambulance and EMS vehicle permits by the Department.
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Minutes Of Mecklenburg County Board Of Commissioners
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Official meeting minutes documenting a Mecklenburg County Board of Commissioners session discussing Qualified School Construction Bonds.
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Livestock Risk Protection (LRP) Handbook
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Comprehensive guide for livestock risk protection insurance application and claims process for agricultural producers.
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Parental Consent Form
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A form that parents or legal guardians must sign to allow children under 21 to participate in activities hosted by Alpha Phi Alpha Fraternity, Inc.
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The Dry Dock, L.L.C. V. The Godfrey Conveyor Company, Inc. Et Al
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A legal opinion detailing a lawsuit by The Dry Dock, LLC against Godfrey Marine and Zieman Manufacturing for allegedly defective boats and trailers.
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Direct Reimbursement Claim Form
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A form for submitting vision care reimbursement claims for out-of-network services and eyewear expenses
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Student Medical Release Form
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Medical authorization form for student ministry activities allowing medical treatment and liability release for minors.
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Independent Contractor Agreement Instructions
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A comprehensive guide explaining the definition, requirements, and key components of an independent contractor agreement between a service provider and an organization.
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HEALTH CENTER MEDICAL HISTORY FORM
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Comprehensive medical history form for collecting personal health information, emergency contacts, and current medical status for students.
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Emergency Medical Release Form
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A comprehensive medical information form used to collect personal health details and emergency contact information.
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Eureka County Board Of Commissioners Meeting Minutes
PDF template
Official meeting minutes documenting discussions about county clinics and public comments from October 20, 2022.
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Prescription Drug Reimbursement Form
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A form for members to request reimbursement for prescription medication expenses through their health plan.
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LWC WC 1025.EE Employee Certificate Of Compliance
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A legal document detailing employee obligations and restrictions while receiving workers' compensation benefits.
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Employer Certificate Of Compliance
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A mandatory certification form for employers to verify compliance with Louisiana workers' compensation insurance requirements.
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STATE COMPENSATION INSURANCE FUND CORPORATION WAIVER FORM
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A form for corporate officers/directors to elect exclusion from workers' compensation insurance coverage under specific California legal conditions.
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KK Incident Report
PDF template
A comprehensive form for documenting accidents, injuries, or property damage during events or activities.
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MetLife Disability Insurance Absence Reporting Guide
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Comprehensive guide for reporting disability and medical leave claims through MetLife, including FMLA and other absence types.
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Proposal Form Export Insurance Policy (EXIP)
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A form for applying for export insurance cover for single or multiple export contracts with specific eligibility requirements and compliance guidelines.
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ARIASU.S. 2017 Spring Conference Request For Proposals Submission Guidelines And Application
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Request for proposal guidelines for the ARIASU.S. 2017 Spring Conference seeking presentations on insurance and reinsurance industry topics.
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Credit Application And Suretyship Form
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Legal judgment regarding a credit application and suretyship dispute between Tshepe and Rustia Feed (Pty) Ltd involving a credit agreement and personal suretyship.
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HASMA RSASQ For Intraoperative Monitoring Services
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A document by Los Angeles County Department of Health Services seeking qualified firms to provide intraoperative monitoring services for county hospitals.
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Traffic And Parking Regulations
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Procedure outlining campus traffic and parking rules, regulations, and permit issuance for students, faculty, and visitors.
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Right Of Entry Permit
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Technical documentation for web browser support and instructions for completing a Right of Entry Permit form using Nintex Workflow Cloud.
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SECTION 108 PROSECUTION AND PROGRESS
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Detailed regulations governing the subletting, assignment, and transfer of contract work and responsibilities by contractors.
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10 Day Agreement Review Cancellation
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A form for subscribers to request cancellation of a health insurance policy within 10 days of coverage effective date.
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PAYMENT INSURANCE FORM NFCA SURF CITY SHOWCASE RECRUITING CAMP
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Registration and payment form for athletes interested in participating in a sports recruiting camp, with payment and medical information collection.
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Section 1115 Demonstration Proposal For Act 421 ChildrenS Medicaid Option
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A proposal for a Section 1115 demonstration program related to children's Medicaid coverage and services.
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Medical Claim Form
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A form used to request payment for eligible healthcare services already received from UnitedHealthcare.
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Certificates Of Insurance Model Act
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A model legislative act providing guidelines for the preparation, issuance, and regulation of insurance certificates in property and casualty insurance.
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Uniform Standards For Riders, Endorsements Or Amendments Used To Effect Group Term Life Insurance Po
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Detailed guidelines for creating and filing riders, endorsements, and amendments for group term life insurance policy changes.
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Student International Travel Form
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Comprehensive form for students seeking international travel credit, detailing pre-trip requirements and professionalism expectations.
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Motor Vehicle Accident Report
PDF template
Official form for reporting motor vehicle accidents in Missouri where an uninsured party is involved, used to determine insurance and fault compliance.
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Dedicated Internet Service Order Form
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Service order form for dedicated internet access service from SmartCom Telephone for Webb County
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Privileged Assets Service Request
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A form for changing address and/or name for RiverSource Life Insurance contract owners
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Internal Services Department Mileage And Travel Review
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A second and final follow-up review of the Internal Services Department's mileage and travel processes, examining the status of previous recommendations.
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Debtors Expedited Second Omnibus Motion For Entry Of An Order
PDF template
Legal motion by Liberty Power Holdings and affiliated companies seeking court authorization to reject non-customer executory contracts in Chapter 11 bankruptcy proceedings.
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Conditional Use Permit Application
PDF template
A municipal form for requesting a conditional use permit in Norfolk, Nebraska, detailing property use and zoning requirements.
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Certificate Of Insurance For Services
PDF template
Official document for certifying insurance coverage for services with Texas Department of Transportation (TxDOT)
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EMPLOYEE PERSONAL PROPERTY DECLARATION FORM
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Form for employees to declare personal property used at work and outline claim procedures in case of loss or damage
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Form 1560 CS Professional Provider Insurance
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Insurance form for professional service providers working with the Texas Department of Transportation (TxDOT)
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MOTOR VEHICLE ACCIDENT REPORT FORM
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A comprehensive insurance form for documenting details of a motor vehicle accident in Mauritius.
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Masisizane Fund (NPC) Partnership Agreement
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A legal document outlining the partnership terms and conditions between Masisizane Fund and another organization
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Dental And Eye Care Insurance Enrollment Form
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A comprehensive form for enrolling in dental and eye care insurance coverage, capturing employee and dependent information.
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Progress Payment Request
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A payment request form for construction work detailing billing information, contract value, and payment calculations.
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Insurance Cert. Sample C
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Detailed guidelines for insurance coverage requirements for contractors in Cook County, Illinois
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Consulting Service Request Form
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A comprehensive form for requesting and approving healthcare professional consulting services with compliance certification.
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Section 355 Property Damage Report Form
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A form for reporting property damage incidents to local government authorities.
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Notice Of Hearing On CollabHealth Plan Services, Inc.S Application For Approval Of Proposed Acquisit
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Official notice of a hearing regarding the proposed acquisition of SoundPath Health, Inc. by CollabHealth Plan Services, Inc.
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Athletic ConsentWaiver Form
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Consent and liability waiver form for student participation in school athletic programs, acknowledging potential risks and school's limited liability.
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EMPLOYMENT APPLICATION
PDF template
A comprehensive job application form for Walker County, collecting personal and professional information from potential employees.
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Lake Charles Recreation And Parks Minor Waiver Form For Adult Sports League
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Waiver form for parents/guardians to authorize minor's participation in adult sports league and acknowledge liability risks.
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GENERAL CONSENT TO TREAT PATIENT AUTHORIZATIONACKNOWLEDEMENT FO BENEFITS RELEASE
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Comprehensive dental patient consent form covering treatment authorization, medical information release, insurance benefits, and privacy practices acknowledgement.
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CHG 8 Chapter 5 Real Property Acquisition
PDF template
Policies and guidance for acquiring real property for HUD-funded programs under the Uniform Relocation Assistance and Real Property Acquisition Policies Act (URA).
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General Information For Authorization
PDF template
A form for requesting and documenting healthcare service authorization with medical and provider details.
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Notice Of Termination Of Agreement Of Sale Pennsylvania
PDF template
Legal document outlining the process and conditions for terminating a real estate sale agreement in Pennsylvania.
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Proof Of Insurance And Emergency Contact Form
PDF template
A form collecting student health insurance details and emergency contact information for record-keeping and safety purposes.
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Notice Of Hearing
PDF template
Official notice regarding the revocation of Earl C. Dennis's Washington State insurance producer license due to alleged client misconduct.
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Superintendent Employment Agreement
PDF template
Employment contract for Glenn "Max" McGee as Superintendent of Palo Alto Unified School District, specifying salary, term, and benefits.
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Vision Group Insurance Form
PDF template
Insurance claim form for submitting vision care expenses and patient information to Standard Insurance Company.
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Procedures In Case Of Accidents On Diocesan Property
PDF template
Detailed instructions for handling and reporting accidents that occur on diocesan property, including steps for immediate response and documentation.
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4 H 869 W Animal Lease Agreement
PDF template
A comprehensive lease agreement for temporarily transferring an animal's care and responsibility between a lessor and lessee with specific health and insurance requirements.
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Standard Inspection Form For Maryland Department Of The Environment General Permit For Stormwater As
PDF template
A comprehensive inspection form for monitoring stormwater management and erosion control during construction projects in Maryland.
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Visit Submission Form
PDF template
A form for tracking fitness center visits to earn health program rewards when online tracking is not available.
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Transferring Budget Authority Of A Project Based Section 8 Housing Assistance Payments Contract
PDF template
Official HUD notice providing guidance on transferring budget authority for project-based Section 8 housing assistance payments contracts.
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Retiree Basic Life Insurance Form
PDF template
Form for retirees to elect or decline basic life insurance coverage and designate beneficiaries.
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Employee Change Of Address Form
PDF template
A form for Vanderburgh County employees to update their personal contact information and address with the county auditor's office.
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MetLife Enrollment Form
PDF template
Insurance enrollment form for employees to request coverage through their employer's group insurance plan.
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PINS Transport Insurance Claim
PDF template
Insurance claim form for transport damage to products purchased from Verkkokauppa.com, covering purchases within Finland for up to 3000 euros.
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CONTRACT PAYABLE APPROVAL FORM
PDF template
Official document used to process and approve vendor contracts with detailed financial and contractual information.
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CapitalOperating Lease Agreement Approval Form
PDF template
A document used to obtain necessary approvals for leasing agreements, detailing lease terms and required signatures.
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FH Liability Insurance Form
PDF template
A form for child care providers to declare their liability insurance status for family home child care operations.
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Form 15 Change Order Request Form
PDF template
A form used to document and request changes to a construction contract, including modifications to pricing, time, and scope of work.
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UPDES Storm Water Inspection Evaluation Form For SWPPP Compliance
PDF template
Comprehensive inspection form for evaluating storm water pollution prevention plan compliance and site environmental controls.
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Form A Application For Proposed Acquisition Of Control Of Northwest Dentists Insurance Company
PDF template
Legal document detailing a Form A filing for the proposed acquisition of Northwest Dentists Insurance Company by The Dentists Insurance Company.
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Change Order Request Form
PDF template
A form for requesting changes to a construction contract, including cost and time adjustments for a specific project.
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Cable Television Franchise Agreement
PDF template
A franchise agreement between the City of Washington, Illinois and Comcast for cable television services, establishing terms of cable system operation and maintenance.
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Home Inventory Form
PDF template
A form for documenting personal property details including item description, manufacturer, serial number, and current value for insurance or record-keeping purposes.
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CHANGE ORDER REQUEST FORM
PDF template
A form documenting proposed cost and time adjustments for a construction project involving maintenance of traffic modifications
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County Of San Bernardino Standard Contract
PDF template
Contract between San Bernardino County and Unique Management Services, Inc. for library patron account collection services
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Vanderburgh County Authorization Form
PDF template
A form for granting and managing employee access to county computer systems and software applications like MUNIS and Xsoft Tax.
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Certificate Of Equipment Delivery, Instruction, Installation, And Performance Forms
PDF template
A series of standardized forms documenting equipment delivery, installation, instruction, and performance for a municipal procurement project.
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Request For Qualifications On Call Professional Consultant Services
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Request for qualification submissions for various professional consulting services for the Los Angeles Department of Transportation
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ROYAL 528 EQUIPMENT RENTAL AGREEMENT
PDF template
A standard legal document for leasing equipment between a lessor and lessee, detailing rental terms, equipment specifications, and payment conditions.
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Blue Cross Of Idaho Care Plus, Inc. Health Assessment
PDF template
Form for collecting health information from newly enrolled Medicare Advantage members to develop individual care plans.
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Claim Form
PDF template
Comprehensive form for submitting flexible spending account (FSA) and health reimbursement claims with multiple benefit code options.
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Form M Medical And Health Insurance Information And Consent For Medical Or Dental Care Of A Minor
PDF template
A medical consent and health insurance information form for minors attending ORU Early College program, authorizing emergency medical treatment.
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Adult Athletics Waiver Softball
PDF template
Liability waiver for participants in the City of De Pere Adult Softball Leagues, acknowledging risks and releasing the city from potential claims.
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Prescription Reimbursement Claim Form
PDF template
A form for submitting prescription medication reimbursement claims to an insurance provider, detailing member information and pharmacy details.
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Operations1 Data Processing Agreement
PDF template
A legal agreement specifying data processing obligations between cioplenu GmbH and a client under GDPR requirements.
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Volunteer Release Of Liability Waiver Form
PDF template
Legal document releasing liability for volunteers participating in a storm drain marking community event in Melbourne, Florida.
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Placement Agreement
PDF template
Agreement between Diamond Game Enterprises and an Organization for leasing a Linked Bingo System with specific financial and operational terms.
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Form 1751a Benefits Enrollment
PDF template
A form for employees to enroll or modify health and welfare benefits at Los Alamos National Laboratory.
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United States Court Of Appeals Walmart Inc. V. Cuker Interactive, LLC
PDF template
Appellate court decision regarding a contract dispute between Walmart and Cuker Interactive over a website development project, involving breach of contract and trade secret claims.
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2018 19 Housing Contract Cancellation Form
PDF template
Form for students to cancel their university housing contract with specified cancellation fees based on date of request.
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Housing And Dining Agreement
PDF template
Formal agreement outlining terms of residence and dining for students living on MIT campus during the 2018-2019 academic year.
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Application For Group Term Insurance
PDF template
Insurance application form for group term life insurance policy from Insular Life Assurance Company
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Certificate Of Insurance
PDF template
A form for insurance certification for residential rental properties in the City of Oshawa, Ontario, requiring minimum $2,000,000 coverage.
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Union Benefits Cancellation Form
PDF template
Form for union members to cancel or modify their existing insurance and benefits coverage across multiple carriers.
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18 Degrees Assumption Of Risk, Release And Waiver Of Liability, And Indemnity Agreement
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A legal document outlining risk assumption, liability release, and COVID-19 related precautions for participation in 18 Degrees programs and facilities.
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American Arbitration Association Award Of Dispute Resolution Professional
PDF template
Arbitration award related to a medical necessity dispute involving an MRI claim from an auto accident
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Property And Casualty Insurance Regulations
PDF template
Regulations governing insurance rate and form submissions for property and casualty insurers in Iowa, including electronic filing requirements and hearing procedures.
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Employee Enrollment Form
PDF template
A comprehensive form for employees to enroll in health insurance coverage with options for individual and family plans.
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NU SHIP Cancellation Form 2019 2020
PDF template
Form for students to terminate their university-provided health insurance coverage at Northwestern University
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CONTRACTORS PROPOSAL FORM
PDF template
A detailed form for contractors to propose rehabilitation work on housing units, including specifications and pricing for various areas and components.
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VEHICLE REGISTRATION FORM
PDF template
A form for reporting vehicle registration details to K&K Insurance for multiple vehicles across multiple states.
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Electronic Filing Instructions
PDF template
Mandatory guidelines for electronic court document filing in Cook County, effective July 1, 2018
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Union Benefits Cancellation Form
PDF template
A form for union members to cancel various insurance and supplemental benefits from multiple carriers
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FARM LAND CASH LEASE AGREEMENT
PDF template
A legal document outlining the terms of leasing agricultural land, including property description, rental rates, and payment terms.
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Uniform Certificate Of Authority Application (UCAA) Primary Application Checklist
PDF template
A comprehensive checklist for insurers applying for a primary uniform certificate of authority, detailing required documentation and filing requirements.
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Group Disability Claim Filing Instructions
PDF template
Instructions and form for filing a disability claim with American Fidelity Assurance Company for disability benefits.
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Guide For Completing A Damage Report
PDF template
A comprehensive guide for reporting damage and filing claims under a fisheries compensation program for vessel and gear damage related to oil spills.
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Workers Compensation Payroll Audit
PDF template
Annual form for reporting employee payroll details for workers' compensation insurance purposes across different job classifications.
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BOROUGH OF SLIPPERY ROCK RESOLUTION 394
PDF template
A resolution establishing fees for various municipal services including building permits, inspections, administrative fees, and public safety services in Slippery Rock Borough.
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Accident Waiver And Release Of Liability Form
PDF template
A legal document releasing liability for participation in an association event or activity, protecting the organization from potential legal claims.
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Short Term Disability Claim Form
PDF template
A comprehensive form for filing a short-term disability claim, capturing personal, medical, and employment details for disability benefits.
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Tender For Procurement Of Adobe Acrobat Pro DC And Adobe Creative Cloud
PDF template
Tender document by Bank of Baroda for purchasing Adobe Acrobat Pro DC and Adobe Creative Cloud licenses for their Information Technology Department.
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TRAVEL RISK ASSESSMENT FORM
PDF template
A comprehensive form for travelers to provide personal and medical information before international travel, assessing potential health risks.
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SEBB Electronic Debit Service Agreement
PDF template
Form for authorizing automatic monthly payments for SEBB insurance coverage through electronic bank account deductions
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Your LegalCare Plan University Of California Legal Expense Insurance Plan
PDF template
A comprehensive legal services insurance plan offering preventive legal services and attorney consultations for University of California members.
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IAIABC Electronic Partnering Agreement
PDF template
A document establishing guidelines for electronic data exchange between trading partners in industrial accident claims reporting.
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The ARAG Legal Plan
PDF template
Comprehensive legal plan booklet detailing benefits, eligibility, and services for University of California employees and retirees.
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Independent Contractors Agreement
PDF template
Legal document detailing an independent contractor agreement between Kramer Entertainment Agency and a sales representative
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Chelan County Board Of Commissioners Minutes
PDF template
Official minutes documenting Chelan County Board of Commissioners meeting, including emergency storm damage declaration and administrative actions.
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WSU Faculty Computer Purchase Exemption Petition
PDF template
Process for Wright State University faculty to request computer equipment that differs from standard university recommendations.
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Livestock Risk Protection (LRP) Handbook
PDF template
Comprehensive guide for Livestock Risk Protection insurance program covering form standards, entries, and completion requirements.
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Medical Insurance Information
PDF template
A form for collecting medical insurance details for a child's admission to Spaulding Academy & Family Services
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STANDARD FORM OF AWARD NOTICE
PDF template
Official document for awarding a contract for consultant services in the Republic of Srpska project
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Request For Proposals Unarmed Security Guard Services
PDF template
Request for proposals from firms to provide unarmed security guard services for six court facilities in Santa Barbara County, California.
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Enhance Membership Application
PDF template
A comprehensive membership application form for environmental organizations, collecting detailed applicant and environmental permit information.
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Model Livestock Lease Agreement
PDF template
A lease agreement template for 4-H youth to lease farm animals for animal science projects, outlining responsibilities and terms.
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Form Of Small Business Enterprise (SBE) Audit Services Contract
PDF template
A consulting services agreement for SBE audit services related to the Metro Gold Line Foothill Extension light rail project in Los Angeles County.
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2011 FAMILY Membership Renewal And Liability Waiver Form
PDF template
A comprehensive liability waiver for participants in off-road racing activities, assuming risks and agreeing not to sue the organization.
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The ARAG Legal Plan
PDF template
A comprehensive legal insurance plan document detailing benefits, eligibility, and services for University of California employees and retirees.
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Direct Reimbursement Claim Form
PDF template
A form for requesting reimbursement for vision care services from providers outside the Davis Vision network.
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School Capital Request Form (PA 097 0474 Requirement)
PDF template
Web-based form for self-assessment and capital request to comply with Public Act 097-0474 requirements for school facilities.
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Sumo Wrestling Game Release And Waiver Form Game Rules
PDF template
A legal release and waiver form for participants in a Sumo Wrestling game event, outlining participant risks and liability conditions.
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TransUnion Risk And Alternative Data Solutions, Inc. V. Daniel MacLachlan
PDF template
Legal document detailing a court appeal regarding a preliminary injunction enforcing a noncompetition agreement between TransUnion Risk and Daniel MacLachlan.
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ATHLETICS MEDICAL RELEASE FORM
PDF template
A medical release and information form for student-athletes, authorizing medical treatment and collecting important health details.
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Request For Certificate Of Insurance
PDF template
A form used to request an insurance certificate for a scouting activity or event with details about coverage and additional insured status.
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Insurance Requirements For GoodsServices, BidsRequests For Proposals, AwardsContracts
PDF template
Detailed guidelines for insurance coverage requirements for contractors and awardees doing business with the City of Tampa
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Board Of County Commissioners Board Meeting
PDF template
Official meeting minutes documenting county commission agenda items, including project approvals and proclamations.
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TCEQ 20168 Annual Report Form For Concentrated Animal Feeding Operations
PDF template
Annual reporting form for concentrated animal feeding operations in Texas, documenting animal inventory, manure production, and nutrient management.
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GoodLife Programs Medical Information And Liability Release Form
PDF template
A comprehensive form for participant medical information, emergency contacts, and liability release for GoodLife Programs and Activities.
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SkillsUSA National Leadership And Skills Conference Registration, Personal And Liability Release For
PDF template
Registration and liability release form for participants of the SkillsUSA National Leadership and Skills Conference for high school and college students.
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Summer Parking Permit
PDF template
A vehicle registration form for students participating in summer learning communities to obtain a parking permit at Western Carolina University.
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Lease Contract Guaranty
PDF template
A legal document outlining the responsibilities and liabilities of a lease guarantor for a rental property.
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Duchesne County Victim Advocates Volunteer Application Form
PDF template
A volunteer application form for individuals interested in serving as victim advocates for Duchesne County, including background check authorization and volunteer agreement.
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EAP Billing Form
PDF template
Medical billing form for submitting claims to BPA Health for employee assistance program services.
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Memorandum Order 14 CV 7483 (MKB)
PDF template
Legal document detailing a court case involving breach of contracts related to oil distribution between Commercial Lubricants and Safety-Kleen Systems.
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Pre Authorized Debit Agreement
PDF template
A pre-authorized debit form for University of Victoria Graduate Students' Society health and dental insurance plan payments
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Student Chromebook Insurance Form
PDF template
Optional repair plan for student Chromebooks at Penn-Harris-Madison School Corporation, covering up to two repairs for $25 per year.
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Emergency Contact Form
PDF template
A form for collecting student emergency contact, medical, and insurance information for campus housing purposes.
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Inspection And Maintenance Agreement For Stormwater Management Controls
PDF template
Legal agreement between a property owner and Fayette County regarding construction and maintenance of stormwater management facilities.
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Audit Of Harlan County Fiscal Court
PDF template
Annual financial audit of Harlan County Fiscal Court for fiscal year ending June 30, 2017, identifying internal control weaknesses in waste removal collections.
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Standard Form Of Contract Notice
PDF template
Contract notice for a public works project in Georgia involving transportation infrastructure.
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ANESTHESIA LEVELS 2 4 INSPECTION FORM
PDF template
Official inspection form for evaluating dental anesthesia permit levels 2-4, used by Texas State Board of Dental Examiners.
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VISA CHECKLIST
PDF template
Comprehensive guide for applicants seeking a visa to enter Germany, detailing required documents and application process.
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Districts 6 7 Meeting Minutes
PDF template
Official meeting minutes for Montana Association of Counties Districts 6 and 7, documenting proceedings and attendance.
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MACo Districts 10 11 Meeting Minutes
PDF template
Official meeting minutes for Montana Association of Counties Districts 10 and 11, documenting administrative proceedings and discussions.
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Contract Maintenance Request Form
PDF template
Form for healthcare providers to request changes to contract details, locations, or provider information.
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Student Vehicle Registration Form
PDF template
A form for students to register vehicles for campus parking at Chaminade University of Honolulu, outlining parking policies and permit requirements.
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Accident Waiver And Release Of Liability Form
PDF template
A legal document releasing FBC Russellville from liability for potential injuries or damages during an event or activity.
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KENMORE MIDDLE SCHOOL FITNESS CLOTHES PURCHASE FORM
PDF template
A form for Kenmore Middle School students to purchase physical education clothing and accessories.
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Vehicle Registration Form
PDF template
Form for registering a vehicle at Asheville-Buncombe Technical Community College for students and staff.
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Shared Active Mobility Systems License Application
PDF template
License application for shared active mobility system operators in the City of Duluth, detailing licensing requirements and fees.
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My24HourNews.Com, Inc. V. ATT Corp. (Eleventh Circuit Case No. 19 10413)
PDF template
Legal opinion regarding a dismissed lawsuit by My24HourNews.com against AT&T and other defendants concerning a failed joint venture and alleged fraudulent inducement.
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VERIFICATION OF TRUST FORM
PDF template
A comprehensive form for verifying trust details, ownership, and beneficiary information for insurance policy purposes.
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Crystal Lake School 5th And 6th Grade ChromebookInsurance Form 2019 2020
PDF template
A form for parents to select insurance options for school-issued Chromebook devices for 5th and 6th grade students
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201920 Bering Sea Tanner Crab Captains And Crew Member Affidavit Form
PDF template
An official form for documenting crew membership and vessel details for Bering Sea Tanner Crab fishing seasons
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Requisition Form
PDF template
Comprehensive medical form for patient demographics, insurance information, and diagnostic specimen collection details.
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Name And Ownership Changes Request Form
PDF template
A form for requesting changes to policy ownership, contact information, and personal details for American Heritage Life Insurance Company policies.
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Youth Sports Camps Clinics Audit Form Addition Of Camps
PDF template
Insurance form for auditing or adding youth sports camp sessions with liability and medical payment coverage options.
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Body Art Establishment Registration Or Tanning Facility Permit Application
PDF template
Application form for registering body art establishments or obtaining tanning facility permits in Illinois
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Body Art Establishment Registration Or Tanning Facility Permit Application
PDF template
Application for registering body art establishments or tanning facilities with the Illinois Department of Public Health
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Strawberry Recreation District Field Rental Agreement, Waiver And Release
PDF template
A comprehensive form for renting recreation district facilities, covering event details, facility selection, and organizational information
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Independent Contractor Agreement
PDF template
A legal agreement defining the terms of an independent contractor relationship between Lucky 415 Marketing & Promotions and an individual contractor.
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Residential Rental Contract
PDF template
A standard residential rental contract for leasing property in North Carolina, detailing lease terms, rent, fees, and tenant obligations.
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Bennett Cerf Dog Park 2019 Membership Form And Release Of Liability
PDF template
Annual membership form for Bennett Cerf Dog Park with required information about dogs and owners, including liability release.
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New Construction Commercial Submittal Information
PDF template
Detailed guidelines for submitting commercial construction plans and permits for the City of Lake Worth, Texas.
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2019 Norton Sound Red King Crab Vessel Crew Member Affidavit Form
PDF template
Official form for documenting crew member participation in the 2019 Norton Sound Red King Crab Summer Fishery
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USAV YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
PDF template
Medical release and consent form for youth and junior volleyball players participating in USAV sanctioned competitions and practices.
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2019 2020 Short Term Disability Information
PDF template
Policy detailing disability income benefits and eligibility for Yavapai College employees, including benefit calculation and claim process.
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Summer Camp Accident Waiver And Release Of Liability Form
PDF template
A legal document outlining parent permissions, risks, and liability release for children participating in a summer camp program.
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Rocky Mountain Biological Laboratory Acknowledgment And Assumption Of Risks Release And Indemnity A
PDF template
Legal document outlining risks, activities, and liability release for participants in Rocky Mountain Biological Laboratory programs and research activities.
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ATSG FitBit Activity Tracker Program Purchase Form
PDF template
Form for employees to purchase FitBit activity trackers through corporate wellness program with payroll deduction options.
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Federal Register Notice On Incidental Take Permit For Alabama Beach Mouse
PDF template
Preliminary determination on an incidental take permit for a project involving land clearing and infrastructure near Alabama beach mouse habitat.
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FY 2020 2021 Alamance County Outside Agency Funding Application
PDF template
Application for non-profit agencies seeking financial assistance from Alamance County for community programs and resources.
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2020 2021 Flu And Pneumo Insurance Information Form
PDF template
A form for collecting patient information and insurance details for flu and pneumococcal vaccines.
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UNO Housing Lease Contract Cancellation Form
PDF template
A form for University of Nebraska at Omaha (UNO) students to cancel their housing lease contract with specific terms and conditions.
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County Joint Bid Program Limestone Aggregate Purchase Order Form
PDF template
A standardized purchase order form for Alabama counties to order limestone aggregate through a joint bidding program.
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2020 Employee Authorization For Payroll Deduction To HSA
PDF template
Form for employees to start, change, or stop payroll deductions for Health Savings Account (HSA) contributions.
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Seed Insurance Waiver Form
PDF template
A waiver form for seed owners to confirm they maintain their own insurance coverage for seeds stored at Ioka Farms facilities.
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2020May Youth Participant Waiver
PDF template
Legal release of liability and assumption of risks for youth soccer program participation in British Columbia.
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Physical Therapy Of Boulder Patient Intake Form
PDF template
Comprehensive medical intake form for physical therapy patients covering personal information, insurance details, and consent for treatment.
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USAV YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
PDF template
Medical release and consent form for youth and junior volleyball players participating in USAV sanctioned competitions and practices.
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USAV YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
PDF template
Medical release and emergency contact form for youth and junior volleyball players participating in USAV sanctioned competitions and practices.
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2020 Rental Application, Contract And Release
PDF template
Comprehensive rental application for facilities at Strawberry Recreation District, covering event details, facility selection, and usage parameters.
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UABHSF Office Of Risk Management User Guide
PDF template
A comprehensive guide detailing the practices, procedures, and guidelines for the UAB Office of Risk Management and Insurance.
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Service Vehicle Parking Permit Request Form
PDF template
A form for employees to request a special parking permit for university-related vehicle use during official duties.
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SPECIAL EVENT AGREEMENT FORM
PDF template
A comprehensive form for applying to host a special event at National Trail Parks and Recreation District facilities.
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CONTRACT MAINTENANCE REQUEST FORM
PDF template
A form for providers to request changes to contract details, locations, contact information, or provider status.
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Havilah Dance Company 2021 2022 Agreement
PDF template
Comprehensive agreement outlining membership requirements, expectations, and financial obligations for Havilah Dance Company competition program participants.
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County Joint Bid Program Heavy Equipment Purchase Order Form
PDF template
A standardized form for Alabama counties to purchase heavy equipment through a joint bid program with specific submission and procedural guidelines.
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Patient Protection And Affordable Care Act Patient Protection Notice
PDF template
Federal document outlining requirements for group health plans and insurers regarding primary care provider designations for participants and children.
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WILDERNESS ADVENTURES ACKNOWLEDGMENT AND ASSUMPTION OF RISKS RELEASE AND INDEMNITY AGREEMENT
PDF template
Legal document outlining risks, liability release, and participant agreement for Wilderness Adventures outdoor programs.
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POGS Sickness Benefit Application Form
PDF template
Application form for members of the Philippine Obstetrical and Gynecological Society to claim sickness benefits
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Equipment Rental And Rent To Buy Agreement
PDF template
A legal agreement governing the rental or rent-to-buy process for equipment from Portable Spectral Services with detailed terms and conditions.
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College Houses Contract Cancellation Form
PDF template
A form for terminating a housing contract with College Houses, outlining cancellation fees and conditions for contract termination.
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Brisker V. Ohio Dept. Of Ins., 2021 Ohio 3141
PDF template
Legal case involving Frederick Brisker's appeal of his insurance license revocation by the Ohio Department of Insurance.
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Permission To Participate Medical Treatment Consent And Release, Waiver, And Indemnity Agreement
PDF template
A comprehensive form granting permission for a child to participate in church activities and providing medical treatment consent and liability release.
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Rental Agreement Form
PDF template
A rental agreement form for ski and snowboard equipment rental at Mohawk Mountain, including personal information, equipment details, and liability waiver.
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Submittal Of Annual Reports And Other Compliance Documents For Municipal Separate Storm Sewer System
PDF template
A comprehensive form for submitting annual compliance documents for Municipal Separate Storm Sewer System (MS4) permit requirements.
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TRS Medicare Eligible Health Plan (MEHP) Prescription Drug Benefit Guide
PDF template
Detailed guide for Teachers' Retirement System of Kentucky Medicare Part D prescription benefit plan managed by Know Your Rx Coalition through Express Scripts
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YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
PDF template
A medical release form for youth and junior volleyball players to document health information and parental consent for participation.
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Volunteer Excess Liability Insurance Form
PDF template
Insurance form for occasional volunteers providing liability coverage for park and community service volunteers
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Walker Waiver Form
PDF template
Waiver form for participants in an ALS of Michigan walking event, releasing organizers from liability and granting media usage permissions.
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Affidavit Requirement For Reclamation Permit
PDF template
Official document outlining affidavit requirements for reclamation permit applicants in Nevada, detailing default and good standing disclosures for mining and exploration projects.
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Release And Waiver Of Liability, Assumption Of Risk, And Indemnity Agreement
PDF template
Legal document releasing 3Point0 Studio T from liability for potential injuries or damages during participation in activities.
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Reclamation Permit Transfer Request Form
PDF template
Form for transferring a mining reclamation permit between current and proposed operators in Nevada.
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Reclamation Permit Transfer Request Form
PDF template
A form for transferring a reclamation permit between mining operators in Nevada, including corporate and regulatory details.
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AC Pro Warranty Claim Form
PDF template
A form for submitting warranty claims for air conditioning units, parts, and equipment by technicians or contractors.
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KEY CONTACT INFORMATION QUESTIONNAIRE
PDF template
A comprehensive form for collecting key contact details for various risk management roles within an agency
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FY 2022 2023 Alamance County Outside Agency Funding Application
PDF template
A funding application for non-profit agencies seeking financial assistance from Alamance County for programs or resources not directly offered by the county.
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New York FFA Association Waiver, Release Of Liability, Consent To Medical Attention, Authorizations
PDF template
Waiver form for New York FFA Association event participation, covering liability, medical consent, and risk acknowledgment.
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Claim Form
PDF template
A comprehensive claim form for medical reimbursement from GlobeMed Qatar/SEIB insurance network covering various healthcare services.
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Top Reporting Issues For County Financial Transactions Report
PDF template
Comprehensive guidelines for county financial reporting, detailing key requirements and reporting standards for financial transactions.
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Alternate Travel Form
PDF template
A form allowing parents to authorize alternative transportation for students from school events or competitions.
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WILDERNESS ADVENTURES ACKNOWLEDGMENT AND ASSUMPTION OF RISKS RELEASE AND INDEMNITY AGREEMENT
PDF template
Legal document outlining risks, liability release, and participant agreement for wilderness adventure activities.
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POGS MAP Sickness Benefit Application Form
PDF template
A form for members of the Philippine Obstetrical and Gynecological Society to apply for sickness benefits for medical and COVID-related conditions.
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2022 IAG AGM Resources FAQs
PDF template
Document providing resources and information for shareholders attending IAG's 2022 Annual General Meeting on 21 October 2022.
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2022 Budget Summary
PDF template
A comprehensive overview of proposed budget expenditures and tax rates for various county funds for the fiscal year 2022.
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Long Term Disability Claim Form Statement Of Employee
PDF template
A comprehensive form for employees to file a long-term disability claim with Lincoln Financial Group, detailing personal, employment, and medical information.
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Marine Warranty Claim Form
PDF template
Claim form for marine equipment warranty service and reimbursement for repairs and replacements.
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PATIENTS INTAKE FORM
PDF template
Comprehensive medical intake form for patient registration and insurance information at a podiatry medical practice.
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RENTAL AGREEMENT 2022
PDF template
Comprehensive rental policies and requirements for booking event spaces at the Mahogany Beach Club, detailing deposit, cancellation, and facility usage terms.
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Medical Release Form
PDF template
Medical consent and emergency contact form for minors attending music camp programs at Sam Houston State University
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Vehicle Registration Form
PDF template
A form for registering vehicles at the Monterey Regional Airport, requiring vehicle and personal details along with agreement to airport regulations.
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Business Matters Sac State
PDF template
Policy update regarding how services will be processed and paid at Sacramento State University, effective end of Spring 2023 semester.
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Memorandum Opinion And Order RSM Production Corp. V. Gaz Du Cameroun, S.A.
PDF template
A legal document detailing a court's ruling on an arbitration award between RSM Production Corporation and Gaz du Cameroun, S.A. regarding a natural gas project payment dispute.
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Spink County Commission Proceedings
PDF template
Official minutes documenting the Spink County Board of Commissioners meeting held on December 28, 2023, including agenda adoption, public comments, and policy decisions.
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Garden Grove Teen Action Collaborative ApplicantS Information
PDF template
Consent and liability waiver form for participants in Garden Grove recreational programs and activities, specifically targeting teens.
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USI Vehicle Accident Reporting Form
PDF template
A comprehensive form for documenting details of a vehicle accident involving USI employees or vehicles.
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Chromebook Insurance
PDF template
Insurance policy for Chromebook devices issued to students in grades 5-12, covering accidental damage and device protection.
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2023 2024 Student Emergency Form
PDF template
A comprehensive form for collecting student emergency contact details, health insurance information, and parental contact information for school records.
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2023 Horse Drawn Vehicle Registration Form
PDF template
Registration form for horse-drawn vehicles in Elkhart County, Indiana, allowing owners to register vehicles and obtain plates or stickers.
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The Waterfront Festival Vendor Application
PDF template
Application form for vendors interested in participating in the Waterfront Festival event on June 17th, 2023.
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Cooma Show 2023 Ground Space Booking Form
PDF template
A booking form for vendors and stallholders wanting to secure a site at the 2023 Cooma Show with specific terms and conditions.
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AgentAgency Agreement
PDF template
A legal agreement defining the terms of engagement between DENCAP Dental Plans and an independent insurance agent for soliciting dental service agreements.
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DNRC General Clauses To Emergency Equipment Rental Agreement
PDF template
A rental agreement for emergency equipment with specific terms and conditions for equipment usage during incidents.
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DNRC General Clauses To Emergency Equipment Rental Agreement
PDF template
Standard rental agreement for emergency equipment with detailed clauses covering equipment requirements, liability, and operational conditions.
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City Of Lincoln Facility Rental Application
PDF template
A comprehensive form for renting city facilities, covering event details, organization information, and event requirements.
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Facility Use And Indemnification Agreement Between The City Of Othello And The Greater Othello Chamb
PDF template
Agreement for the Greater Othello Chamber of Commerce to use city parks for the 4th of July Celebration event, including facility use terms and insurance requirements.
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Flexible Spending Account Reimbursement Form
PDF template
A form for submitting out-of-pocket healthcare expenses for reimbursement through a Flexible Spending Account (FSA)
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Student Medical Information
PDF template
A comprehensive medical form for collecting student health details, emergency contacts, and insurance information for educational program participation.
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YWCA High Point Membership Form
PDF template
Membership registration form for YWCA High Point that includes liability release, photo release, and membership terms.
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Submittal Of Annual Reports And Other Compliance Documents For Municipal Separate Storm Sewer System
PDF template
A form for submitting annual compliance documents for Municipal Separate Storm Sewer System (MS4) permits with various required attachments and reporting information.
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FORM XI INSURANCE FORM
PDF template
Official insurance form for filing a death claim with details of the deceased, insurance policy, and compensation calculation.
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Pre Authorization Request Form
PDF template
A medical pre-authorization form for healthcare providers to request service approval from UHSM, detailing patient and provider information.
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Pre Authorization Request Form
PDF template
A form for healthcare providers to request pre-authorization for medical services from UHSM with detailed documentation requirements.
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STANDARD CONTRACT TERMS AND CONDITIONS
PDF template
Standard contract terms and conditions for contractors working with Montclair, outlining business registration, compliance, and anti-discrimination requirements.
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Planning Commission Agenda
PDF template
Official meeting agenda and action summary for the Fresno County Planning Commission, detailing planned discussions and approvals.
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Columbiana County Visitors Bureau Membership Form
PDF template
A membership form for organizations and businesses to join the Columbiana County Visitors Bureau with various membership levels and benefits.
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Insurance Renewal Memo
PDF template
Memo discussing the option to waive statutory tort limits and purchase excess liability insurance for the City of Sunfish Lake.
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Property Damage Personal Injury Claim Form (Other Than Vehicle)
PDF template
A municipal claim form for reporting property damage or personal injury within the Town of Innisfil's jurisdiction, excluding vehicle-related incidents.
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LIC Operations Committee Meeting
PDF template
Two-day conference hosted by Baltimore Life focusing on operational innovation and strategic improvement in the insurance industry.
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Agreed Upon Procedures (AUP) Survey Form
PDF template
A survey form for independent public accountants to report on health benefits contract procedures and financial reporting details.
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2024 2025 Benefits Enrollment Form
PDF template
Form for employees to select health benefit plans, add or remove dependents, and update personal information for the upcoming benefits year.
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Havilah Dance Company 2024 2025 Agreement
PDF template
Contract outlining membership requirements, expectations, and commitments for Havilah Dance Company competition program participants.
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Garden Grove Teen Action Collaborative ApplicantS Information
PDF template
Waiver and consent form for participating in City of Garden Grove recreation programs, events, or activities for teens.
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Group Medical Plan Waiver Form
PDF template
A form for employees to waive medical plan coverage by certifying alternative health insurance coverage and understanding ACA requirements.
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TASBO Membership And Professional Liability Insurance Form
PDF template
Membership registration form for Texas Association of School Business Officials with optional professional liability insurance coverage
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2024 2025 Parking Regulations
PDF template
Comprehensive guide outlining parking rules, permit requirements, and enforcement procedures for vehicles on the LCSC campus.
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Deputy Sheriffs Association Commemorative Album Payroll Deduction Form
PDF template
A form allowing law enforcement personnel to purchase a commemorative album through payroll deduction with specific purchase and payment terms.
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Deputy Sheriffs Association Commemorative Album Payroll Deduction Form
PDF template
A form for purchasing a commemorative album through payroll deduction for Deputy Sheriffs' Association members
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Preliminary Accident Report
PDF template
A comprehensive form documenting details of a vehicle accident, including driver, vehicle, and third-party information for insurance and risk management purposes.
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Cooma Show 2024 Ground Space Booking Form
PDF template
Booking form for stallholders and vendors to reserve space at the 2024 Cooma Show with detailed terms and conditions.
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Notification Of Intent To Use Exhibitor Appointed Contractor
PDF template
Form for exhibitors to declare non-official contractors for The Aesthetic Meeting 2024 event and provide required insurance details.
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Patient Demographic Form
PDF template
A comprehensive form for collecting patient personal, contact, and insurance information for medical services.
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Informed Consent, Voluntary Waiver, Release Of Liability Assumption Of Risks Form
PDF template
Legal consent form for parents/guardians to authorize children's participation in summer youth programs at Clark State College, acknowledging risks and liability waivers.
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2024 Guardian Dental Cancellation Form
PDF template
A form to request cancellation of Guardian Dental insurance coverage by an employee.
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HSA Payroll Deduction Form 2024
PDF template
A form for employees to authorize payroll deductions for Health Savings Account contributions with IRS contribution limits and University contribution details.
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Permit To Install Or Alter A Sewage Treatment System
PDF template
Official permit document for installing, replacing, or altering a sewage treatment system in Ohio, issued by the Ohio Department of Health.
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Independent Contractor Agreement
PDF template
A legal agreement defining the terms and conditions for an independent contractor's engagement with Epiphany Properties, LLC.
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Registration As An Inuit Firm
PDF template
Application form for registering a business as an Inuit Firm with Nunavut Tunngavik Incorporated (NTI)
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2024 HIGH PERFORMANCE PLAYER WAIVER FORM
PDF template
Waiver and registration form for participants in athletic club activities, covering personal and emergency information along with liability release.
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Eugene Metro Futbol Club Medical Release Release Of Liability Form
PDF template
Medical and liability consent form for youth soccer player registration and participation in soccer programs.
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2024 Direct Member Reimbursement Request Form
PDF template
A form for Medicare plan members to request reimbursement for dental, eyewear, and hearing aid services.
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Mobile Food Vending Permit Application
PDF template
City permit application for mobile food vendors operating in Cedar Springs, outlining permit requirements and exemptions.
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BOAT NUMBER ACCIDENT WAIVER AND RELEASE OF LIABILITY
PDF template
Legal waiver for participants in the Missouri American Water MR340 river race, acknowledging significant physical risks and releasing event organizers from liability.
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PLAN YEAR 2024 ENROLLMENTCHANGE FORM MEDICAL SPENDING CONVERSION (MSC) HEALTH BENEFITS BUY OUT WAIVE
PDF template
Enrollment form for New York City employees to participate in or terminate health benefits buy-out waiver program for plan year 2024.
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2024 Grand Rapids Foodie Fest Non Profit Vendor Agreement
PDF template
A vendor agreement for non-profit vendors participating in the 2024 Grand Rapids Foodie Fest food event detailing space rental and payment terms.
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Group Medicare Enrollment Form Kaiser Permanente Medicare AdvantageSenior Advantage (HMO)
PDF template
Enrollment form for individuals seeking to join Kaiser Permanente's Medicare Advantage/Senior Advantage health plan through a group plan.
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20232024 Season
PDF template
Registration and medical information form for volleyball team participants, including contact details, medical history, and insurance information
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2024 Grand Rapids Foodie Fest RetailFor Profit Business Vendor Agreement
PDF template
Agreement for retail vendors participating in the 2024 Grand Rapids Foodie Fest, outlining space rental, payment terms, and event details.
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Parking Permit Application
PDF template
Application form for obtaining residential parking permits in specific streets of Mercer Island, Washington.
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Instructions To Bonding Company For Sewage Treatment System Installer Registration Bond
PDF template
Detailed instructions for sewage treatment system installers, service providers, and septage haulers to complete registration bonding requirements in Ohio.
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Stone X Spade, Inc. Blanket Rental Agreement
PDF template
Comprehensive rental agreement for equipment rental services with detailed payment, insurance, and service terms.
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Disability Insurance Claim Packet Instructions
PDF template
Instructions for filing a disability insurance claim with Standard Insurance Company, detailing the application process and required documentation.
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Credentials Check List For Tournament Teams
PDF template
Detailed guidelines for tournament team documentation and eligibility verification for Dixie Boys Baseball (DBB) tournaments.
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Town Center Parking Permit Application
PDF template
Application form for obtaining parking permits for Town Center streets in Mercer Island, Washington.
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VADA Termination Or Voluntary Cancellation Form
PDF template
Form for employees to cancel or terminate their employment benefits including medical, dental, vision, disability, and life insurance.
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Provincial Winter Fair Release Of Liability Acknowledgement Of Risk
PDF template
Legal document releasing liability for participants in provincial fair activities involving livestock and events
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2025 Provider Referral Form
PDF template
A medical referral form for patients seeking enrollment in weight management or diabetes management programs through the Florida Department of Management Services.
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Benefits Cancellation Form
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Form for employees to remove dependents from their healthcare or insurance benefits plan.
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Group AdministratorS Member Transactions
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Road Service Reimbursement Request
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Form 216 F Health Carrier External Review Annual Report Form
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RFP 22 0022 Transportation Program Services For Aging (SCDOA)
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USA Volleyball Incident Report Form
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USA Volleyball Incident Report Form
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Official form for documenting injuries or property damage incidents during USA Volleyball events
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Hanford Employee Welfare Trust Short And Long Term Disability Plan And Disability Equalizer Benefit
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Claim Form
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Wisconsin Youth Soccer Association Event Medical Release Form
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Medical and liability release form for youth soccer participants, covering medical consent and injury acknowledgment.
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Group Whole Life Enrollment Forms And Statement Of Insurability Forms
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Regulatory standards for enrollment forms related to group whole life insurance policies, defining requirements for form submission and usage.
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Club Sport Waiver 2024 2025
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Enrollment Form
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Loss Claim Form
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Senate Bill No. 320
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Administrative Procedure 3810 Claims Against The District
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HUD Handbook 4240.4 REV 2
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NY Medicaid Provider Enrollment Form For Practitioners
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New York State Medicaid Enrollment Form
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Broker Agreement
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HUD Handbook 4700.1 REV 1
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Purchase Order 23 0000150
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SI 2047 Your Disability Benefit Claim
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Product Standards For Service Contracts
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Maryland Lease Purchase Agreements Package
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Town Of Richmond Parking Permit Vehicle Registration
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NC Medicaid Enrollment Form
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Virginia Service Request Form
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Official form for insurance agents to request name changes, license updates, and address modifications in Virginia.
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CMS 1500 Claim FormAmerican National Standards Institute (ANSI) Crosswalk For PaperElectronic Claims
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Blue MedicareRx (PDP) 2024 ENROLLMENT FORM
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F.249 (6 18) Funds Transfer Request Form
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Vehicle Registration Form 2017 2018
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NYS Medicaid InstitutionalRate Based Provider Change Of Address Form
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Citizens 4 Point Inspection Form
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Certificate Of Liability Insurance Form Florida
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Acord 27 Form
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ACORD 35 Cancellation Form
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Rental Agreement Form
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Pest Control Service Agreement Form
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Property Maintenance Agreement Template
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Texas Purchase Agreement Contract
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Short Form Construction Contract
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A standardized contract template for construction projects issued by the United Nations Office for Project Services (UNOPS)
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Comprehensive form for documenting incidents, injuries, and accidents within BSA programs and activities
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Comprehensive checklist for Tier 2 retirement application process, detailing required forms and documentation for pension and benefits
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Allegany College Of Maryland Athletics Emergency ContactInsurance Form
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Form for collecting athletic student emergency contact details and health insurance information at Allegany College of Maryland.
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FirstChoice Personal Super Withdrawal Form
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DHS 9193 Terms And Conditions, Non State Agency
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General terms and conditions for professional services contract with the Department of Human Services in Arkansas for non-state agency consultants.
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Administrative Rule 722.1 Accident Reporting Procedures And Guidelines
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Guidelines for reporting and documenting student and staff accidents within a school district, including filing procedures and documentation distribution.
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Workers Compensation Third Party Administrators (TPA) Licensing Packet
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Licensing documentation for third party administrators handling workers' compensation self-insurance for employers and pools in Tennessee.
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Senate Bill No. 768
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Legislation modifying access rules for motor vehicle accident reports in New Jersey
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Inspection Checklist For Indoor Fireworks Displays
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Guidelines and requirements for obtaining a permit for indoor fireworks displays in Minnesota, including application process and safety regulations.
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Notice Of Injury Or Occupational Disease
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A form used to report workplace injuries or occupational diseases in Nevada, documenting details of the incident and potential worker's compensation claim.
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Texas Real Estate Amendment
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A document related to modifications in real estate transactions and contract amendments in Texas.
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GROUP PLANS ENROLLMENT FORM
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Court Of Appeals Of Washington Opinion Clement Freeman V. Seneca Ventures, Et Al.
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Legal opinion regarding investment securities litigation involving hotel venture investments and alleged securities law violations.
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Express Scripts PharmacySM Home Delivery Form
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A form for submitting prescription medication orders through Express Scripts' home delivery pharmacy service, including member and patient information, payment options, and shipping details.
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REFUND REQUEST FORM
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Mileage Reimbursement Procedure
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Procedure for requesting reimbursement for personal vehicle use on county business, detailing submission requirements and documentation process.
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HSMV 83392 Insurance Request Form
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Form for requesting insurance information on a vehicle involved in a crash in Florida, used by individuals or attorneys.
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Questions And Answers From Early Intervention Insurance Assessment Webinar
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Security Incident Report
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Official form for documenting security incidents at the Mississippi State Department of Health's Office of Health Informatics.
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Agreement Tracking System
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Contract for Condition Acquisition Reporting System (CARS) 511 Maintenance and Support with Castle Rock Associates
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Adobe Sign For Microsoft Dynamics 365 Solution Brief
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A solution brief detailing how Adobe Sign integrates with Microsoft Dynamics 365 to streamline contract signing and approval processes.
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Joint Federal And State Application Form For Activities Affecting Waters Of The United States Or Cri
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A joint federal and state permit application for activities affecting navigable waters and critical areas in South Carolina.
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BRII 89 127 Resolution For Credit Card Services
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A resolution awarding a credit card services contract to The Connecticut Bank and Trust Company for Connecticut State University's Educational Extension Program.
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Simple Subcontractor Agreement Template
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Comprehensive service agreement between Logiq Consulting Limited and a customer, covering commercial service terms and conditions.
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Exclusive Artist Agreement
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Conditional Commitment Direct Endorsement Statement Of Appraised Value
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Official HUD document outlining conditions and terms for mortgage insurance and property commitment
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Freelance Contract Agreement
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A standard contract template defining the terms of engagement between a freelancer and a client for professional services.
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Town of Urbanna document outlining requirements for golf cart owners to obtain an annual safety permit for street use.
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REMICADE And Infliximab Mastercard Patient Information Form
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Form for patients to provide personal information and insurance details for medication rebate program for REMICADE and Infliximab.
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Legal document releasing liability for participation in high-risk recreational activities at Eyer Ropes Challenge Course.
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Motor Vehicle Leases
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A plain language lease agreement developed by Ford Motor Credit Company with improved clarity and customer-friendly language.
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City Of Goshen Commercial Sewer Discharge Form
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Form for industrial and commercial users to provide details about their facility's sewer system discharge and operational characteristics for NPDES permit compliance.
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Advancing Access Patient Information Form
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Comprehensive form for collecting patient personal information, contact preferences, and insurance details for medical services.
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Subscriber Claim Form
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Benefits Administration Letter 99 101
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Official guidance from the Office of Personnel Management addressing common documentation problems in Federal Employees Retirement System (FERS) applications and retirement claims.
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Waiver Of Liability Hold Harmless Agreement
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Legal document releasing Sam Houston State University from liability for risks associated with study abroad program participation.
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Certification Of Trust
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A form for certifying trust details when a trust is the owner of an Eagle Life insurance annuity contract.
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Insurance Office Quick Reference Guide 2017
PDF template
Comprehensive reference for filing insurance claims, emergency contacts, and reporting procedures for various types of incidents.
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Amendment Of SolicitationModification Of Contract
PDF template
Official document modifying a solicitation or contract issued by the U.S. Department of Housing and Urban Development
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School Board Action Report
PDF template
Board action report approving Denise Juneau's employment agreement as Superintendent of Seattle School District No. 1.
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BTA IV Award Construction Contract K5078, Bid No, B08705 To Forma Construction Company For The Magno
PDF template
School board action report authorizing a construction contract for renovation and addition of Magnolia Elementary School.
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Field Agent Independent Contractor Agreement
PDF template
Legal document detailing an independent contractor agreement between Redfin Corporation and a field agent for real estate services.
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Model Employment Contract With The General Director
PDF template
A template employment contract defining the terms and conditions for a General Director's appointment in an Open Joint Stock Company.
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Radionuclide Use Permit Cancellation Form
PDF template
Form used to document the final disposition of radioactive materials and closure of a radiation use permit at Indiana University.
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Agreement To Renew
PDF template
Renewal of master services agreement between Intrado Interactive Services Corporation and Jefferson County School District for content management system and related services.
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Retail License Application Instructions
PDF template
Comprehensive instructions for applying for a retail alcohol license from the Virginia Alcoholic Beverage Control Authority (ABC)
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Accident Report Form
PDF template
A comprehensive form for documenting details of a traffic accident, designed for drivers to record witness information and accident circumstances.
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Damage Report Form
PDF template
Form for reporting vehicle damage during AAA service, requiring detailed documentation and supporting evidence.
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Damage Report Form
PDF template
A comprehensive form for reporting vehicle damage during AAA automotive services, requiring detailed incident documentation.
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Booking Form For Tours Cruises
PDF template
A comprehensive booking form for travel tours and cruises, capturing personal details, trip preferences, and payment information.
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MnDOT User Registration Form For AASHTOWare CRL RolesUser (External PartnerContractor)
PDF template
Registration form for external partners and contractors to access AASHTOWare system roles and functionality
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Alberta Accident Benefits Initial Claims Process
PDF template
A comprehensive guide for filing insurance claims and accessing medical benefits after an automobile accident in Alberta, Canada.
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RENTAL AGREEMENT FOR USE OF SCHOOL DISTRICT EQUIPMENT
PDF template
A rental form for borrowing equipment from the Dickinson Public School District with terms of use and liability provisions
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AIChE BEER BREWING COMPETITION WAIVER AND RELEASE OF LIABILITY FORM
PDF template
Legal waiver for participants in an AIChE beer brewing competition, releasing the organization from potential liability and risks associated with the event.
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Zoning Affidavit
PDF template
Official form used by applicants for alcoholic beverage licenses to confirm zoning compliance and intended business use.
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Residence Hall Contract Cancellation Request Form
PDF template
A form allowing Delta State University students to request cancellation of their residence hall housing contract with specific conditions and options.
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Treatment Service Request Form
PDF template
A form for healthcare providers to request and authorize prescription of Nuplazid medication, including patient and insurance information.
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Patient Intake Form
PDF template
Comprehensive form for collecting patient personal, medical, insurance, and contact information for healthcare services.
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Group Insurance Accelerated Benefit Option Claim Form
PDF template
A form for employees or members to claim an accelerated benefit option for terminal illness life insurance claims.
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Maryland Accessibility Compliance Form
PDF template
A form for certifying accessibility compliance during alterations and additions to existing commercial buildings in Maryland.
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Accessible Parking Form
PDF template
Application form for individuals with disabilities seeking an accessible parking permit at Eastern Kentucky University
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ERAIDER REQUEST FORM
PDF template
Form for non-TTUHSC employees to request an eRaider account, specifying access requirements and responsibilities.
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AC CHANGE OUT COMPLIANCE FORM
PDF template
Official document for recording details of air conditioning system replacement, required for compliance with Florida Energy Code.
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Group Accident Insurance Claim Form
PDF template
A comprehensive claim form for reporting and documenting accident-related insurance claims with detailed instructions and submission guidelines.
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Accidental Injury Claim Form
PDF template
Insurance claim form for documenting details of an accidental injury and related medical information for potential insurance coverage.
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Vehicle CrashDamage Notice
PDF template
Official form for reporting vehicle accidents, damage, or crashes involving state-owned or managed vehicles in Minnesota.
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Auto Accident Report Form
PDF template
Comprehensive form for documenting details of an auto accident, including vehicle, driver, and damage information
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NORTHWESTERN UNIVERSITY ACCIDENT REPORT FORM
PDF template
A form for documenting accidents involving university vehicles, detailing damage, driver information, and incident specifics.
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ACCIDENT REPORT FORM
PDF template
A document used to record details of an accident, including parties involved, location, circumstances, and witnesses.
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Maritime General Insurance Co. Ltd. Claim Form
PDF template
Comprehensive insurance claim document for documenting vehicle and driver details in case of an insurance claim or occurrence.
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Accident Report Form
PDF template
A bilingual form for documenting details of an accident, including location, date, injured person's information, and incident specifics.
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DRIVERS ACCIDENT REPORT
PDF template
Official form for documenting details of a vehicle accident involving county personnel, to be completed at the accident scene and submitted to supervisor.
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Accident Report
PDF template
Detailed form for documenting accidents, injuries, or damages during Adirondack Mountain Club activities or premises.
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ACCIDENT REPORT FORM U3A
PDF template
A form used to document details of an accident, including parties involved, location, circumstances, and injuries.
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Rideshare AccidentDamage Report Form
PDF template
A comprehensive form for documenting details of an accident or damage involving a rideshare vehicle and other parties.
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STATE OF CALIFORNIA ACCIDENT REPORT
PDF template
Official confidential document for reporting non-motor vehicle accidents and potential legal claims involving state entities.
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GoTriangle Vanpool Accident Report Form
PDF template
A comprehensive form for documenting details of an accident involving a GoTriangle vanpool vehicle, including driver and insurance information.
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City Of Kirkland Accident Report Form
PDF template
A comprehensive form for reporting workplace accidents, injuries, and potential liability claims for City of Kirkland employees.
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Accident Waiver And Release Of Liability Form
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A legal document that releases event organizers from liability and outlines participant responsibilities for various activities.
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ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
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A legal document that releases event organizers from liability and assumes personal risk for participation in an activity.
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Accident Waiver And Release Of Liability Form
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Legal document releasing event organizers from liability for potential injuries or damages during the White River Dragon Boat Race and Festival.
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Accident Waiver And Release Of Liability Form
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Legal document waiving liability for participants in indoor baseball training activities, releasing the organization from potential injury or damage claims.
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Accident Waiver And Release Of Liability Form
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A legal document releasing the Lupus Foundation of America and event venue from liability for participation in an outdoor movie event.
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BOROUGH OF OAKLAND ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
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A legal document that releases the Borough of Oakland from liability for potential injuries or damages during an event or activity.
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Accident Waiver And Release Of Liability Form
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Legal document releasing Lincoln Academy from liability for potential risks and injuries during summer camp participation.
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Accident Waiver And Release Of Liability Form
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Legal document releasing event organizers from liability for potential injuries or damages during participant's event involvement.
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Accident Waiver And Release Of Liability Form
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Legal document outlining risk acknowledgment and liability release for participation in Swerve Robotics activities and workshops.
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Release And Waiver Of Liability, Assumption Of Risk, And Indemnity Agreement
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A legal document releasing Shiloh Christian School from liability for potential injuries or damages during school activities.
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Accident Waiver And Release Of Liability Form
PDF template
A comprehensive legal form releasing liability for various activities and events, covering potential risks and participant responsibilities.
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Accident Waiver And Release Of Liability Form
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A comprehensive liability waiver for parents allowing children to participate in summer art sessions with acknowledgment of potential risks and medical authorization.
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Accident Wellness Benefit Claim Form
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Insurance claim form for submitting wellness screening benefits and personal health information to Guardian Life Insurance.
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Insurance Certificate Issuer Contractors
PDF template
Instructions for insurance certificate issuers on how to complete and submit insurance certificates for University of Nebraska contractors.
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CLAIM FORM
PDF template
A comprehensive insurance claim form for collecting detailed policyholder and incident information for processing an insurance claim.
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Acknowledgement Of Risk And Waiver Of Liability
PDF template
A comprehensive guide for campus departments on using risk and liability waivers for various activities involving physical activity, travel, or minors.
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Activity Participation Waiver
PDF template
A legal document that outlines participant risks and releases the organization from liability during an activity
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Acknowledgment Of Risk And Consent Form
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Legal document for voluntarily participating in a college activity with acknowledgment of potential risks and liability waiver.
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ACORD 66 MA
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Insurance application form for property coverage with detailed submission instructions and legal notices.
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ACORD 126
PDF template
Insurance form for capturing details about employee benefits liability coverage and business insurance details.
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ACORD 131
PDF template
Standard insurance policy application form for capturing liability and policy details across multiple insurance categories.
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Insurance Application Form
PDF template
Comprehensive insurance application form for property coverage with multiple sections for property details, coverage options, and risk assessment.
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Certificates Of Insurance And Lenders
PDF template
Analysis of changes to ACORD insurance certificate forms and their impact on Freddie Mac and lenders' acceptance policies.
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ACORD 35 Cancellation Request Policy Release
PDF template
A standardized form for requesting cancellation of an insurance policy and documenting release details.
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ACORD 855 NY Construction Certificate Addendum
PDF template
Detailed addendum summarizing insurance policy provisions for construction-related general liability coverage
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Acord Lost Policy Release Form
PDF template
A form for releasing or managing insurance policy documentation when original policy documents are missing or need to be replaced.
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Acord Policy Change Request Form
PDF template
A fillable form for requesting changes to an existing insurance policy with various coverage options.
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Quick Reference Guide MedicalBehavioral Health Providers
PDF template
A comprehensive guide for medical and behavioral health providers on claims submission, pre-authorization, and service procedures for Amida Care health plan.
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Acquisition Matrix
PDF template
A matrix detailing procurement methods and approval requirements for various types of purchases at an educational institution.
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ACS Master Services Agreement
PDF template
A comprehensive service agreement between Associated Computer Systems (ACS) and a client for information technology services and software.
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WAIVER OF AGENCY DUTIES BUYER FORM
PDF template
Legal document detailing fiduciary duties of real estate licensees and potential waivers of certain agency responsibilities.
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Actor Internship Application Form
PDF template
Comprehensive application form for actors seeking an internship with Saltmine Trust, requiring personal, background, spiritual, and educational information.
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PARENTSTUDENT PHYSICAL ACTIVITY WAIVER FORM
PDF template
A comprehensive waiver form for students participating in physical activities at Christendom College, outlining potential risks and legal protections.
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Activity Participation Medical Release Form
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A comprehensive liability release form for participants in activities at Pacific Lutheran University that outlines potential risks and participant agreements.
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Activity Participation Waiver Form
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Legal document that releases Brightpoint Community College from liability for student participation in college activities
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ACTIVITYPROGRAM RELEASE And WAIVER FORM
PDF template
A legal document for releasing liability and obtaining consent for participation in organizational activities or programs.
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Activity Waiver Form (Release, Waiver And Covenant Not To Sue)
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A legal document that releases Cape Fear Community College from liability for risks associated with participating in an activity or event.
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Naugatuck Valley Activity Waiver Form
PDF template
A comprehensive waiver form for students participating in college-sponsored activities, covering transportation, emergency contacts, and liability release.
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ACT Parental Consent Form Guidance
PDF template
Guidance for school districts on obtaining parental consent for ACT testing and educational services for students under 18 years old.
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Parental Consent Form For ACT State Administration
PDF template
Guidance for Kentucky school districts on obtaining parental consent for ACT test-related services for students under 18 years old.
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NAACP ACT SO Contract And Release Of Media Interests And Rights
PDF template
A contract granting NAACP media rights and participation permissions for the ACT-SO National Competition.
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Patient Intake Form
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Comprehensive form for collecting patient personal, contact, medical, and insurance information for chiropractic services.
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Acute Inpatient Hospital Assessment Form
PDF template
Form for requesting authorization for hospital admissions and stay extensions for Blue Cross and Blue Care Network commercial plans
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Santa Clara County Civil Grand Jury Complaint Form
PDF template
A confidential form for filing complaints with the Santa Clara County Civil Grand Jury about local county matters.
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LOCAL 22 HEALTH PLAN DEPENDENT FORM
PDF template
Form for adding a spouse or dependent to the Local 22 Health Plan, requiring personal information and supporting documentation.
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Pre Authorization Form Instructions
PDF template
Detailed instructions for completing a medical pre-authorization request form, including required documentation and submission process.
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Addendum To ContractorS Contract Form
PDF template
An addendum modifying standard contract terms for goods or services with the Virginia Community College System
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Addendum To ContractorS Contract Form
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An addendum modifying a standard contract form for goods or services with the Virginia Community College System
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Indemnification Agreements And Additional Insureds Under Pennsylvania Law
PDF template
A comprehensive legal document examining indemnification agreements, insurance procurement, and additional insured provisions under Pennsylvania law.
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UWS B1242 Accidental Death Dismemberment Insurance
PDF template
Comprehensive employer manual for Accidental Death and Dismemberment insurance policy for University of Wisconsin System employees.
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SITUS ADDRESS AND STREET NAME CHANGE REQUEST FORM
PDF template
A form for requesting changes to property situs address or street name within Marin County.
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APPENDIX B6 ADJUDICATOR PERFORMANCE REVIEW FORM
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A comprehensive form for evaluating the performance of adjudicators in dispute resolution for construction contracts.
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AdjunctOverload Employment Agreement
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Employment agreement for adjunct instructors at Lewis-Clark State College detailing teaching assignments, compensation, and expectations.
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Accident Report
PDF template
Official form for documenting accidents and injuries associated with Adirondack Mountain Club activities or premises.
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Security Incident Report And Self Insurance Form
PDF template
A comprehensive form for reporting and documenting security incidents in Prince George's County Public Schools.
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Software As A Service Subscription Agreement
PDF template
Legal agreement between Adobe and a service provider for software subscription and usage terms.
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Invitation For Bid No. ITS 005420
PDF template
Solicitation for software services and goods for state procurement by the Office of Information Technology Services
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Santa Paula Animal Rescue Center Adoption Contract
PDF template
A legal contract for adopting an animal from the Santa Paula Animal Rescue Center, outlining responsibilities and adoption details.
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ADR Case Update Term Sheet Enforceable Under CCP 664.6
PDF template
Analysis of a legal case involving the enforceability of a mediation settlement term sheet between property lease parties.
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New Mexico 4 H Adult Medical And Liability Release Code Of Conduct Contract And Media Release Form
PDF template
A comprehensive form for 4-H adult volunteers covering medical information, liability release, code of conduct, and participation guidelines.
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Emergency Medical Form ADULT
PDF template
Comprehensive medical authorization and emergency contact form for adult participants in MUMC trips.
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Adult Confidential Medical Information And Emergency Notification Form
PDF template
Comprehensive medical information and emergency contact form for participants in the 2007 Big Sky Regional Science Bowl
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Adult Medical Release Form
PDF template
Medical and liability release form for participants in Diocese of Little Rock youth ministry events
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Adult Registration Form
PDF template
Comprehensive form for collecting patient personal and insurance information for healthcare purposes.
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NDA Adult Volunteer Registration And Waiver Form
PDF template
A legal waiver form for adult volunteers participating in a neighborhood district association event, releasing the organization from liability.
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Provider Appeal Request
PDF template
A form for healthcare providers to submit appeals for denied claims or authorizations with Advanced Health.
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Provider Appeal Request
PDF template
A form for healthcare providers to request an appeal of a denied claim or authorization with Advanced Health.
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Advanced Illness Benefit Application Form
PDF template
Application form for palliative care through the Advanced Illness Benefit for advanced cancer/oncology care by Anglovaal Group Medical Scheme.
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Advantage Plus Enrollment Form
PDF template
Enrollment form for Kaiser Permanente Medicare Advantage optional supplemental benefits package in the Mid-Atlantic States Region.
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Commercial Prescription Drug Claim Form
PDF template
A form for submitting prescription drug claims to Aetna Pharmacy Management for reimbursement or processing.
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Prescription Drug Claim Form
PDF template
A comprehensive form for submitting prescription drug claims to Aetna Pharmacy Management for reimbursement or processing.
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AETNA STUDENT HEALTH CLAIM FORM
PDF template
Insurance claim form for Aetna Student Health covering medical and accident-related expenses for university students.
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Covenant Not To Sue And Indemnity Agreement
PDF template
Legal document waiving liability and assuming risk for participation in Aero Club flying activities.
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Delinquent Tax Bill Sale Affidavit Form
PDF template
Official form for declaring non-related party status in a county tax bill sale process.
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Affidavit Of Domestic Partner Status And Tax Dependency Status
PDF template
A form for employees to declare domestic partner and dependent status for health and welfare benefits eligibility
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Insurance Form For County Affiliates
PDF template
Insurance documentation form for county-level cattle industry affiliate events in Missouri.
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Accidental Injury Claim Form
PDF template
Insurance claim form for documenting details of an accidental injury for potential insurance benefits and reimbursement.
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Continuing Disability Claim Form
PDF template
A claim form for filing a continuing disability insurance claim with Aflac, requiring detailed patient and policyholder information.
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Initial Disability Claim Form
PDF template
Insurance claim form for reporting disability due to sickness or injury, used by Aflac for processing disability claims.
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M0272B Flexible Spending Account Claim Form
PDF template
Form for requesting reimbursement from a Flexible Spending Account for medical and dependent care expenses.
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Initial Disability Claim Form
PDF template
Comprehensive form for filing a disability insurance claim covering various types of disability including accidents, sickness, pregnancy, and cancer.
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AFLAC Optional Insurance
PDF template
Document detailing optional insurance offerings from AFLAC for the Housing Authority of the City of Los Angeles (HACLA)
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Sickness Claim Form
PDF template
A comprehensive form for filing insurance claims related to sickness, disability, hospitalization, and other health events with Aflac.
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Large Alcohol Fuel Plant Information
PDF template
Instructions and required forms for obtaining a permit as a large alcohol fuel producer from the Alcohol and Tobacco Tax and Trade Bureau.
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AFSCME Local 127 PPO Benefits Matrix
PDF template
Comprehensive dental insurance plan detailing coverage levels for various dental treatments and services.
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Adventures In Good Company, Inc. Acknowledgment And Assumption Of Risks Release And Indemnity Agree
PDF template
A legal document outlining participant risks, liability release, and indemnification for Adventures in Good Company (AGC) trips.
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ADVENTURES IN GOOD COMPANY, INC. ACKNOWLEDGMENT AND ASSUMPTION OF RISKS RELEASE AND INDEMNITY AGREE
PDF template
Legal document detailing risks, liability release, and participant responsibilities for Adventures in Good Company travel trips.
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Agc Subcontract Agreement Form
PDF template
A legal document outlining the terms and obligations between a contractor and subcontractor for construction-related work.
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Agency Agreement
PDF template
A template legal document outlining the relationship and responsibilities between a charity and its appointed agent for specific projects.
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Reed Insurance Agency Bill Invoice Form
PDF template
A form used by Reed Insurance to document policy transaction details, billing information, and payment verification.
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Skagit County Commissioners Agenda
PDF template
Official agenda detailing meetings and discussions for Skagit County Commissioners on June 22-23, 2015
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52675 (0820) Checklist
PDF template
A comprehensive checklist for insurance agents applying to contract with Americo, outlining required documentation and process steps.
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AgentS Report
PDF template
A form for agents to report and settle surety bond transactions with details about bond execution and premiums.
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AGENCY AGREEMENT
PDF template
A contract establishing a cooperation between a customer and a communications agency for advertising and marketing support.
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Agreement For Construction Services (Small Projects)
PDF template
Instructional document for preparing a small construction services agreement with guidelines for contract preparation and compliance requirements.
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Agreement For Crew On Music Video
PDF template
Legal document outlining terms, rates, and conditions for crew members working on a music video production.
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STATE CENTER COMMUNITY COLLEGE DISTRICT CONTRACTAGREEMENTGRANT APPROVAL COVER SHEET
PDF template
A cover sheet for documenting and approving contracts, agreements, or grants within the State Center Community College District.
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Transfer Request Form
PDF template
Form for transferring vehicle service contracts between private parties for American Guardian Warranty Services and EcoPro Products.
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Medical Reimbursement Form
PDF template
Form for members to request reimbursement for medical services covered under their health plan
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AIA Document A1012007
PDF template
A standard contract form for agreements between owners and contractors with a stipulated sum payment basis, customized by the Kentucky Department of Education.
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AIM Issuing Orphan Endorsements
PDF template
Instructions for issuing an orphan endorsement to a policy issued outside the AIM+ environment.
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AIR TOUR BOOKING FORM
PDF template
A comprehensive travel booking form for reserving holidays with Woods Holidays Limited, covering passenger details and travel arrangements.
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Alabama Purchase And Sale Agreement
PDF template
A legal document that outlines the terms and conditions for purchasing and selling real estate property in Alabama.
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Alcohol Beverage Request Form (ABRF)
PDF template
A form for requesting permission to serve and consume beer, wine, and champagne at Si View Metropolitan Park District facilities with specific rules and conditions.
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Application For New Alcoholic Beverage License
PDF template
Official state form for obtaining a new alcoholic beverage license in Florida for businesses seeking to sell or manufacture alcoholic beverages.
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Allamakee County Employment Application
PDF template
A comprehensive employment application form for Allamakee County that collects personal, employment, and eligibility information from job applicants.
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EMPLOYMENT APPLICATION
PDF template
Standard employment application form for job opportunities with Boone County Human Resources Department in Columbia, Missouri.
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Allied, Therapeutic And Psychology Extender Benefit Application Form For 2024
PDF template
Application form for healthcare benefit coverage under the Retail Medical Scheme's Essential Plus Option for allied, therapeutic, and psychology services.
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Pre Authorization Checklist For Acute LymphocyticLymphoblastic Leukemia
PDF template
A medical form used by healthcare providers to pre-authorize treatment for pediatric leukemia patients through the Philippine Health Insurance Corporation.
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Accident Coverage Claim Form
PDF template
Insurance claim form for reporting accidental injuries and seeking coverage benefits from American Heritage Life Insurance Company.
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What To Do In Case Of An Accident
PDF template
A step-by-step guide for handling an automobile accident and reporting a claim to Allstate Insurance.
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Cancellation Form
PDF template
A form for requesting cancellation of a vehicle service or GAP contract with detailed vehicle and customer information.
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Participant Accident WaiverRelease Of Liability Form
PDF template
A comprehensive liability waiver for participants in motorcycle events, covering risks, personal fitness, and legal responsibilities.
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Blue Cross Medical Travel Benefit Claim
PDF template
A claim form for medical travel expenses for members of the Arrow Lakes Teachers' Association submitted to Pacific Blue Cross.
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Enrollment Form
PDF template
A comprehensive enrollment form for dental and vision insurance coverage through an employer's benefit plan.
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Enrollment Form
PDF template
A comprehensive form for enrolling in dental insurance coverage, including subscriber and dependent information, coverage options, and coordination of benefits.
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ENROLLMENT FORM VISION ONLY
PDF template
A comprehensive enrollment form for vision insurance coverage, allowing employees to add or modify vision insurance benefits.
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All Musicians Club And Musicians Performance Studio Club Membership Form
PDF template
Membership application and liability waiver for the All Musicians Club and Musicians Performance Studio Club for Laguna Woods Village residents and guests
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EBook Agreement Amendment
PDF template
A contract between an author and Wasteland Press outlining terms for digital book publication and royalty distribution.
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Amendment Agreement
PDF template
A legal document used to modify the terms of an existing Offer to Purchase Agreement for a real estate transaction.
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Berkeley Unified School District ROUTING FORM
PDF template
A form used to route and approve independent contractor agreements, memorandums of understanding, and contract amendments within the Berkeley Unified School District.
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Annuity Service Request Form
PDF template
A form for making changes to annuity contract information including name, address, age, and identification details.
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Dental Claim Form
PDF template
A comprehensive form for submitting dental insurance claims, requiring patient and employee information, treatment details, and authorization signatures.
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Enrollment Change Waiver Group Insurance Form
PDF template
Insurance form for enrolling, changing, or waiving group dental insurance coverage for employees and their dependents.
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COBRA Eye Care Insurance Form
PDF template
Form for documenting employee and dependent eye care insurance coverage under COBRA regulations.
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Hearing Insurance Enrollment Form
PDF template
A comprehensive form for employees to enroll in or modify hearing insurance coverage for themselves and dependents.
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Group Insurance Form Eye Care
PDF template
Insurance enrollment form for group eye care coverage, allowing employees to enroll, change, or waive insurance benefits
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AMI Insurance Application
PDF template
A comprehensive insurance application form for personal health coverage with options for individual or family plans.
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Phase II Post Construction Stormwater Administrative Manual
PDF template
Administrative manual and permit form for post-construction stormwater management in the City of Graham, North Carolina.
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Anaplan Data Processing Addendum
PDF template
A legal document outlining data processing terms and standard contractual clauses for Anaplan's SaaS services.
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Angeles New Waiver Forms FAQ
PDF template
Comprehensive guide explaining the Sierra Club's new Participation Agreement, its purpose, usage, and implementation details.
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Indiana DowngradePolicy Change Form
PDF template
A form for making changes to an individual Anthem Blue Cross and Blue Shield insurance policy, excluding certain types of modifications.
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Agreement For The Purchase Of Professional Or Consultancy Services (Short Form)
PDF template
A short-form agreement for purchasing professional or consultancy services between the British Council and a supplier.
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Agreement For The Purchase Of Professional Or Consultancy Services (Short Form)
PDF template
A standard agreement template for purchasing professional or consultancy services between the British Council and a supplier.
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Annex 1 Terms And Conditions Of Contract
PDF template
A contractual agreement between the British Council and a consultant specifying terms, services, and conditions of engagement.
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Agreement For Supply Of Services (Short Form)
PDF template
A contractual agreement between the British Council and a client for the supply of services, outlining terms, charges, and obligations.
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Agreement For The Purchase Of Professional Or Consultancy Services (Short Form)
PDF template
A short-form agreement for purchasing professional or consultancy services between the British Council and a supplier.
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Agreement For The Purchase Of Professional Or Consultancy Services (Short Form)
PDF template
A standard agreement between the British Council and a supplier for professional or consultancy services with multiple schedules defining terms and conditions.
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Agreement For Control Access Lenel
PDF template
A legal agreement between the British Council and a supplier for services or goods, detailing terms, conditions, and schedules of engagement.
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Annex 1 Terms And Condition Of Contract
PDF template
A legal contract document outlining terms and conditions between the British Council and a supplier for services or goods.
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Agreement For The Purchase Of Professional Or Consultancy Services (Short Form)
PDF template
A standard agreement for purchasing professional or consultancy services between the British Council and a supplier, outlining the terms of service delivery and payment.
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Agreement For The Purchase Of Professional Or Consultancy Services (Short Form)
PDF template
A short-form agreement between the British Council and a supplier for professional or consultancy services with multiple schedules defining terms and conditions.
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Agreement For The Purchase Of Professional Or Consultancy Services (Short Form)
PDF template
A short-form agreement between the British Council and a supplier for professional or consultancy services with multiple schedules covering terms, specifications, and charges.
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Agreement For The Purchase Of Professional Or Consultancy Services (Short Form)
PDF template
A standard agreement between the British Council and a supplier for professional or consultancy services, outlining terms of service delivery and payment.
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NPDES Small MS4 General Permit (ARR040000) Annual Reporting Form
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Annual reporting form for municipal stormwater permit compliance and water quality management.
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Ohio DowngradePolicy Change Form
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A form for making changes to an individual insurance policy with Anthem Blue Cross and Blue Shield, excluding certain types of modifications.
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Member Claim Form
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Insurance claim form for submitting medical expenses and service details to Anthem Blue Cross health insurance.
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Prescription Reimbursement Claim Form
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A form for patients to submit claims for prescription medication reimbursement from their insurance provider.
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Medical Insurance Claim Form
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A standard medical insurance claim form for submitting patient information and medical service details to an insurance provider.
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Medical Claim Form
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A comprehensive medical claim form for submitting healthcare service details and patient information to Anthem Blue Cross insurance.
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Dental Claim Form
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Official form for submitting dental insurance claims and treatment documentation to dental benefit plans.
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Medical Claim Form
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A comprehensive form for submitting medical insurance claims, collecting patient, subscriber, and medical service information.
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Medical Claim Form
PDF template
A comprehensive medical claim form for submitting healthcare service reimbursement claims to Anthem Blue Cross and Blue Shield insurance.
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PPO Dental Blue Complete
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Comprehensive dental insurance plan offering flexible network options and preventive care coverage for active and retired police association members.
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Short Term Disability Claim Form
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A form for employees to file a claim for short-term disability benefits with insurance details and authorization.
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Medical Claim Form
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A standard medical insurance form for submitting healthcare service claims and patient information to an insurance provider.
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Out Of Network Vision Services Claim Form
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A claim form for submitting vision care expenses to Blue View Vision when receiving services from out-of-network providers.
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Administrative Order No. 6 1 Travel On County Business
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Guidelines for travel authorization and reimbursement for Miami-Dade County officials and employees while conducting official business.
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COVID 19 Assumption Of The Risk Forms
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Proposal for risk mitigation forms to address COVID-19 exposure in fraternity settings, covering various participant types.
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Texas Department Of Insurance, Division Of Workers Compensation Adopted Amendments To Chapter 133
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Amendments to medical billing forms and procedures for the Texas workers' compensation system, specifically updating electronic billing and pharmacy claim forms.
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Assumption Of The Risk And Hold Harmless Agreement
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Legal document outlining risk assumption and liability waiver for contractors working in a fraternity chapter facility.
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Administrative Procedure 354 Risk Management And Third Party Promotion
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Administrative procedure outlining the school district's guidelines for managing risks associated with third-party events and promotions in schools.
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NEW MILFORD AQUIFER PROTECTION AGENCY ENVIRONMENTAL COMPLIANCE INFORMATION FORM
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Form for adding a regulated activity to a registered facility in an aquifer protection area, documenting any environmental law violations.
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NEW MILFORD AQUIFER PROTECTION ACENCY INSTRUCTIONS FOR COMPLETING THE ENVIRONMENTAL COMPLIANCE FORM
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Instructions for completing an environmental compliance form for permit applications, detailing required information about enforcement actions.
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Apartment Lease Contract Sample
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A comprehensive lease contract outlining landlord and tenant responsibilities, rental terms, and legal obligations for apartment rental.
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Title V Application Applicable Requirements Summary Checklist (FORM 1401 H1)
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A comprehensive checklist for documenting applicable regulatory requirements for facility permit applications, renewals, and modifications.
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TITLE V APPLICATION Schedule Of Compliance (FORM 1401 L)
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A form for listing emission units not in compliance with federal requirements and detailing their compliance correction schedule.
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Release And Waiver Of Liability Form
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Liability waiver for students enrolled in De Anza College's adapted swimming courses, outlining participation requirements and risk assumptions.
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PARTICIPANT MEDICAL HISTORY FORM
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Confidential medical history form for collecting participant health information for trips and activities by APEX
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FIREARM AUTHORIZATION FORM
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A form for obtaining permission to possess and discharge firearms on a natural reserve, requiring safety training documentation and firearm details.
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WORK ORDER REQUEST FORM
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A form used to establish or revise work orders, detailing project scope, budget, and contractor information.
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VALET PARKING APPLICATION
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Official application form for obtaining a valet parking permit in the City of Burbank, covering new, renewal, and temporary permits.
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Appendix A Solarize Philly Contractor Response Form
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A comprehensive form for solar contractors to provide business and demographic information for potential participation in the Solarize Philly program.
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RELEASE, WAIVER OF LIABILITY, COVENANT NOT TO SUE
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Legal document releasing Columbus State University from liability for potential injuries during a camp or conference event.
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Litigation And Contract Compliance Form
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A detailed form for assessing potential legal, financial, and operational risks for organizations seeking to contract with First 5 LA.
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Stormwater Control Permit Checklists
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Comprehensive checklists for stormwater control permit application, management plan, erosion control, and operation/maintenance documentation.
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Concordia University Part Time Teaching Application Form
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Official application form for part-time teaching positions at Concordia University, specifying eligibility and application requirements.
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Concordia University Part Time Teaching Application Form
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Application form for part-time teaching positions at Concordia University, specifying application requirements and eligibility details.
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UBCP Security Agreement
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A security agreement between a debtor and the Union of B.C. Performers to secure performance obligations under a master production agreement.
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Essex County Fairgrounds Task Force Application Checklist
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Comprehensive checklist for rental application and requirements for using Essex County Fairgrounds facilities.
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LIVINGSTON COUNTY APPLICATION FOR EXAMINATION OR EMPLOYMENT
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Official application form for civil service examinations or job positions within Livingston County government
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JOB APPLICATION FORM (STUDENT WORKER)
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An application form for students seeking on-campus employment at North South University's Central Library
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Application For Policy Changes (High Net Worth Products Except Signature Wealth)
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Insurance policy modification form for making various changes to an existing life insurance policy, including smoking class adjustments and other policy updates.
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Application For Registration As A Wholesaler Of Liquor
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Official application form for registering as a liquor wholesaler in the Northern Territory of Australia.
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Application For Review
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A comprehensive application form for submitting land development project documents for review and approval by SEMSWA.
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APPLICATION FOR PERMIT FOR ARCHEOLOGICAL INVESTIGATIONS
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Formal document for obtaining permission to conduct archaeological research on federal lands under various preservation acts.
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Service Request Form
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A form for submitting and tracking information technology service requests within an organization.
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Short Term Rental Application
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Application for obtaining a short-term rental permit in the Village of Fontana-on-Geneva Lake, Wisconsin for vacation rental homes and tourist rooming houses.
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Checklist For A Complete Application Form (ACDR) Submittal
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Instructions for completing the Application for Construction Design Release (ACDR) form and ensuring a complete submittal.
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Texas Tech University System Camp And Conference Non Sports And Sport Camps Insurance Application
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Insurance application for Texas Tech University System camps covering participant and staff insurance details
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City Of Los Angeles Department Of Recreation And Parks Application For Use Of Facilities
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An application form for using city recreation facilities, requiring detailed event and participant information.
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Direct AgentAgency Electronic Appointment Onboarding Process
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Detailed guide for agents and agencies to electronically complete their appointment process with Scott and White Health Plan and FirstCare Health Plans.
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Resident Insurance ProducerInsurance AdjusterReal Estate Appraiser Background Check Consent Form
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A consent form for criminal history record checks required for licensing insurance producers, adjusters, and real estate appraisers in Minnesota.
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CONTRACT AND AGREEMENT APPROVAL FORM
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A form for initiating and routing contracts and agreements for Savannah State University, requiring multiple levels of approval.
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COUNTY OF SANTA CRUZ SCANNABLE EMPLOYMENT APPLICATION
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Official job application form for employment opportunities with Santa Cruz County government, designed for scanning and online submission.
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APPLICATIONS Service Request Form
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Internal form for requesting IT service and system modifications within an organization's technology infrastructure.
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Wexford County Board Of Commissioners Regular Meeting Minutes
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Official record of Wexford County Board of Commissioners meeting held on April 19, 2017, including resolutions and motions.
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Albuquerque Public Schools Domestic Partners Policy
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Policy outlining benefits eligibility for employees with domestic partners, including medical, dental, and insurance coverage.
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Status Inquiry Form
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A form for reporting the status of a bonded construction project, requested by a surety bond producer to track project progress and potential issues.
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APTA Technology Terms And Conditions White Paper
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A white paper discussing technology-related terms and conditions for IT procurement contracts in public transit agencies.
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Helicopter Rental Agreement Price List
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Comprehensive form for helicopter rental pricing and aircraft specifications for U.S. Department of Interior aviation services.
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Guidelines For Filing Applications For Air Contamination Sources Incinerators
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Detailed instructions for filing permit applications for new or modified incinerators with the Westchester County Department of Health.
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Guidelines For Filing Applications For Dry Cleaning Facilities
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Official guidelines from Westchester County Department of Health for submitting permit applications for dry cleaning facilities, including requirements and documentation needed.
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Aqua Art Miami ApplicationContract
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Application and contract for participating in the Aqua Art Miami contemporary art exhibition, detailing room selection and pricing for gallery spaces.
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Aqua Art Miami ApplicationContract
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Application and contract for participating in the Aqua Art Miami contemporary art exhibition at the Aqua Hotel in Miami Beach.
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CRMC Aquaculture Lease Transfer Request Form
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Official form for transferring an aquaculture lease within Rhode Island's coastal management system.
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Arkansas Motor Vehicle Accident Report (SR 1)
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Official form for reporting motor vehicle accidents involving property damage over $1,000 or bodily injury/death.
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ArcGIS User Access Requisition Form
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A form for Geauga County employees to request access to ArcGIS software and user accounts.
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Application For Architects And Engineers Professional Liability Insurance
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Insurance application for architecture and engineering firms seeking professional liability coverage with detailed firm information and financial reporting requirements.
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Architects And Engineers Professional Liability Insurance Application
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An insurance application for architects and engineers to evaluate professional liability coverage eligibility.
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Arizona SPDSCLUE Waiver Form
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A form allowing buyers and sellers to waive property disclosure statement and insurance claims history report in a real estate transaction.
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Arizona Rental Agreement Contract
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A legal document outlining the terms and conditions for renting residential property in Arizona, including tenant and landlord rights and responsibilities.
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Recommended Finish Floor Elevation Affidavit
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A document for property owners acknowledging flood risk information and recommended floor elevation based on FEMA Base Level Engineering data.
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Article 14A Regular Faculty Evaluations
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Comprehensive guidelines for evaluating regular faculty members in the Sonoma County Junior College District.
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Accident Report Form
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A form for reporting accidents during ART teaching activities, used to comply with public liability insurance requirements.
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District Initial Proposal
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Proposal defining work year, workweek, and hours for unit members in a district employment agreement.
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Prospective Member Insurance Qualification Information
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Insurance qualification form for prospective pilots seeking membership in Artisan Aviation Inc., collecting personal and flight history information.
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Artist Agreement
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Legal agreement outlining terms between an artist and Cedar Gallery for artwork exhibition, sales, and promotional use.
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Request For Information (RFI) Los Angeles County Department Of Arts And Culture Needs Assessment F
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A request for information to gather insights for developing a countywide cultural policy and potential future needs assessment RFP.
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MMB Insurance Form
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A form for documenting artwork details and insurance values for an art exhibition by the Madison Arts Commission.
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Referral Form
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Medical referral form for new patient intake and treatment evaluation at Ascend Health Center, focusing on mental health services.
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Assumption Of Risk, Waiver, Release And Indemnity Agreement
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Legal document outlining risks and liability for participation in various recreational activities at the Anne Springs Close Greenway.
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Student Accident Report Form
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Comprehensive form documenting details of student accidents and injuries within a school district setting.
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Liability Waiver Form For ASF Members
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A legal document waiving liability for children participating in activities at Scandinavia House Children's Center and authorizing emergency medical treatment.
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ASNC Payer Policy Feedback Form
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A form for physicians to report issues and provide feedback about health plan and insurance carrier interactions related to medical imaging services.
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MEDICALVISION CLAIM FORM
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A comprehensive claim form for submitting medical and vision insurance claims, requiring detailed employee and patient information.
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COVID 19 Assumption Of The Risk Forms
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Comprehensive guidance for creating risk assumption forms to address COVID-19 exposure in fraternity settings, with five different versions for various participant types.
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Group Purchasing Organization Declaration Form
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A form for facilities to declare their exclusive Group Purchasing Organization for contract eligibility with AstraZeneca Pharmaceuticals LP.
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ANNUAL ATHLETIC FACILITES AGREEMENT
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An agreement between an Athletic Association and North Lebanon Township detailing terms of facility usage, responsibilities, and liability requirements.
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Athletic FieldCourt Permit Information
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Comprehensive guide for obtaining and using athletic field permits in Denver, including information about locks, lighting, restrooms, and field maintenance.
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TMU Athletics Secondary Insurance Disclosure Form
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Detailed explanation of athletic injury insurance coverage for student athletes at The Master's University, outlining insurance policy terms and student responsibilities.
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Melba Schools Activity Policy
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Comprehensive policy document covering insurance waiver, drug testing consent, and activity participation guidelines for Melba School District students.
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ATL Contract No. 21 089 Safety, Security And Emergency Management Consulting Contract
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A professional services contract between Atlanta-Region Transit Link Authority, State Road and Tollway Authority, and a consulting firm for safety, security, and emergency management services.
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Accessible Technology Purchase Form
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Form for requesting electronic and information technology purchases to ensure accessibility for students and users in academic settings.
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TEMPLATE CONSULTANCY AGREEMENT (For SELF EMPLOYED)
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A template contract for engaging a self-employed consultant with specific provisions for service engagement by IUCN.
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DD 254 Form Department Of Defense Contract Security Classification Specification
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Official Department of Defense document specifying security classification requirements for a contract with Lockheed Martin Corporation.
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County Of Siskiyou Contract For Services
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A service contract between Siskiyou County Health and Human Services Agency and an independent contractor for professional services.
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County Of Siskiyou Contract For Services
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A service contract between Siskiyou County Health and Human Services Agency and an independent contractor for professional services.
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Professional Services Contract
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A contract defining the terms of professional services between an agency and a consultant, including scope of work, time schedule, fees, and termination provisions.
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ATTACHMENT B VENDOR PROFILE
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A vendor document detailing insurance requirements and company profile information for a municipal contract in Duluth, Minnesota.
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Independent Contractor Agreement
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A contract between Your Health Idaho and an independent contractor for providing specified services through a competitive proposal process.
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FINAL PERMIT AKG523000 Annual Report
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Annual reporting form for vessels discharging pollutants to Alaska waters under General Permit AKG523000, tracking seafood processing waste and discharge details.
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Recommended County Sponsored Legislative Proposal Form
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A comprehensive form for proposing legislative initiatives at the County of Los Angeles level, requiring detailed background, proposal, and fiscal impact information.
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Child Care Attendance Record And Billing Form
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A form for tracking child care attendance, daily rates, and parent fee payments for Weld County child care services.
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Long Term Disability Claim Form
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A comprehensive medical form for documenting a patient's disability claim, including medical history, diagnosis, treatment, and current condition.
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West Kentucky ATV Recreational Area Release And Waiver Of Liability And Indemnity Agreement
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Legal document releasing liability for participants entering and using the West Kentucky ATV Recreational Area for off-highway vehicle riding.
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Notice Of Hiring
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Job advertisement for a full-time office position in the Osceola County Auditor's office with various administrative duties.
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Notice Of Hiring
PDF template
Job announcement for a full-time office position at the Osceola County Auditor's office with diverse administrative responsibilities.
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Patient Intake Form
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Comprehensive patient intake form for collecting personal, contact, and medical insurance information at Auburn University Clinical Health Services clinics.
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HOLD HARMLESS, VOLUNTARY WAIVER, AND ASSUMPTION OF RISK FORM
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A legal document that releases Auburn University from liability for potential injuries or damages during a field trip event.
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Authorization Form For Insurance Complaint
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A form authorizing a representative to discuss and access medical information related to an insurance complaint or appeal.
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Authorization And Driving History Form
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A form documenting employee driving authorization, vehicle operation details, and liability requirements for state vehicle use.
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WaiverAuthorization Form
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A legal liability waiver for participants in Keep Florence Beautiful community activities and events.
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Authorization Form
PDF template
A document allowing property owners to authorize an agent to apply for various municipal permits on their behalf.
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Permit Authorization Form
PDF template
A form that certifies an authorized agent's permission to obtain permits on behalf of a property owner for construction or installation projects.
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Authorized Agent Form
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A form allowing business owners to designate authorized agents for submitting permit applications within the City of Austin's corporate limits.
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Authorized Service Provider Agreement
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A legal document outlining terms and conditions for authorized service providers to deliver services under specific contractual arrangements.
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DriverS Accident Report Form
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A comprehensive form for documenting details of a vehicle accident, including driver, vehicle, and accident information.
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Auto Accident Report Form
PDF template
A comprehensive form for documenting details following a motor vehicle accident, including vehicle, driver, and injury information.
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Automobile Accident Report
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Comprehensive form for reporting vehicle accidents involving University of Delaware vehicles or employees
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Auto Accident Report Form
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A comprehensive form for documenting details of a vehicle accident involving Oregon State University personnel, vehicles, or property.
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Auto As Is No Warranty Form
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A legal document outlining the sale of a vehicle without any warranty protections for the buyer.
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New PIP Patient Form
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Detailed form for documenting vehicle accident details and patient information for insurance or medical purposes.
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Auto Incident Report Form
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A comprehensive form for documenting details of an auto collision involving a nonprofit organization's vehicle.
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Client Interview Form Auto Accidents
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Comprehensive form for collecting client information related to an auto accident insurance or legal claim.
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Colony Specialty Automobile Vehicle Inspection Form
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Comprehensive inspection form for evaluating the condition of vehicles and trailers, assessing various mechanical and safety components.
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Vehicle Accident Report Form
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A comprehensive form for documenting details of a vehicle accident, including driver, vehicle, damage, and witness information.
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Alcohol Compliance Form
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A form for requesting permission to serve alcohol at campus events, detailing event and compliance requirements.
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IT Service Agreement
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A service agreement between an Auxiliary organization and a Contractor for IT services, detailing scope, compensation, and performance expectations.
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Arbitration Award Certas Direct Insurance Company V. Allstate Insurance Company Of Canada
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Arbitration award resolving an insurance priority dispute between two insurers following a motor vehicle accident in 2018.
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Award Agreement (Agreement To Pay Benefits)
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Official form documenting workers' compensation benefits agreement between an injured worker and employer/insurance carrier.
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Premium And Billing Change Request
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A form for changing insurance premium payment methods, including pre-authorized check plan and billing modifications for American Heritage Life Insurance Company policies.
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Medical Expense Claim Form
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A form for employees to claim medical expenses through a Flexible Spending Account with detailed submission instructions.
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COMPLIANCE PLAN TERO THREE AFFILIATED TRIBES
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A compliance form for contractors intending to work on the Fort Berthold Indian Reservation, requiring consultation with the TERO Director before commencing business.
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Alfond Youth Community Center New England Sports Camps Medical History Form 2023
PDF template
Comprehensive medical history and emergency contact form for children attending various sports camps in Maine.
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Member Request For Medical Reimbursement Form
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A form used by UnitedHealthcare Community Plan members to request reimbursement for medical services, co-payments, coinsurance, and deductibles.
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Contract Cover Sheet
PDF template
Contract for installation of electric lock physical access control systems at Wichita State University with multiple vendors.
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DCM Form B 2A
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Standard contract document defining the relationship, responsibilities, and terms between an owner and an architect for a construction project.
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Securing Waivers Of Liability From Volunteers Of Nonprofit Organizations
PDF template
A comprehensive guide for nonprofit organizations on obtaining and using liability waivers to protect against potential legal claims from volunteers.
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Benefit Application Form (BA1)
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Application form for members of the New Zealand Firefighters Welfare Society to claim benefits and reimbursements.
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Adjacent Property Owner Consent Form For Backyard Chickens
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A form requiring consent from adjacent property owners for obtaining a permit to keep backyard chickens in Winter Park, Florida.
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My Choice Wisconsin BadgerCare Plus Authorization Form
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A comprehensive form for requesting healthcare service authorizations under the BadgerCare Plus program in Wisconsin.
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Chronic Appliance Benefit Application Form
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Medical application form for patients seeking insurance coverage for chronic medical appliances and equipment through Bankmed.
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BANNER UNIX ACCOUNT APPLICATION FOR EMPLOYEES
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Form for employees to request access to various Banner modules and Unix accounts at Texas Southern University
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BANNER UNIX ACCOUNT APPLICATION FOR EMPLOYEES
PDF template
Form for requesting access to Banner and Unix system modules for Texas Southern University employees
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Business Application And Registration
PDF template
Official form for registering a new business in Rhode Island, including details about business type, ownership, and required permits or licenses.
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Medical History Form
PDF template
Comprehensive medical history form for patients seeking weight loss treatment, collecting personal, medical, and insurance information.
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Health Is Wealth Patient Intake Form
PDF template
Comprehensive medical intake form collecting patient personal, employment, emergency contact, and insurance information.
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Non Disclosure Agreement
PDF template
A legal document establishing confidentiality obligations between a Disclosing Party and a Receiving Party regarding sensitive information.
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St. Ignatius Basketball Camp Liability Waiver Form
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Liability waiver and emergency contact form for participation in St. Ignatius Basketball Camp for student-athletes.
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Terms And Conditions For The Rental Of Pipeline Construction Machinery
PDF template
Comprehensive contractual terms governing the rental of pipeline construction machinery, outlining rights and obligations of lessor and lessee.
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VolunteerParental Consent Form
PDF template
Legal document outlining volunteer responsibilities, liability waivers, and consent for volunteering at Bernie's Book Bank, including provisions for minor volunteers.
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Liability Media Release Form
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A release form for parents/guardians to authorize child participation in music school programs and grant media usage permissions.
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Patient Insurance Information Form
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Comprehensive form for collecting patient medical insurance and health coverage details for claims processing.
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Claim Form To Pay InsuredSubscriber
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A comprehensive insurance claim form for documenting medical treatment, injury, or preventive care for reimbursement purposes.
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Claim Form To Pay InsuredSubscriber
PDF template
A comprehensive form for submitting medical insurance claims, capturing patient details, treatment information, and other coverage details.
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Claim Form To Pay InsuredSubscriber
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A comprehensive insurance claim form for submitting medical treatment claims with detailed patient and treatment information.
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Member Reimbursement
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A form for members to request reimbursement for healthcare expenses paid out-of-pocket directly to providers.
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SNFAcute IPR Assessment Form
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Prior authorization form for skilled nursing facility and inpatient rehabilitation services for Blue Cross Blue Shield of Michigan and Blue Care Network providers.
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Member Reimbursement
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A form for Blue Cross Blue Shield members to request reimbursement for healthcare expenses paid out of pocket.
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Medical Expense Claim
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A claim form for submitting medical expenses to Blue Cross and Blue Shield of Alabama for reimbursement.
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Member Reimbursement
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Form for members to request reimbursement for healthcare expenses paid out-of-pocket.
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Member Claim Form
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A form for filing healthcare claims with Blue Cross Blue Shield of North Carolina, detailing patient and insurance information for reimbursement of medical services.
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Prescription Drug Claim Form
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A form for submitting prescription drug claims, allowing members to request reimbursement for pharmacy expenses.
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Change Of Address Form
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Form for updating a customer's address with Blue Cross Blue Shield of Mississippi to ensure proper mail delivery.
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Independent Contractor Agreement
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A legal document defining the terms of an independent contractor's engagement with Barstow Community College District, outlining services, payment, and contractor status.
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My Benefit Plan Summary
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Comprehensive healthcare benefit plan summary for SEIU Clerical Employees detailing coverage limits and medical benefits.
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My Benefit Plan Summary
PDF template
Comprehensive health benefits summary for full-time employees of Brant Community Healthcare System through Green Shield Canada.
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Member Billing Form
PDF template
A form for submitting medical bills from non-participating healthcare providers for reimbursement or claim processing.
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Member Reimbursement Form
PDF template
A form for healthcare members to request reimbursement for out-of-pocket medical expenses they have paid directly.
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BCS Fellow (FBCS) Application Guidance For OMs
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Comprehensive guidance for professionals applying to become a BCS Fellow, detailing application requirements and criteria.
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Meeting Sign In Sheet
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Sign-in sheet for a meeting involving Commercial Building Branch and Fire Prevention Services staff from Fairfax County's Land Development Services.
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Residential Rental Contract
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A standard lease agreement for renting residential property in North Carolina, outlining terms and conditions for tenancy.
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Mental HealthSubstance Use Treatment Claim Form
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A claim form for submitting mental health and substance use treatment services to Beacon Health Options for reimbursement.
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Beazley Financial Institutions Directors Officers Proposal Form
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A comprehensive proposal form for financial institutions seeking Directors & Officers liability insurance coverage, requiring detailed company information and ownership details.
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MEDICAL HISTORY FORM
PDF template
Comprehensive form for collecting patient personal information, medical history, insurance details, and current health status.
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Independent Contractor Agreement
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A legal document defining the terms of an independent contractor relationship with the Bel Air Recreation Committee, outlining responsibilities and tax obligations.
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Beneficiary Designation
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A form for designating beneficiaries for an insurance or retirement plan, allowing members to specify beneficiary allocation and revocability.
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M NCPPC BENEFITS ENROLLMENTCHANGE FORM
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Form for employees to enroll or change benefits, covering medical, dental, and prescription plans for new hires or those experiencing qualifying life events.
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Health Sector Occupational Pension Scheme (DEATH BENEFIT APPLICATION FORM)
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A form for claiming death benefits for deceased health sector workers in Ghana, to be completed by beneficiaries.
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Benefits Billing Form
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A form for employees to elect benefits continuation options during FMLA or general leave of absence
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Benefits Cancellation Form
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Form used to remove dependents from an employee's benefits plan and modify coverage options.
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Benefits Cancellation Form
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Form for employees to cancel or modify health, dental, and life insurance benefits with Haverhill Public Schools.
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Dental Insurance Plan
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Insurance plan detailing dental coverage eligibility for employees and their dependents at the University of Nebraska.
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Benefits Enrollment Form
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A comprehensive form for employees to select and enroll in medical, dental, and optional insurance benefits
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Informed Consent, Voluntary Waiver, Release Of Liability, Assumption Of Risk, And Photography Releas
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Legal document for parental consent and liability release for child participation in a program at Bethel University
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Rezoning And Provisional Use Permit Application Requirements
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Comprehensive guide detailing required documentation and process for rezoning, conditional rezoning, and provisional use permit applications in Henrico County.
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APPLICATION FOR TEMPORARY RESIDENCE PERMIT
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Official government form for applying for various categories of temporary residence permits in South Africa, including work, study, and exchange programs.
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Bidders Proposal Form
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Proposal document for bidding on a 42' triple axle trailer with specific specifications and requirements for Fall River County.
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Proposal Form
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A proposal form for submitting pricing and contact information to Crook County Facilities for a potential project or service.
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Bid Proposal Form
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Bid proposal for purchasing a warehouse forklift for the Siskiyou County Office of Emergency Services
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Billing 101 What You Need To Know
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A comprehensive guide addressing billing, reimbursement, and professional practice considerations for athletic trainers seeking third-party payor reimbursement.
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We CanT Wait Act Of 2023
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A bill to allow disabled individuals to elect to receive disability insurance benefits during the mandatory waiting period.
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We CanT Wait Act Of 2024
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A bill to permit disabled individuals to elect to receive disability insurance benefits during the waiting period.
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Bill To Form
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A form for billing and contact information for development services projects in the City of Bellevue.
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Patient Intake Form
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Comprehensive medical form for collecting patient personal, contact, medical, and insurance information with consent authorization.
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Release And Assumption Of Risk Form
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Legal document releasing the Bermuda Institute of Ocean Sciences from liability during scientific, research, or recreational activities.
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Birthday Party Rental Contract
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Contract for renting birthday party facilities at Eastside Family Place, including fees, membership requirements, and party details.
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Perjanjian Layanan BIZNET
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Service agreement for dedicated internet services between BIZNET and a customer, outlining service facilities, activation, and technical requirements.
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Adams County Board Of Commissioners Meeting Minutes
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Official record of the Adams County Board of Commissioners meeting held on January 26, 2022, discussing various county administrative matters.
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Douglas County SheriffS Office Address Change Permit Lost Or Destroyed Form
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Official form for changing address or replacing a lost/destroyed permit, typically related to concealed handgun permits in Douglas County, Colorado.
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Independent Contractor Agreement For Professional Services
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A legal document outlining terms for hiring an independent contractor to provide professional services for the school district.
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Driver Agreement Form
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A form documenting driver responsibilities and information for university club sports team vehicle transportation.
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Blank House Rental Agreement
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A legal document outlining terms and conditions for renting a residential property between a landlord and tenant.
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Independent Contractor Agreement
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A legal document outlining the terms of an independent contractor relationship between Blendtec and a service provider for electronic appliance-related services.
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Health Insurance Claim Form
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Comprehensive form for collecting patient medical insurance information, health coverage details, and claim submission details.
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Blue Cross Blue Shield Insurance Claim Form
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A comprehensive medical insurance claim form for collecting patient and insurance information for medical service reimbursement.
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Boat Rental Contract
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Contract for boat rental services detailing terms, conditions, fees, and renter responsibilities.
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Blue Cross Blue Shield Change Of Address Form
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A form for Blue Cross Blue Shield members to update their contact information and address details.
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Member Claim Form
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A comprehensive medical claim form for submitting healthcare service expenses to Anthem Blue Cross insurance.
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Blue View VisionSM Reimbursement Form
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A form for submitting out-of-network vision care service reimbursement claims to Blue View Vision insurance.
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Bert Miller Nature Club Waiver
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Annual waiver form for Bert Miller Nature Club members and guests to acknowledge risk and provide emergency contact information.
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Variances, Special Exceptions, And Appeals To The Waukesha County Board Of Adjustment
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Official form for requesting variances, special exceptions, or appeals to zoning regulations in Waukesha County, Wisconsin.
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All FUR Fun Stay Play Dog Care Service Agreement Form
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A service agreement for dog daycare and boarding services, outlining responsibilities, risks, and liability limitations.
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County Contracting Activities Board Policy 5.4
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A comprehensive policy document outlining the requirements and guidelines for contracting activities within the County of Santa Clara.
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Right Of Entry Permit For Fire Debris And Hazard Tree Removal And Private Property Checklist For Pro
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A permit form for Los Angeles County property owners to authorize fire debris and hazard tree removal following wildfire damage
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Exhibitor Appointed Contractor Form
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A form authorizing a non-official contractor to design, set up, and/or dismantle an exhibit at a trade show event with specific insurance requirements.
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Exhibitor Appointed Contractor Form
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Form authorizing a non-official contractor to design, set up, or dismantle an exhibit at BOMA 2022 trade show event.
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Bond Agreement Between Employee And Employer
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A legal document outlining the terms of employment, including potential financial obligations and restrictions for employees.
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Bond Application (For Corporation Partnership)
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Application form for corporations and partnerships to request a surety bond from Pacific Union Insurance Company
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Fidelity Bond Purchase Agreement
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A document for purchasing fidelity bond packages to assist ex-offenders and at-risk job applicants in securing employment through insurance coverage.
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Termination Of Membership Form
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A form for members to officially resign from the Bonitas Medical Fund and terminate their medical scheme membership.
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Booking Terms And Conditions
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Comprehensive booking terms and conditions for travel services outlining customer rights, obligations, and important travel guidelines.
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BOOKING FORM
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Comprehensive booking form for travel expedition including personal, medical, and payment details
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BOOKING CONTRACT FORM AAPI JAPAN AND SOUTH KOREA TOUR APRIL 07 20, 2024
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A comprehensive travel booking contract for a tour to Japan and South Korea with detailed traveler and insurance information.
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BOOKING CONTRACT FORM PRE GHS TOUR VIETNAM AND CAMBODIA
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Booking contract for a tour to Vietnam and Cambodia in December 2023, detailing registration and cancellation terms.
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Booking Form
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A comprehensive travel booking form and travel guidance document providing instructions for booking trips and essential travel preparation information
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Booking Form
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A comprehensive guide for booking travel, including login instructions, passport requirements, and travel protection recommendations.
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Cancellation Form
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Form to cancel membership services with BookMachine, allowing consumers to formally request termination of their contract.
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Pension Plan Benefit Application Form
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A comprehensive form for union members to apply for pension benefits, covering member information, reason for benefit request, and required certifications.
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RELEASE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
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Legal document for releasing liability and obtaining consent for YMCA program participation and activities.
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Consent To Treat Form
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A medical form authorizing treatment, information release, and benefit assignment for medical services at a healthcare facility.
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Medi Cal To Healthy Families Bridging Consent Form
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A consent form allowing transfer of Medi-Cal case file information to the Healthy Families Program for low-cost health coverage for children.
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BrightBot Terms And Conditions
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Legal terms governing the service agreement between Bright Interactive Ltd and its customers for platform services.
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Master Services Agreement Broadwater County
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A legal agreement between CivicPlus and Broadwater County for software development, community engagement platforms, and related services.
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Sales Order Form
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Order form for BIBA (British Insurance Brokers' Association) Broker Assess system license, capturing company and contact details for membership registration.
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Sales Order Form
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Sales order form for purchasing BIBA Broker Assess licensing with staff pricing and contact details.
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New Jersey Association Of REALTORS Standard Form Of Real Estate Contract
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Standard contract for purchasing one to four family residential properties or vacant one-family lots in New Jersey.
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Cancellation Form
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A form for cancelling a contract or sales agreement with The Brooke Hospital for Animals.
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Business Requirements Specification (BRS)
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A draft specification for electronic agreement negotiation and template development in the contract management domain.
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Informed Consent, Release Agreement, And Authorization
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A comprehensive consent and medical authorization document for participating in Scouting activities, covering emergency medical treatment and risk acknowledgment.
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BTEC 255 Medical Billing Uniform Course Syllabus
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A comprehensive course syllabus for medical billing, covering procedures, professional skills, and insurance claim processing.
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Building Security ClearanceSpecial Access Form
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A form for requesting building access and security clearance for contractors and subcontractors at a Cushman & Wakefield managed property.
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Building Permit Change Of Contractor Form
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Official form for transferring building permit responsibilities from one licensed contractor to another for specific trade areas.
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BUILDING PERMIT CHANGE OF CONTRACTOR FORM
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A municipal form used to transfer or change contractors for an existing building permit in the City of Newton, Massachusetts.
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Building Rental Agreement
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Comprehensive rental agreement for utilizing the Nashville Dog Training Club facility, detailing rental fees, insurance requirements, and liability terms.
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Accident Waiver And Release Of Liability Form And Photo Release
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Legal document waiving liability for participants in a recreational event, covering potential risks and injuries.
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OVERSEAS TAVEL RISK ASSESSMENT FORM
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A comprehensive form for staff and students to assess risks associated with international travel to high-risk areas.
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Aflac Dental Claim Form
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A claim form for submitting dental insurance details and patient information to Aflac.
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EMPLOYMENT APPLICATION
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A comprehensive employment application form for job seekers applying to Bureau County, collecting personal information, education, and work eligibility details.
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Burglary Insurance Proposal Form
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An insurance proposal form detailing coverage, exceptions, and terms for burglary insurance by M & C General Insurance Company Ltd.
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Agreement Form WV 48
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A multi-purpose form for simple service agreements at Glenville State College, used for various services like entertainment, workshops, and training.
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Business Entity Affiliation Cancellation Form 202C
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Official form for cancelling business entity licensee affiliations in New Mexico, used to notify the Office of Superintendent of Insurance about licensee terminations.
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DCCAS Guide To Choosing The Right Legal Form For Your Business
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A comprehensive overview of different business entity types, their characteristics, ownership, registration, management, and liability considerations.
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Prime Contractor Waiver Form
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A form for contractors to document their business equity commitment and subcontractor/supplier usage for City of Fort Worth projects.
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Business Impact Estimate Form
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An estimate of the economic impact of consolidating three county competency boards into a single board for plumbing, mechanical, and electrical contractors.
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Pre Approval Form
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A form for businesses to obtain pre-approval for a new business location in the City of Foley, involving zoning, building, and fire department reviews.
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City Of Atwater Business License Information
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Comprehensive guide for businesses seeking to obtain a business license in the City of Atwater, covering zoning, permits, fees, and requirements.
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Play At Own Risk Waiver And Participant Consent To Treat Form
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Legal waiver and medical consent form for participants in a regional basketball championship tournament
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Buyer Broker Agreement To Show Property
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A contractual agreement between a buyer and a real estate broker to show properties and potentially assist in property purchase.
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Conditional Use Permit Application For B.Y.O.B. (Bring Your Own Bottle)
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An application for obtaining a conditional use permit for a Bring Your Own Bottle (B.Y.O.B.) event or venue
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Form C006 Contract Form Addendum To ContractorS Form
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An addendum to a standard contract form for establishing terms between Radford University and a contractor
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School Board Action Report
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Proposal to renew a three-year contract with Hobson's Naviance for college and career readiness software services for students in grades 6-12.
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Interactive Data BondEdge Contract
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Contract between Interactive Data and City of Los Angeles for licensing a fixed income analytical software system with specific usage terms and conditions.
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Case No. 2013 3899 CK JM Polymers, LLC V. Spartan Polymers, LLC And Michael A. Kirtley
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Legal document detailing a court opinion regarding a contract dispute between JM Polymers and Spartan Polymers regarding a sales representative agreement.
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Feedback Form
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A bilingual survey assessing individuals' understanding and intentions regarding health insurance coverage and preventive care services.
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Property And Casualty Certificate Of Insurance Act
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Legal code defining rules and definitions for property and casualty insurance certificates in Utah, including scope, applicability, and key terms.
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Accident Report Form
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A form for collecting comprehensive details about a vehicle accident for insurance claim purposes.
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WEST VIRGINIA WESLEYAN COLLEGE CAFETERIA PLAN MEDICAL CARE EXPENSE CLAIM FORM
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A form for submitting medical expense reimbursement claims under a cafeteria plan with detailed certification and documentation requirements.
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REQUEST FOR PROPOSALS FOR VIDEO PRODUCTION SERVICES
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An addendum modifying the original Request for Proposals for video production services, including changes to contract terms and pricing forms.
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CAHC Provider Accreditation Application
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Application document outlining requirements for provider accreditation by CAHC, including legal authority, business registration, and compliance verification.
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Service Request Form
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A comprehensive form for making changes to an insurance policy, including beneficiary updates, name changes, address changes, and coverage cancellation.
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GUARANTEE OF RENTALLEASE AGREEMENT
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A legal document guaranteeing payment and performance of obligations by a tenant under a rental or lease agreement.
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Member Reimbursement Claim Form
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Detailed instructions for submitting a medical reimbursement claim to an insurance provider with guidelines for documentation and submission process.
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California Non Disclosure Agreement (NDA)
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A legal agreement designed to prevent unauthorized disclosure of confidential and proprietary business information between two parties.
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California State Commission Agreement Sample Template
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A sample template for a state commission agreement outlining terms for sales agents, commissions, and employment conditions.
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DIVER BOOKING FORM
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Comprehensive form for collecting diver personal information, experience details, travel insurance, and equipment rental preferences for a diving trip.
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Call For Service Request Form
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A form for property owners to request land use and zoning consultation services from the City of Crosslake Planning & Zoning Department.
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Call For Service Request Form
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A form for property owners to request an onsite visit from the Planning & Zoning Administrator to discuss land-related questions and potential permitting issues.
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PatientS Information Form
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Comprehensive medical form for collecting patient personal, contact, insurance, and healthcare provider information.
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Camp Dora Golding Medical Form
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A comprehensive medical form for parents to provide health and emergency contact information for children attending Camp Dora Golding.
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AU STRING CAMP Liability Medical Release Form
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Liability and medical release form for Anderson University String Camp participants, covering medical information, emergency contacts, and participant waivers.
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NYC Summer Camp Permitting Application Guidance
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Official guidance from NYC Health Department for summer camp operators detailing permit application requirements and COVID-19 related protocols for 2022.
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University Of Arkansas Camps Insurance Form
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Form for calculating insurance charges for university camps based on participants and duration
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Jewelry Warranty Claim Form
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A form for submitting warranty claims for jewelry items, including personal details, school information, and payment instructions.
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Parking Permit Cancellation Form
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A form for cancelling parking permits and associated payroll deductions at the University of California, Berkeley.
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Program Coverage Cancellation Request Form
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A form for requesting cancellation of various vehicle protection and service programs with refund details and contract termination acknowledgment.
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Request To Cancel Coverage Form
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A form detailing reasons and documentation required for canceling health insurance coverage with specific qualifying events.
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Course Contract Cancellation Form
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A form used by students to cancel an existing honors course contract and provide details about the cancellation.
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Chicago State University Housing Cancellation Form
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A form for students to request cancellation of their university housing contract with detailed refund schedule and release conditions.
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Cancellation Notice
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Details the process and conditions for cancelling an educational services contract within a 14-day period using distance communication.
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Cancellation Form
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A formal document for consumers to cancel a contract or sales order with Lugano Diamonds.
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Fitness Center Cancellation
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Document for members to cancel their fitness center membership with specified terms and conditions.
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Miscellaneous Deductions And Insurances Cancellation Form
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Form for cancelling optional insurance plans and miscellaneous deductions not subject to pre-tax restrictions.
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Cancer Claim Form
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Claim form for filing a cancer-related insurance claim with Aflac New York, requiring policyholder and patient details along with medical documentation.
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CLAIM FORM AND INSTRUCTIONS
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A comprehensive insurance claim form for filing wellness exam benefits with instructions for submission and processing.
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INSTRUCTIONS FOR COMPLETING YOUR NYSCA CAPITAL CONTRACT
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Detailed guide for submitting and executing a capital contract with the New York State Council on the Arts (NYSCA)
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Prescription Drug Claim Form
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A comprehensive form for submitting prescription drug claims, including standard, compound, and Medicare-related prescriptions and test kits.
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Billing Inquiry Form
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A form for patients to request fee waivers, reductions, or contest billing issues for healthcare services at CAPS (Counseling and Psychological Services).
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Youth Sports League Roster Waiver
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A comprehensive form for youth sports team registration, including player and guardian contact information and liability release.
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Pre Authorisation Form Care
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A detailed medical insurance form for patients seeking cashless hospitalization, capturing personal, medical, and insurance details.
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Mail Service Order Form
PDF template
A form for ordering prescriptions through mail service with health history and participant information collection.
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Prescription Reimbursement Claim Form
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A form for submitting prescription medication reimbursement claims with detailed patient and insurance information requirements.
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Prescription Reimbursement Claim Form
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A form for submitting prescription medication reimbursement claims to an insurance provider or healthcare plan.
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Carrier Contact Form
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Form for collecting contact details and information for workers' compensation insurance carriers in Utah.
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Adobe Customer Story Unum
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Case study highlighting how Unum improved customer service and document processing speed using electronic signatures and digital document management.
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Cash Contract Data Field Definitions
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Comprehensive guide detailing data field requirements and definitions for creating cash contracts in Loan Selling Advisor.
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Farm Lease Agreement
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A legal document outlining the terms of leasing agricultural land for crop cultivation, specifying rental payments, usage rights, and tenant responsibilities.
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CASL Medical Release Form
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A comprehensive medical release and liability waiver form for soccer players, allowing medical treatment and releasing organizations from liability.
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GPTC Conference Centers Caterer Application
PDF template
Application form for catering businesses seeking to provide services at the DeKalb Conference Center at Georgia Piedmont Technical College.
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Instructions For Application To Sell UnitedHealthcare Products
PDF template
Comprehensive guide for agents and agencies seeking authorization to sell UnitedHealthcare insurance products and complete the appointment process.
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WAIVER FORM
PDF template
A legal form allowing corporate officers, directors, general partners, and LLC managing members to opt out of workers' compensation insurance coverage in California.
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Harford Mutual Insurance Group Agency Portal Terms Of Use
PDF template
Legal terms governing access and use of Harford Mutual Insurance Group's agency web portal for agents and users.
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ASR FY22 23 Hiring City Attorney And Terminating Outside Legal Services
PDF template
Staff report for hiring Jonathan Kara as City Attorney and terminating outside legal services with Campbell Phillips PC.
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STATE OF NEW JERSEY FORMAL COMPLAINT FORM
PDF template
Official form for filing formal complaints related to state contracts, purchases, and services with the New Jersey Department of the Treasury's Contract Compliance & Audit Unit.
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Medicare Advantage Plan Enrollment Form
PDF template
Enrollment form for MassHealth Standard members over 65 to join a Medicare Advantage Plan
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Child Care Attendance Record And Billing Form
PDF template
A legal document for recording child care attendance and submitting billing to county human services.
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One Time Credit Card Payment Authorization Form
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A form allowing one-time credit card payments to the Monroe County Department of Public Health for various services and permits.
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Student Activity Travel General Release And Waiver Of Liability
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Legal document releasing Calhoun Community College from liability during student activity travel events.
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Liability Waiver And Release Form (Minor Child)
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A legal document releasing the Chesterfield County Fair from liability for minor children participating in volunteer activities at the fairgrounds.
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Certificate Of Insurance
PDF template
Insurance documentation for residential contractors and remodelers in Minnesota, certifying general liability and property damage coverage.
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Certificate Of Insurance Covering General Liability And Property Damage Liability Insurance Coverage
PDF template
Official document certifying insurance coverage for construction contractors in Minnesota, meeting state statutory requirements for liability insurance.
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Volunteer Form
PDF template
A comprehensive form for individuals interested in volunteering, collecting personal information and including liability waivers and consent agreements.
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Covered California For Small Business Change Request Form For Employers
PDF template
A form for employers to request changes to their Covered California small business health insurance coverage, including ownership, address, and plan modifications.
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Budget Preparation Instructions
PDF template
Comprehensive instructions for preparing budgets for Ryan White Program and Prevention Services Contracts with the Los Angeles County Department of Public Health.
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Cottonwood Crossing Summer Institute Health Information Form
PDF template
A comprehensive medical form for student participation in summer institute activities, collecting health insurance, medical history, and emergency treatment authorization.
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Personal Vehicle Travel Liability And Insurance Form
PDF template
A liability release form for students using personal vehicles for university-sponsored off-campus activities
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Business Mail Address Service Agreement
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Contract for registering a business mail address and mail handling services in Scottsdale, Arizona.
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Accessibility Compliance Instructions
PDF template
Instructions for ensuring compliance with the Illinois Accessibility Code for public facilities and multi-story housing units
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REIMBURSEMENT FORM FOR MEMBERS OF BOARDS, COMMITTEES, AND COMMISSIONS
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Form for requesting reimbursement of travel and dependent care expenses for county board, committee, and commission members.
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CDC Consultant Advisory 2019 009 Updated VendorIndependent Contractor Form
PDF template
Update to the CDC+ vendor form requiring Medicaid ID and license number, with new requirements for direct care providers.
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Construction And Demolition Non Exclusive Franchise Application Form
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Application for obtaining a non-exclusive franchise for construction and demolition waste services in the City of Clovis, California.
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CDPHP Co Pay Reimbursement Form
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Form for employees to submit medical co-pay expenses for reimbursement through Hudson Valley Community College's healthcare program.
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Construction Demolition Debris Recycling Compliance Form
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Official form for documenting construction and demolition debris recycling and disposal for projects in Chicago.
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City Of Clovis Service Agreement
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A service agreement between the City of Clovis and a contractor for construction and demolition debris collection services.
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Exhibitor Appointed Contractor Form
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Form for exhibitors to authorize independent contractors for services at Calgary Expo 2024, with specific requirements and restrictions.
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PATIENT REGISTRATION MEDICAL HISTORY FORM
PDF template
Comprehensive medical registration form for patient intake, collecting personal, contact, and insurance information for medical services.
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Minnehaha County General Inquiry Form
PDF template
A form for submitting general questions, concerns, or comments to Minnehaha County Planning & Zoning Department.
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2017 SAFETY INCENTIVE PROGRAM
PDF template
A comprehensive safety program guide for insurance fund members focusing on workplace safety, health, and wellness efforts.
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APPLICATION FOR DISABILITY BENEFIT
PDF template
Application form for disability benefits from the Central States, Southeast and Southwest Areas Pension Fund for eligible participants.
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Certificate Of Insurance
PDF template
Insurance certification document required for obtaining a pesticide operator licence in Newfoundland and Labrador.
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ContractorS, ArchitectS AndOr EngineerS Certificate Of Insurance Form
PDF template
A formal document certifying insurance coverage details for a construction or design project with multiple insurance companies.
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Certificate Of Insurance Form For ContractorS Architects AndOr EngineerS
PDF template
A certificate of insurance detailing coverage for contractors, architects, and engineers for a specific project.
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Certificate Of Liability Insurance
PDF template
A standard insurance document that provides information about liability insurance coverage without conferring specific rights to the certificate holder.
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Certificate Of Occupancy
PDF template
Document outlining requirements and process for obtaining a Certificate of Occupancy for new or changed uses of property in Copperas Cove, Texas.
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Certificate Of Residency Step By Step Instruction Sheet
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Guidance for students seeking county tuition and fee assistance through a Certificate of Residency in Idaho.
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ContractorS Certificate Of Workers Compensation Insurance (Form 61A)
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A form for contractors to provide details about their workers' compensation insurance status and business information for compliance purposes in Virginia.
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Jackson County Certified Contractor Form
PDF template
A form for contractors to register and provide certification details with Jackson County Building Services.
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Certification Of Need And Waiver Of Liability (Prescription Delivery)
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A form for patients without transportation to receive prescription medication delivery, including liability release and risk assumption.
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Vehicle Accident Report
PDF template
A comprehensive form for documenting details of a vehicle accident involving non-state-owned vehicles used in cooperative extension service activities.
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Daily Waiver Form
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Comprehensive waiver form for participants of Wilmette Park District Fitness Center, covering injury risks, medical treatment, and photography consent.
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Incident Report Form
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A comprehensive form for documenting injuries and incidents at CrossFit facilities, used for risk management and insurance purposes.
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Candia Farmers Market Accident Waiver And Release Of Liability Form
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Legal document releasing Candia Farmers Market from liability for potential accidents or injuries during market participation.
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Contract Signature Authority Regulation
PDF template
A regulation defining delegated authority for approval and execution of purchase orders, contracts, and contract modifications within an organization.
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CG 20 40 12 19 Commercial General Liability Endorsement
PDF template
Insurance endorsement that automatically adds additional insureds for parties involved in construction contracts, specifically for completed operations liability.
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Amendment Of Insured Contract Definition
PDF template
Insurance policy endorsement modifying the definition of 'insured contract' in a commercial general liability coverage part.
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ElitePac General Liability Extension Endorsement
PDF template
A comprehensive summary of additional coverages and modifications for a commercial general liability insurance policy.
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ADEQ Inspection Form Instructions 2013 CGP
PDF template
Guidance for completing inspection reports under the 2013 Construction General Permit with requirements for construction site environmental inspections.
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Superintendent Employment Agreement
PDF template
Employment contract for Carmen Garcia, Ed.D. as Superintendent of Morgan Hill Unified School District, outlining terms of employment from 2022-2026.
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International Group Travel Release
PDF template
Legal release document for participants in international group travel programs, outlining risks and liability waivers for Claremont Graduate University programs.
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The Path To Glass ACT School Residency
PDF template
A two-week artist residency program for Year 11 or 12 ACT students offering comprehensive glass art training and mentorship.
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Path To Glass ACT School Residency
PDF template
A two-week artist residency opportunity for Year 11 or 12 students in the ACT region to explore glass art techniques and practices.
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Regulation For Issuance Of Licenses, Permits, Stamps, Tags, Preference Points And Competitive Raffle
PDF template
Regulatory document detailing rules and definitions for wildlife licensing, permits, and related administrative procedures in Wyoming.
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MEDICAL INFORMATION AND RELEASE FORM
PDF template
A comprehensive medical form for participants in Hartwick College Challenge Programs, collecting health information and liability acknowledgment.
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Change Of Contractor Form
PDF template
Official form for changing contractors or owners for a building permit in the City of Sanibel.
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Change Of Contractor
PDF template
A form for requesting a change of contractor for a building permit in Johns Creek, Georgia, documenting the withdrawal or replacement of a previous contractor.
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GROUP POLICY CHANGE FORM
PDF template
A form for employees to request changes to their group insurance policy details and dependent status.
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Change Of Address Form
PDF template
Official form for updating property owner's address with local county assessment office.
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Change Of Address Form
PDF template
A form for updating property owner's mailing address with the county assessor's office.
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Change Of Contractor Contractor Request To Withdraw
PDF template
Official form and instructions for changing contractors for a building permit in Miami Beach, Florida, including detailed notification requirements.
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Permit Application For Change Of Contractor
PDF template
Instructions and requirements for changing a contractor on an existing building permit in the City of Orlando.
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Permit Application For Change Of Contractor
PDF template
A form for transferring a building permit from one contractor to another in Orlando, Florida, with specific submission instructions and fee requirements.
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CITY OF MEBANE INSPECTIONS CHANGEADDITION OF CONTRACTOR
PDF template
A form for changing or adding contractors for a building permit in the City of Mebane, North Carolina.
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Change Of Contractor Form
PDF template
Official form for changing contractors for a building or improvement project in the Town of Yorktown, New York.
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Change Of ContractorCancellation Of Permit Procedures
PDF template
Guidelines for changing contractors or withdrawing from a permitted construction job in Miami Springs, Florida.
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Change Of Contractor Form
PDF template
A municipal form used to document and record changes in contractor information for a specific project or job site.
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Change Of Contractor Form
PDF template
Instructions and form for changing contractors on a building permit in Southwest Ranches, Florida, with requirements for licensing, insurance, and notification.
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Change Of Primary Contractor
PDF template
Official form for changing the primary contractor on an active building permit with required documentation and notarization
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Change Of Sub Contractor Form
PDF template
A form used to document and notify parties of a change in sub-contractors for a specific job or contract.
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Change Of Use Request
PDF template
A process for evaluating and approving changes in commercial facility use and determining septic system adequacy in Indiana.
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Change Order Request Form
PDF template
Formal request for adding a new drive approach to a road rehabilitation project with associated cost and schedule details.
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Release Of Liability, Acknowledgement Of Risk And Acceptance Of Responsibility
PDF template
Legal document waiving liability for risks associated with participating in a Community Corrections Chase event.
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Checklist For Business Visa
PDF template
A comprehensive checklist of documents and requirements for obtaining a business visa for travel to Schengen countries.
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Stormwater Report Checklist
PDF template
A comprehensive checklist for submitting stormwater management documentation as part of a Notice of Intent permit application to the Massachusetts Department of Environmental Protection.
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Application For Chemigation Permit
PDF template
State of Nebraska form for obtaining a permit for chemigation (chemical injection) systems, detailing applicant information and chemical usage.
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Cherry Hill Counseling New Client Information Packet
PDF template
Comprehensive new client forms for mental health counseling services, including medical history, insurance, and privacy documentation.
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Chikaming Township Rental Registration Form
PDF template
A comprehensive form for registering rental properties in Chikaming Township, covering short-term and long-term rentals with detailed property information requirements.
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CalWORKs Employment Services Program Child Care Billing Form
PDF template
A monthly billing form for child care providers in Santa Clara County's CalWORKs Employment Services Program for tracking child care services and costs.
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Child Registration Form
PDF template
A comprehensive form for registering a child, collecting personal and insurance information for medical or childcare purposes.
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MEDICAL And LIABILITIES RELEASE FORM
PDF template
A comprehensive form for medical information and liability release for children participating in church activities and programs.
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Change Order Request Form (CORF)
PDF template
A document used to define detailed requirements for incorporated services and enhancements within an existing contract's scope.
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5185 3 Choosing The Legal Form For Your New Business
PDF template
A guide to selecting the appropriate legal structure for a new business, discussing different ownership and liability options.
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Henrico County Code Cable Communications
PDF template
County-level regulatory document defining cable communications terms, services, and system definitions.
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Insurance FAQ
PDF template
Comprehensive overview of liability insurance coverage provided by the Sports Field Management Association (SFMA) for chapter officers, directors, and events.
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Chromebook Optional Insurance Plan
PDF template
Optional insurance plan for Chromebooks at Dexter Community Schools, covering repair or replacement costs for students
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Chronic Illness Benefit Application Form 2022
PDF template
Application form for Bankmed members on Essential and Basic Plans to apply for Chronic Illness Benefit coverage.
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Chronic Illness Benefit Application Form
PDF template
An application form for patients seeking chronic illness benefits through the Glencore Medical Scheme, detailing submission requirements and contact information.
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Remedi Medical Aid Scheme Application Form
PDF template
Application form for patients seeking medical aid coverage through Remedi Medical Aid Scheme, requiring patient and medical professional details.
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Malcor Medical Aid Scheme Application Form
PDF template
An application form for joining the Malcor Medical Aid Scheme, requiring patient and medical details.
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GreenlandAntarctica Travel Affidavit And Questionaire
PDF template
A comprehensive travel risk assessment and insurance document for individuals traveling to Greenland or Antarctica, requiring detailed travel and health information.
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Non Employee IncidentAccident Report
PDF template
A form used to document details of non-employee incidents or accidents, capturing key information about the event, parties involved, and potential damages.
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Commercial Identification (CID) Card Application
PDF template
Application form for businesses seeking permission to conduct business within the Ventura Port District, including employee identification details.
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CIEF Membership Form 2019 2020
PDF template
Membership form for competing and non-competing members of a sports or equestrian organization
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Cigna Claim Form (Rev. 72015)
PDF template
A comprehensive form for submitting healthcare service reimbursement claims with patient, provider, and payment information.
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Cigna Dental Specialty Referral Form
PDF template
A referral form for specialty dental services under Cigna Dental Care, outlining payment guidelines and patient responsibilities.
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Medical Claim Form
PDF template
Form for submitting medical claims for fellows, trainees, and patients seeking international health insurance reimbursement.
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CIMERLI Solutions Enrollment Form
PDF template
Comprehensive enrollment form for healthcare services, insurance verification, and patient assistance programs offered by CIMERLI Solutions
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PHILHEALTH CIRCULAR No. 2018 XXX
PDF template
Official guidelines for PhilHealth Accredited Collecting Agents on using the Electronic Collection Reporting System for premium contribution reporting and remittance.
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Claim For Money Or Damages Against The City Of Moreno Valley
PDF template
A legal form for filing monetary claims or damages against the City of Moreno Valley, California.
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Master Services Agreement
PDF template
A service agreement between Nexcheck, LLC and the City of Irondale Water Works Board for electronic bill payment services.
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Employability Assessment Form (PA 1663)
PDF template
A comprehensive guide for healthcare providers on completing the Pennsylvania Medicaid Employability Assessment Form to verify patient health conditions and disability status.
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BENEFICIARY CONTACT FORM
PDF template
A comprehensive form for collecting contact and demographic information about Medicare beneficiaries and their representatives.
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MEDICAL EXPENSE CLAIM
PDF template
Form for filing medical expense claims with Blue Cross and Blue Shield of Alabama when a healthcare provider does not file a claim directly.
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Claims Adjustments And Project Form
PDF template
A form for healthcare providers to request claims adjustments, retractions, or resolution of billing issues with WellSense Health Plan.
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Death Claim Discharge Form
PDF template
A discharge form for claiming death benefits from SBI Life Insurance Company, documenting claim details and financial settlement.
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Virginia Workers Compensation Commission Claim Form
PDF template
Official form for filing a workers' compensation claim in Virginia, documenting workplace injury details and requesting benefits.
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City Of Lawrence Claim Form
PDF template
A legal form for submitting claims for property damage or personal injury against the City of Lawrence, Kansas.
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CIEE Claim Form
PDF template
A comprehensive medical claim form for student health insurance reimbursement and documentation of medical conditions or treatments.
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Prescription Claim Form
PDF template
A form for submitting prescription reimbursement claims under a Medicare Part D manufacturer patient assistance program
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Dental Insurance Claim Form
PDF template
Insurance claim form for submitting dental treatment and patient information for reimbursement or coverage verification.
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Claim For Damages To Person Or Property
PDF template
Official form for filing a claim for damages against Riverside County, detailing injury or property damage incidents.
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Student Insurance Claim Form
PDF template
Insurance claim form for students to report medical examinations, illnesses, prescriptions, or injuries for insurance coverage.
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Claim Form Finder And User Guide
PDF template
Comprehensive guide to help healthcare providers select the appropriate claim form for various submission scenarios and corrections.
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Claim Form Finder
PDF template
Comprehensive guide for healthcare providers detailing claim modification forms and processes for Neighborhood Health Plan of Rhode Island.
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Details Of Hospital Claim Form Part B
PDF template
A comprehensive medical claim form for documenting patient hospital admission, treatment, and insurance claim details.
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National Grid Claim Form
PDF template
Claims form for reporting property damage or personal injury related to National Grid services.
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Claim Form ICS Non Medical Expenses
PDF template
A comprehensive claim form for reporting non-medical insurance damages across multiple insurance types including household contents, travel/baggage, liability, and extra costs.
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PRADHAN MANTRI SURAKSHA BIMA YOJANA (PMSBY) CLAIM CUM DISCHARGE FORM
PDF template
Official claim form for submitting accidental disability or death claims under the Pradhan Mantri Suraksha Bima Yojana insurance scheme.
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VSP Member Reimbursement Form
PDF template
A form for VSP vision care members to request reimbursement for vision-related services and expenses.
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Claim Inquiry Form
PDF template
A form for healthcare providers to submit claim-related inquiries to Carelon Behavioral Health regarding claim status, denials, or clarifications.
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City Of Columbus Claim Packet
PDF template
Guidance for filing injury or property damage claims against the City of Columbus, including claim submission procedures and legal liability information.
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Retiree Claim For Reimbursement
PDF template
A form for retirees to submit healthcare expense reimbursement claims through their health reimbursement arrangement (HRA)
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MVP Health Care Claim Reimbursement Form
PDF template
Detailed instructions for MVP Health Care members to submit medical and dental expense reimbursement claims with required documentation.
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Claims Reporting Reference Guide
PDF template
A comprehensive guide for reporting and managing various types of insurance claims across different coverage areas.
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Certificate Of Insurance And Claims History FAQ
PDF template
Frequently asked questions about obtaining certificates of insurance and claims history from Rush, covering procedures, requirements, and limitations.
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CLAIM FORM
PDF template
A comprehensive form for reporting property damage or personal injury claims related to National Grid services or incidents.
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Member Reimbursement Form For Medical Claims
PDF template
A form for patients to submit medical claims for reimbursement, detailing patient, subscriber, and provider information.
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MOTOR WINDSCREEN AND WINDOW GLASS DAMAGE REPORT FORM
PDF template
Insurance claim form for reporting windscreen and window glass damage to a vehicle under Lion of Kenya Insurance Company's policy.
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Revised Claims Inquiry Form Process
PDF template
Guidelines for healthcare providers to submit and resolve claim payment disputes with Partnership HealthPlan of California.
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Claim Procedure Note
PDF template
A detailed guide explaining the process for obtaining cashless medical insurance claims through a network hospital and third-party administrator.
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Claims Reimbursement Form
PDF template
A comprehensive form for submitting medical claims for reimbursement, used by patients or healthcare providers to request payment for medical services.
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Claims Reporting Reference Guide
PDF template
A comprehensive guide for reporting insurance claims across multiple coverage types and managing workplace incidents
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CONTRACT INSTRUCTOR PROPOSAL FORM
PDF template
A proposal form for potential contract instructors to submit class and personal details to Pleasant Valley Recreation and Park District.
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General Media Release Form
PDF template
A comprehensive form for media use authorization and liability release for The Cutting Edge Classroom's activities.
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Clauses For Use In Construction Management At Risk RFQ
PDF template
Document outlining disclosure requirements and price determination certification for construction management contract bidding.
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PacificSource Enrollment Application
PDF template
A comprehensive group health insurance enrollment form for employees and their dependents to select medical and dental coverage.
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Patient Information Form
PDF template
Comprehensive patient intake form collecting personal, contact, medical, and insurance information for dermatology services.
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Cancer Claim Form
PDF template
Comprehensive form for filing cancer-related insurance claims, detailing required documentation and submission instructions.
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BENEFICIARY CONTACT FORM
PDF template
A form for collecting contact and demographic information for Medicare beneficiaries and their representatives during counseling sessions.
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Client Insurance Form
PDF template
Insurance form for collecting client insurance information and authorizing claims submission and payment
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Client Endorsement Request Form
PDF template
A form for customers to request changes to their existing insurance policy with Colwood Insurance Services.
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Client Service Agreement
PDF template
A service agreement outlining the responsibilities and services provided by a staffing firm for employee driver placement and management.
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Accident Waiver And Release Of Liability
PDF template
A comprehensive legal document releasing event organizers from liability for potential injuries or damages during an athletic event.
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Horse Lease Agreement
PDF template
A legal document outlining the terms and conditions for leasing a horse, specifying details of the lessor, lessee, horse, lease term, and rental payments.
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Notice Of Field Trip And Waiver Of Liability
PDF template
A legal document for students participating in a voluntary field trip, requiring a signed waiver of liability by the participant.
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Clubhouse Rental Agreement And Statement Of Indemnity
PDF template
A rental agreement for Heathlake Community Association's clubhouse, outlining terms, fees, and liability conditions for residents.
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Club Sports Informed Consent Form
PDF template
A legal consent and liability release form for students participating in club sports at Connecticut College, acknowledging risks and insurance responsibilities.
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OFFER IN COMPROMISE
PDF template
Official form for taxpayers to propose a compromise of tax liabilities with the Hawaii Department of Taxation
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Funeral Home Claim Form
PDF template
A claim form for processing funeral service insurance benefits with detailed documentation requirements.
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CM 600 WEB Claim Form
PDF template
Insurance claim form for processing death benefits from American Memorial Life Insurance Company or Union Security Insurance Company.
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SAMPLE FORMS
PDF template
Comprehensive list of forms used in construction management procurement, bidding, and project execution processes.
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HEALTH INSURANCE CLAIM FORM
PDF template
Standard medical insurance form for submitting healthcare claims and patient information for reimbursement purposes.
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Health Insurance Claim Form
PDF template
Official form for submitting medical insurance claims and capturing patient and insured party information.
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Medicare Redetermination Request Form 1st Level Of Appeal
PDF template
Official form for Medicare beneficiaries to request a first-level appeal of a Medicare claim determination.
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Medicare Reconsideration Request Form 2nd Level Of Appeal
PDF template
A form for Medicare beneficiaries or providers to request a second-level appeal of a Medicare claim determination.
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Privacy Impact Assessment Benefits Coordination And Recovery Center
PDF template
Privacy impact assessment documenting the data collection and processing system for Medicare benefits coordination and recovery processes.
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Form CMS L564R297 (0923) Request For Employment Information
PDF template
A form used to verify group health plan coverage for Medicare special enrollment based on current employment.
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CMS Model Consent Form For Marketplace Agents And Brokers
PDF template
A model consent form for documenting consumer permission for health insurance agents or brokers to assist with marketplace coverage enrollment.
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CMS Model Consent Form For Marketplace Agents And Brokers
PDF template
A model consent form for documenting consumer permission for health insurance agents or brokers to assist with Marketplace coverage enrollment.
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HIRER COLLISION Or DAMAGE REPORT FORM
PDF template
A comprehensive form for documenting details of a vehicle rental accident, including renter, driver, vehicle, and incident information.
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Conservation Northwest Field Volunteer Waiver Form
PDF template
A legal waiver form for volunteers participating in wildlife monitoring and conservation field work with Conservation Northwest.
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Conservation Northwest Field Volunteer Waiver Form
PDF template
A legal waiver form for volunteers participating in wildlife monitoring and outdoor conservation projects with Conservation Northwest.
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SPORT CLUB COACHES MEMBERSHIP FORM
PDF template
Form for coaches to apply for membership and participation in university recreational sports programs with liability waiver and approval process.
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BOOKING FORM
PDF template
Travel booking form for collecting passenger details and holiday reservation information
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CobbleStone Contract Management System
PDF template
Step-by-step guide for submitting contracts in the CobbleStone system at GGC.
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COBRADirect Billing Participant Use ONLY ACH Agreement Form
PDF template
Form for authorizing automatic health insurance premium payments via bank account deduction.
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Environmental Declaration (California Fish And Game Code Section 711.4)
PDF template
Official form for filing environmental documentation with Alameda County, documenting environmental review classification and associated fees.
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Coconino County Volunteer Service Agreement
PDF template
A comprehensive volunteer service agreement that outlines volunteer responsibilities, terms, and participant details for Coconino County.
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Medical Release Form
PDF template
A medical consent and release form for student participation in activities, allowing emergency medical treatment with parental authorization.
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Commercial Outdoor Fee Based Activity (COFA) Application For Permit
PDF template
Application for commercial fitness and professional services providers to obtain permits for using dedicated city parks and properties
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Commercial Outdoor Fee Based Activity (COFA) Application For Permit
PDF template
Application for commercial professionals to use dedicated city properties and parks for fitness and training services
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Referral Form
PDF template
A form for healthcare providers to request patient referrals and provide medical background information.
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Election To Fellowship Application Form
PDF template
Application form for professionals seeking fellowship status with the Chartered Insurance Institute (CII)
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Employee Flexible Spending Account (FSA) Enrollment Form
PDF template
Form for employees to enroll in Flexible Spending Account (FSA) options for healthcare and dependent care expenses.
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College Sponsored Related Medical And Travel Form
PDF template
A medical and travel authorization form for students participating in college-sponsored activities with COVID-19 compliance and liability waiver provisions.
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Account Information Tax Advantage Wellness Programs
PDF template
Form for establishing a new account for Tax Advantage Wellness Programs with Colonial Life insurance services.
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Insurance Claim Processing Instructions
PDF template
Instructions for submitting an insurance claim, including required documentation and processing details for Colonial Life & Accident Insurance Company.
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General Service Provider Data Sharing And Confidentiality Agreement
PDF template
Agreement establishing terms for data sharing and confidentiality between Colonial Life Insurance and a service provider for insurance administration services.
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Application For Policy Changes Part 1
PDF template
Insurance policy form for requesting changes such as cash surrender, partial withdrawal, and policy modifications.
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AFI PRE AUTHORIZATION FORM FOR HOSPITALIZATION FROM PANEL NON PANEL HOSPITALS
PDF template
A form for obtaining pre-authorization for hospitalization from panel and non-panel hospitals for insurance coverage.
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Information Disclosure Consent Form For UN COVID 19 Medical Evacuation (MEDEVAC) Services
PDF template
Consent form for medical information disclosure and liability release for UN COVID-19 medical evacuation services.
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NEW PATIENT REGISTRATION FORM
PDF template
Comprehensive form for new patient medical registration, including personal information, medical history, insurance details, and a physician-patient arbitration agreement.
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Contract Of Sale For Office, Commercial And Multi Family Residential Premises A Commentary
PDF template
A standardized form contract for sales of commercial and multi-family residential properties, designed to provide a comprehensive framework for real estate transactions.
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CGL CERTIFICATE OF INSURANCE
PDF template
Official insurance certificate documenting commercial general liability coverage for an insured party with the City of Vancouver
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CommercialIndustrial Development Permit
PDF template
A municipal permit application for commercial or industrial development projects in Pendleton, Oregon, used to submit site and construction details for review.
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Loss Or Damage Report Form Commercial
PDF template
Insurance claim form for reporting commercial property loss or damage incidents with comprehensive details about the incident and policyholder.
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Commercial Surety Bond Application
PDF template
A comprehensive application form for obtaining a commercial surety bond from Lexington National Insurance Corporation, collecting business and personal financial information.
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Commission Inquiry Form
PDF template
Form for agents to submit inquiries about commission payments for L.A. Care Covered health insurance policies.
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Jackson County Committee Volunteer Application Form
PDF template
A form for individuals interested in volunteering for county committees in Jackson County, Florida.
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NAIC Enterprise Risk Report (Form F) Implementation Guide
PDF template
A guide for preparing and reviewing annual enterprise risk reports for insurance holding company systems as part of NAIC accreditation requirements.
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Community Membership Form
PDF template
A medical history and liability waiver form for campus recreation membership at Lees-McRae College, requiring personal and medical information along with a hold harmless agreement.
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COMPANY MOTOR PROPOSAL FORM
PDF template
Insurance proposal form for company vehicle coverage detailing vehicle ownership, use, and driver information.
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Comparable Coverage Premium Certification
PDF template
Certification document for insurers offering renewal policies to Texas Windstorm Insurance Association policyholders, detailing coverage and premium requirements.
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Complaint Form
PDF template
A detailed form for submitting complaints about insurance companies and policy-related issues in Washington state.
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Consumer Complaint Form
PDF template
Official form for filing insurance-related complaints with the Nevada Division of Insurance
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ComplaintInquiry Form
PDF template
Official form for filing insurance-related complaints or inquiries with the State of Hawaii Insurance Division.
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COMPLAINT FORM
PDF template
Official form for filing complaints against contractors for various construction and licensing violations.
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COMPLAINT RESOLUTION FORM
PDF template
A form for customers to submit and document complaints or service issues with Takaful Emarat.
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Consulting Agreement
PDF template
A template consulting agreement outlining terms and conditions for professional consulting services between a company and a consultant.
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Amendment No. 1 To NASPO ValuePoint Contract No. CTR 058808
PDF template
Amendment to an existing contract between the State of Minnesota and Pitney Bowes Inc through NASPO ValuePoint
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Texas Southern University Compliance Coversheet For New Contracts Agreements
PDF template
A comprehensive form for documenting and processing new contracts, renewals, or modifications at Texas Southern University
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Affordable Care Act ACA Compliance Form Filing Submission Worksheet
PDF template
A comprehensive worksheet for insurance providers to submit compliance documentation for ACA-related insurance products and services.
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IEEE AP SUSNC URSI 2024 EXHIBITORS COMPULSORY INSURANCE FORM
PDF template
Mandatory insurance form for exhibitors at the IEEE AP-S/USNC URSI 2024 conference, detailing insurance coverage requirements and policies.
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Amendment To Standard CAO Vendor Agreement
PDF template
Amendment to extend agreement term and increase maximum total compensation for Compex Legal Services, Inc.
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CONSENT INSURANCE FORM
PDF template
A comprehensive form for collecting medical insurance and consent information for a cadet or applicant, including parent/guardian details and insurance policy information.
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Parental Consent Form
PDF template
Parental consent and liability waiver form for participation in hockey school activities, including insurance and concussion acknowledgment.
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Authorization For Medical Treatment Of Child
PDF template
A form allowing school representatives to consent to medical treatment for a student when parents cannot be reached during an emergency.
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Authorization For Medical Treatment Agreement
PDF template
A legal document authorizing medical treatment and insurance payment for elder care services at Horizon Internal Medicine.
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USA Hockey National Championships Consent To TreatMedical History Form
PDF template
A comprehensive medical history and consent to treat form for USA Hockey participants, covering emergency contact, medical history, and insurance information.
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Authorization Informed Consent
PDF template
Consent form for behavioral health services covering patient authorization, medical record release, and payment agreements.
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Consentimiento Para Recibir Tratamiento, Cesin De Beneficios Y Garanta De Pago
PDF template
A Spanish-language medical consent and insurance benefits assignment form for Northwell Health Dental Medicine patients.
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USA Hockey National Championships Consent To TreatMedical History Form
PDF template
Medical consent and history form for USA Hockey participants, allowing medical treatment and collecting health information for emergency purposes.
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Consent To Treat Form
PDF template
A legal document allowing medical treatment for patients, including consent for minors and adults, insurance filing, and patient rights.
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Consent To Treat Form
PDF template
A medical consent form allowing treatment authorization and insurance filing by a healthcare provider.
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CONSENT, WAIVER, RELEASE AND INDEMNITY AGREEMENT
PDF template
A legal document outlining participant consent, risk assumption, and liability waiver for a university program or activity.
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Consent, Waiver, Release And Indemnity Agreement
PDF template
Legal document outlining participant consent, risk assumption, and liability waiver for international medical exchange programs.
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Amendment Proposal Form
PDF template
A form for proposing amendments to VM-00 Exposure Draft related to principle-based valuation reserve requirements.
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Consolidated Debris Removal Program Property Transfer Affidavit
PDF template
A legal document for transferring property ownership while maintaining debris removal rights and obligations between transferor and transferee.
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AGREEMENT FORM
PDF template
A contract agreement between a contractor and the University of Central Arkansas for a construction project on the UCA campus in Faulkner County.
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Construction Excise Tax Exemption Form
PDF template
A form for developers or property owners to claim exemptions from construction excise tax in the Newberg School District for specific types of improvements.
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Consultant Certification Form
PDF template
A certification form for consultants submitting proposals to the New York State Department of Transportation, requiring compliance with state regulations and vendor responsibilities.
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INDOT Permit Section Consent Form
PDF template
A consent form allowing an applicant to authorize a representative to submit documents for obtaining a right of way permit from the Indiana Department of Transportation.
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Consulting Agreement
PDF template
A consulting agreement template outlining terms of service, compensation, and termination for a consultant working with the University of Missouri.
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Consulting Agreement
PDF template
A formal agreement outlining consulting services, compensation, and terms between the University of Missouri and a consultant.
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Agreement For Consulting Services
PDF template
A contract defining consulting services between Hudson Valley Community College and an external consultant, outlining terms of engagement, confidentiality, and service expectations.
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Individual Products Independent Contractor Form
PDF template
Form for adding or updating independent insurance agents as 1099 contractors for a contracted agency
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NAIC Funded Consumer Representative Travel Expense Reimbursement Policy
PDF template
Policy detailing travel expense reimbursement procedures for NAIC consumer representatives attending national and interim meetings.
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2024 NAIC Funded Consumer Representative Travel Expense Reimbursement Policy
PDF template
Guidelines for reimbursing NAIC consumer representatives' travel expenses for national and interim meetings, with up to $5,500 allocated per representative in 2024.
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Contact Information And Medical Form
PDF template
A comprehensive medical form collecting participant's personal information, emergency contacts, medical history, and health conditions for University of Maine at Presque Isle program participation.
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2024 2025 Continuous Payroll Deduction Authorization Form
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Form allowing full-time faculty and staff to authorize automatic payroll deductions for annual parking permits at the University of Nevada, Reno.
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Consulting Services Agreement
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Agreement between Saskatchewan Information and Privacy Commissioner and Bravo Tango Advertising Firm for website design and platform development.
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Instructions For Contractors For Completing Contract Compliance Form
PDF template
Guidelines for contractors submitting employment data to demonstrate workforce diversity and compliance with non-discrimination policies.
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CONTRACT FORM ADDENDUM TO CONTRACTORS FORM FOR CONTRACTS UP TO 5,000
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An addendum to a contractor's form specifying payment terms, liability limits, and standard contract exceptions for George Mason University.
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INDEPENDENT CONTRACTORPER DIEM AGREEEMENT
PDF template
A form for classifying and engaging independent contractors at Savannah State University, establishing eligibility and work relationship guidelines.
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ANNEX A TERMS AND CONDITIONS OF UNOPS INDIVIDUAL CONTRACTOR AGREEMENT
PDF template
Standard terms and conditions governing the contractual relationship between UNOPS and an individual contractor, detailing duration, services, and remuneration.
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Contract Approval Form (CAF)
PDF template
A comprehensive form for documenting and obtaining approvals for vendor contracts and service agreements at Lincoln University.
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Grants And Sponsored Research Development Contract Authorization Form
PDF template
A form used to summarize internal contract details for research and sponsored projects, requiring review and authorization before project commencement.
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Contract Award (CA GC)
PDF template
Document detailing the workflow and steps for submitting, reviewing, and approving contract awards for general contractor agreements at OSU.
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Residential Real Estate Purchase Agreement Change Addendum
PDF template
A legal document allowing modification of terms in a residential real estate purchase agreement, including changes to purchase price, contingency periods, and closing dates.
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Contract Closeout Quick Reference Guide
PDF template
A guide for government agencies to efficiently and properly close out contracts, addressing administrative and financial requirements.
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What Forms Are Required To Process A Contract
PDF template
Comprehensive guide detailing documentation and procedural requirements for contract processing based on contract value thresholds.
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Contracted Agreement
PDF template
A contractual agreement outlining patient responsibilities, payment terms, and cancellation policies for healthcare services.
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Contract For Environmental Consulting Services
PDF template
A contract outlining the terms, conditions, and scope of environmental consulting services between a consultant and client.
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Contract For Independent Consultant
PDF template
A legal document outlining terms and conditions for engaging an independent consultant, including service provisions and contractual obligations.
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Contract For Purchase And Sale For Use With Existing Multi Family Residences
PDF template
A joint approved form for purchasing multi-family residential properties, created collaboratively by the Winnebago County Bar Association and Rockford Area Association of Realtors.
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Example Contract For Self Employed Or Freelance Staff
PDF template
Guidelines and template contract for self-employed or freelance staff working with CDET's Recognised Awards program.
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University Of Maine System Contract For Services
PDF template
A standard service contract template for professional services between the University of Maine System and a contractor, outlining work specifications, payment terms, and termination conditions.
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Services Contract
PDF template
A comprehensive contract outlining service terms, payment, intellectual property, and confidentiality between a contractor and client.
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The Hovercraft Project Contract
PDF template
A contract between The Hovercraft Project, Inc. and an independent contractor defining the terms of service, compensation, and responsibilities.
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Contract Language Best Practices
PDF template
Guidelines for creating more inclusive contract language to increase participation of small and diverse businesses in public procurement.
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Contract Lifecycle Management Datasheet
PDF template
Comprehensive software solution for managing contract lifecycle with automation, integration, and centralized repository features.
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Contractor Acknowledgement Form
PDF template
A legal document outlining terms between a contractor, borrower, and lender for a construction loan project.
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NeighborImpact Heat Pump Grant Program Contractor Acknowledgment
PDF template
A detailed guide outlining the process for contractors participating in NeighborImpact's heat pump grant program for Central Oregon households.
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Contractor Agreement Associated Student Organization
PDF template
A contract document for external contractors providing services to a student organization at Southwestern College with specified payment and service terms.
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Contractor Application
PDF template
A comprehensive application form for contractors seeking to participate in housing rehabilitation programs, collecting business, licensing, and reference information.
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Change Of Contractor Form
PDF template
A form allowing property owners to change contractors for permitted work and release liability for Hillsborough County.
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Determining EmployeeContractor Status
PDF template
A document used to assess and determine the worker classification status for tax and employment purposes.
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Contractor Frequently Asked Questions
PDF template
Comprehensive overview of contractor licensing requirements and regulations in Hawaii, covering license application process, exemptions, and legal guidelines.
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Building Permit Application
PDF template
A document for contractors to apply for a building permit, detailing contractor information and workers' compensation insurance requirements.
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Environmental Health And Safety Contractor Incident Report
PDF template
A comprehensive form documenting workplace incidents, injuries, and safety-related events for contractors.
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Annual Contractor Membership Form
PDF template
Annual membership form for contractors to join the Michigan Barn Preservation Network and receive website listing benefits.
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Contractor Photography Submittal Form
PDF template
Form for contractors to submit photography details of landscaping or construction projects to EP Henry.
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Fraser Health Contractor Safety Program
PDF template
A comprehensive safety program outlining roles, responsibilities, and guidelines for contractors working with Fraser Health.
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Commonwealth Of Virginia Agency Contract Form Addendum
PDF template
An official addendum to a contractor's standard form contract for the University of Mary Washington, detailing payment terms and contractual limitations.
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Commonwealth Of Virginia Agency Contract Form Addendum To ContractorS Form
PDF template
A legal document that modifies a standard contractor's form for use by a Virginia state agency, with specific terms and limitations of liability.
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A Step By Step Guide To Obtaining Your Contractor License
PDF template
A comprehensive guide for business owners seeking to obtain a contractor license in Virginia, detailing the step-by-step process of creating a business entity and applying for a license.
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Diversity Management System (DMS) Submission Documentation
PDF template
A detailed tracking document for contractor submissions, insurance requirements, and project documentation across federal and state projects.
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City Of Oakland One Stop Permit Center Contractor User Agreement
PDF template
An agreement for contractors to register and use the City of Oakland's Online Permit Center for electronic permit submissions and processing.
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Contract Processing And Approval Form
PDF template
A comprehensive form for initiating, reviewing, and approving contracts and agreements within a university setting.
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MVC Honors Program Contact Project Form
PDF template
A form for students to outline and document additional academic contract work within the Honors Program curriculum.
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College Of DuPage Honors Program Honors Contract Proposal Form
PDF template
A form for students to propose an honors contract for a specific course with additional academic requirements or project work.
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Contract Request Form (CRF)
PDF template
Form for healthcare providers to request a contract and credentialing with Molina Healthcare
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Contract Routing Sheet
PDF template
Guidelines for reviewing and routing contracts and legal documents within a college's Office of General Counsel and Risk Management.
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House Rental Agreement Form
PDF template
A legal document outlining the terms and conditions for renting a residential property between a landlord and tenant.
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Liability Risks For Psychiatrists
PDF template
A comprehensive guide addressing legal and contractual risks for psychiatrists, focusing on employment agreements and professional responsibilities.
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Mission Support Contract
PDF template
Performance-based cost-plus-award fee contract for environmental clean-up services at the Department of Energy Hanford Site.
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Contract Details Register
PDF template
Compilation of multiple IT, services, and procurement contracts with details of suppliers, dates, and values.
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Graduate TARA Contract Termination Form
PDF template
Form for terminating teaching, research, or service contracts for graduate students at the University of Montana.
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AGREEMENTCONTRACT (AC) TRANSMITTAL FORM OVER 114,500
PDF template
A multi-step approval form for agreements and contracts exceeding $114,500, requiring review and confirmation from various organizational levels.
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Contract Types And Required Documents
PDF template
Comprehensive guide outlining document requirements for different types of consultant agreements and contracts.
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ING Premier Disability Cancellation Form
PDF template
A form for employees to cancel their ING Premier Short Term Disability insurance policy and associated payroll premium deduction.
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COPY CREDIT PROVIDED AGREEMENT FORM
PDF template
A contract outlining terms for a performer's participation in a project, including provisions for receiving a project copy and proper credit.
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Liability Waiver Form
PDF template
A legal document releasing the University of Louisville from liability for participation in the Suzuki Studies Program and acknowledging program policies.
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City Of Socorro 2024 Cornhole League Registration
PDF template
Registration form for participating in the City of Socorro's 2024 Cornhole League, including league rules and liability waiver.
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Certificate Of Trust
PDF template
A document used to establish or update trust insurance and annuity policy ownership with Pacific Guardian Life insurance company.
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County Officer Contact Form
PDF template
Form for collecting contact information for county-level officers in the Missouri Cattlemen's Association.
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Residential Debris Removal Right Of Entry Permit
PDF template
A document enabling property owners to authorize government agencies to safely remove and handle burn debris and ash from their property.
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County Transportation Requisition Form For County Reimbursement
PDF template
A form used by the Texas Department of Criminal Justice to document and request reimbursement for inmate transportation services.
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Coconino County Volunteer Service Agreement
PDF template
A comprehensive agreement for volunteers with Coconino County, covering service terms, permissions, and participant details.
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Waiver Form
PDF template
A comprehensive waiver form for participation in camp activities, requiring participant information and acknowledging potential risks.
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Waiver Form
PDF template
A comprehensive waiver document for participants at Covenant Harbor Bible Camp and Retreat Center, covering liability and participation risks.
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COVID 19 OTC Test Reimbursement Form
PDF template
Form for submitting reimbursement claims for personally purchased FDA-approved COVID-19 over-the-counter tests.
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Communicable Disease Related Hold Harmless, Release, Waiver Of Liability, And Indemnity Agreement
PDF template
Legal document releasing event organizers from liability related to potential communicable disease exposure during an event.
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COVID Vaccine Patient Intake Form 2021
PDF template
Patient intake form for COVID-19 vaccination at Stauffer's Drug Store and Stauffer's LTC Pharmacy, collecting patient information and insurance details.
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COVID 19 Release Of Liability Form
PDF template
Release of liability form for Pacific Crest Trail Association volunteers during COVID-19 pandemic, outlining risks and participant responsibilities.
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PARENTALGUARDIAN, SCOUT, LEADER COVID 19 ACKNOWLEDGEMENT CONSENT WAIVER FORM
PDF template
A waiver form acknowledging COVID-19 risks for scout activities and granting permission for participation during the pandemic.
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Work Comp MVA Patient Intake Form
PDF template
Comprehensive medical intake form for documenting patient information, injury details, and insurance details for workers' compensation and motor vehicle accident claims.
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Driver Proof Of Insurance Form
PDF template
Form for volunteer drivers to document and verify current automobile insurance coverage for Catholic Pro-Life Committee activities.
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Cancellation Notice And Cancellation Form
PDF template
Detailed contract cancellation policy for educational services explaining consumer rights within a 14-day cancellation period.
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CreditDebit Card Payment Authorization Form
PDF template
A form that allows individuals to authorize credit or debit card payments for services provided by the Alameda County Planning Department.
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Credit Card Authorization Form
PDF template
A form allowing Tranquility Psychiatry and Counseling Services to keep a credit card on file for service payments and outstanding balances.
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Credit Card Authorization
PDF template
A form for authorizing credit card charges for permit fees with the Fulton County Department of Public Works.
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Credit Card Payment Authorization Form
PDF template
A form authorizing a one-time credit card charge for permit fees at the Westchester County Department of Health.
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Instructions For Credit Life And Health Insurance Experience Reports
PDF template
Detailed instructions for insurance carriers to submit statistical reports on credit life and health insurance cases in Maryland.
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CRESEMBA Support Solutions Enrollment Form
PDF template
A comprehensive enrollment form for patients seeking support and prescription assistance for CRESEMBA medication through Astellas Patient Assistance Program.
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Contracted Service Agreement Between Lansing School District And Contractor
PDF template
A legal agreement defining the terms of service between a school district and an independent contractor, outlining responsibilities, rights, and expectations.
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Certificate (Policy) Service Request Form
PDF template
A form for requesting various insurance contract services such as withdrawal, surrender, ownership assignment, or duplicate contract issuance.
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Flight Attendant Optional Short Term Disability (OSTD)
PDF template
An optional short-term disability insurance program for flight attendants that provides income protection during periods of disability between paid sick time and long-term disability benefits.
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Waiver Of Liability, Assumption Of Risk, And Indemnity Agreement
PDF template
Legal document waiving liability for participation in University of California community service transportation program.
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Parking PermitCitation Refund Request
PDF template
A form for requesting refunds for parking permits or citations at California State University, San Bernardino
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Public Utilities Commission Final Decision And Order
PDF template
Legal document detailing a contract dispute resolution between a non-profit network and a telecommunications company in South Dakota.
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Grace Period Extension Agreement
PDF template
An agreement allowing insurance customers additional time to pay premiums during the COVID-19 pandemic without plan termination.
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CT, MRI And MRA Order Pre Authorization Form
PDF template
A comprehensive form for ordering CT, MRI, and MRA medical imaging exams with detailed patient and clinical information requirements.
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Contract For Customized Training
PDF template
A contract between the Washington State Board for Community & Technical Colleges, a business, and a training institution for employee training services.
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CUNY Release Agreement For Activities In A Destination Under A Travel Warning
PDF template
A legal document outlining risk assumptions and compliance requirements for CUNY travelers going to destinations with travel warnings or advisories.
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Conditional Use Permit Application For The Sale Of Alcoholic Beverages
PDF template
Permit application for obtaining authorization to sell alcoholic beverages for on-premise consumption in a restaurant or bar setting.
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SHORT TERM DISABILITY CLAIM FORM
PDF template
Form for employees to file a claim for short-term disability benefits, including personal and employment details.
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LinkedIn Order Form
PDF template
Confidential order form for subscription services between LinkedIn and a supplier, outlining service terms and contact details.
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Certification Course CMBP Designation
PDF template
A comprehensive training program covering medical billing fundamentals, insurance types, claims processing, and medical office forms.
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Custom EnrollmentApplication Certification Instructions
PDF template
A compliance checklist for customized enrollment forms to ensure regulatory requirements are met before submission.
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Custom EnrollmentApplication Certification Instructions
PDF template
Instructions and checklist for ensuring compliance of customized enrollment forms prior to submission to regulatory authorities.
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Customer Accessibility Feedback Form
PDF template
A form designed to collect customer feedback about service accessibility and satisfaction at Heartland Farm Mutual Insurance Inc.
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Customer Information Request Order Form
PDF template
Official form for requesting voter file data and extracts from Ventura County Elections Division
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Prescription Claim Form
PDF template
A form for submitting prescription reimbursement claims under a Medicare Part D manufacturer patient assistance program.
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Prescription Reimbursement Claim Form
PDF template
A form for submitting prescription medication reimbursement claims, including patient and pharmacy information, insurance details, and claim reasons.
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Prescription Reimbursement Claim Form
PDF template
A form for submitting prescription medication reimbursement claims, used to process pharmacy expense reimbursements.
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CVS Caremark Prescription Benefits Guide
PDF template
A guide providing six strategies for saving money and time on prescription medications through CVS Caremark's pharmacy benefits program.
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Accident Waiver, Release Of Liability Informed Consent Form
PDF template
Legal document waiving liability for participants in activities at the Colonial Williamsburg Musket Range.
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Accident Waiver, Release Of Liability Informed Consent Form
PDF template
Legal document waiving liability for participants in activities at the Colonial Williamsburg Musket Range.
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Patient Registration Form
PDF template
A comprehensive medical intake form for collecting patient personal and insurance details for healthcare services.
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General Consent For Treatment
PDF template
A consent form allowing medical treatment for minor patients at The C. W. Williams Community Health Center, including medical and dental procedures.
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MODEL INDIVIDUAL ENROLLMENT REQUEST FORM TO ENROLL IN A MEDICARE ADVANTAGE PLAN (PART C)
PDF template
Official form for individuals with Medicare who want to enroll in a Medicare Advantage Plan, outlining eligibility and enrollment periods.
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Coastal Zone Management Permit Process
PDF template
A comprehensive guide to the coastal zone management permit application process in the Virgin Islands, detailing minor and major permit procedures.
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MOTOR ACCIDENT REPORT FORM
PDF template
Comprehensive form for reporting motor vehicle accidents, documenting incident details, vehicle information, and driver statements.
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Sales Order Form
PDF template
Sales order for Naviance education software services for Park Hill School District and Congress Middle School
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STATE OF LOUISIANA DRIVER AUTHORIZATION FORM
PDF template
Official form for authorizing state employees to drive vehicles on state business and documenting driving credentials and insurance compliance.
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MEMBER REIMBURSEMENT DENTAL CLAIM FORM
PDF template
A form for members to request reimbursement for out-of-network dental services from their insurance provider.
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Damage Report Form
PDF template
A form for reporting and documenting insurance damage claims with contact and incident details.
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DAMAGE REPORT FORM
PDF template
Form for reporting property damage to the Hendry County Property Appraiser for potential property tax reassessment.
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Damage Report Form
PDF template
A detailed form documenting damage incidents at a cemetery, including damage details, witnesses, police reports, and potential insurance claims.
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Damage Report Form
PDF template
A form documenting damage to cemetery property, stones, or monuments, including details of the incident and potential repair process.
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Contractor Authorization Construction General Permit
PDF template
A form required for contractors performing earthwork or stormwater control activities in South Dakota, documenting project and contractor details.
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Direct Reimbursement Claim Form
PDF template
A form for requesting reimbursement from Davis Vision for out-of-network vision services and eyewear expenses.
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All FUR Fun Stay Play Dog Care Service Agreement Form
PDF template
A service agreement for dog daycare and boarding that outlines responsibilities, health certifications, and liability waivers for pet owners.
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Dayspace Studio Rental Agreement
PDF template
A comprehensive rental agreement for studio equipment outlining terms, conditions, responsibilities, and risks for equipment rental from Day Space Studio.
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DB 450 Notice And Proof Of Claim For Disability Benefits
PDF template
Instructions for filing a disability benefits claim in New York State, detailing submission requirements and process for employees and recently unemployed individuals.
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Client Interview Form Defense Base Act
PDF template
A comprehensive form for collecting client information related to workplace injuries under the Defense Base Act
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New York State Disability Benefits Rights Statement
PDF template
Informational document outlining disability benefits rights for employees in New York State under Section 229 of the Disability and Paid Family Leave Benefits Law.
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DC 54 Complaint Form
PDF template
Instructional guide for filing a complaint related to Temporary Disability Insurance or Prepaid Healthcare issues in Hawaii.
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RETIRED LAW ENFORCEMENT OFFICER IDENTIFICATION CARD
PDF template
Liability waiver for retired law enforcement officers seeking to carry a concealed firearm under LEOSA provisions.
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DD Form 254 Instructions
PDF template
Instructions for completing the DD Form 254, which provides security classification guidance for contracts requiring access to classified information.
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Some Early Thoughts On Liability Standards For Online Providers Of Legal Services
PDF template
An academic article exploring potential legal liability issues for online legal service providers and the intersection of technology and legal institutions.
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DD FORM 2876 3, TRICARE PRIME ENROLLMENT, DISENROLLMENT, AND PRIMARY CARE MANAGER (PCM) CHANGE FORM
PDF template
Official Department of Defense form for enrolling, disenrolling, or changing primary care managers in the TRICARE Prime healthcare program.
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DD FORM 2876 TRICARE PRIME ENROLLMENT, DISENROLLMENT, AND PRIMARY CARE MANAGER (PCM) CHANGE FORM
PDF template
A Department of Defense form for enrolling, disenrolling, or changing primary care managers in the TRICARE Prime healthcare program.
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Delta Dental Of Colorado Enrollment Form
PDF template
Form for enrolling in Delta Dental insurance coverage, including employee and dependent information.
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Delta Dental Enrollment Form
PDF template
Enrollment form for obtaining dental insurance coverage through Delta Dental of Massachusetts
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Claim For Disability Insurance (DI) Benefits
PDF template
Authorization form for releasing medical information to process a disability insurance claim with the California Employment Development Department (EDD).
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COM LINQ CENTRAL STATION Alarm Monitoring Service Agreement
PDF template
A service agreement for alarm monitoring services between a client and Com-Linq Central Station, a division of Guard Tronic, Inc.
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Death Benefit Application Form
PDF template
A form for Fiji Bank & Finance Sector Employees Union members to apply for death benefits for themselves or eligible family members.
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Tips To A Better Rep Agreement
PDF template
An article providing advice for sales representatives on carefully reviewing and negotiating their representative agreements to protect their interests.
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DECA ICDC 2023 Registration Guide
PDF template
Official registration and permission form for DECA conference attendance, including medical authorization and conduct agreement.
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Decrease Election Form For Supplemental Life Insurance
PDF template
A form for active state employees to reduce their supplemental life insurance coverage in prescribed increments.
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Payroll Deduction Cancellation Form
PDF template
Form for employees to cancel various payroll deductions for insurance, benefits, and voluntary contributions.
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Participant Agreement, Release And Assumption Of Risk
PDF template
Legal waiver and risk assumption document for participants in trampoline and interactive activities, specifically for participants under 19 years old.
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Agency Form
PDF template
Form allowing a customer to designate an agent to perform specific responsibilities related to gas pipeline and energy service agreements.
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De Leon V. Pinnacle Property Management Services, LLC Court Opinion
PDF template
Judicial opinion regarding the enforceability of an employment arbitration agreement, finding it procedurally and substantively unconscionable.
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Specialty Care Referral Form
PDF template
A form for referring patients to dental specialists with patient, enrollee, and referral details.
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Dental Claim Form
PDF template
A standardized form for submitting dental treatment and insurance claim information to Delta Dental of Illinois.
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Dental Claim Form
PDF template
A standardized form for submitting dental insurance claims, tracking patient treatment, and requesting predetermination or preauthorization.
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Delta Dental EnrollmentChange Form
PDF template
A comprehensive form for enrolling in or modifying dental insurance coverage with Delta Dental plans
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Delta Dental Of Minnesota Membership Enrollment Form
PDF template
Membership enrollment form for Delta Dental insurance coverage, allowing employees to select dental plan options and enroll dependents.
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ENROLLMENT FORM
PDF template
Dental insurance enrollment form for University of Tennessee Health Science Center (UTHSC) student plan.
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Demand For Documents Letter
PDF template
A letter requesting legal documentation, potentially related to debt collection or insurance matters, with guidance on proper letter composition and legal considerations.
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Patient Intake Form
PDF template
Comprehensive patient registration form collecting personal, contact, and insurance information for medical practice.
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Demographics And Insurance Form Surgery Registration
PDF template
Comprehensive patient intake form for surgical procedures, collecting patient demographics, insurance, and medical contact information.
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Demolition Permit For Structure More Than 50 Years Old
PDF template
Comprehensive guidelines for obtaining a demolition permit for structures over 50 years old in the City of Ukiah, including historical review requirements and associated fees.
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Dental Claim Form
PDF template
Standard form for submitting dental treatment and insurance claim details for reimbursement or predetermination.
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ADA Dental Claim Form Instructions
PDF template
Comprehensive instructions for completing the ADA Dental Claim Form, including general instructions, coordination of benefits, and National Provider Identifier requirements.
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DENTAL CONE BEAM CT REFERRAL FORM
PDF template
A medical referral form for dental cone beam CT imaging studies with patient and physician information collection.
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Delta Dental Of Wisconsin EnrollmentChangeWaiver Form Dental
PDF template
A form for enrolling in, changing, or waiving dental insurance coverage through an employer's group plan with Delta Dental of Wisconsin.
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COBRA Dental Insurance EnrollmentWaiver Form
PDF template
A form for employees to enroll in or waive dental insurance coverage, with options for adding or dropping dependent coverage under COBRA.
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Dental Insurance EnrollmentWaiver Form
PDF template
A comprehensive form for employees to enroll or waive dental insurance coverage, including personal and dependent information.
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Employee Enrollment Form
PDF template
Comprehensive form for employee insurance enrollment with personal information and coverage details.
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Dental Examination Waiver Form
PDF template
A form for parents/guardians to request a waiver from required dental examination for school-enrolled children in Illinois.
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Dental Insurance EnrollmentChange Form
PDF template
A form for employees to enroll in or modify dental insurance coverage, including dependent information and policy details.
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Dental Insurance Form
PDF template
A comprehensive form for collecting patient and insurance details for dental insurance claims.
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Dental Waiver Form
PDF template
A form allowing civil service staff to waive enrollment in Genesee Community College's group dental insurance plan.
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Dental Claim Form
PDF template
A comprehensive form for filing dental insurance claims, collecting patient and insurance information.
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DentalVision Enrollment Form
PDF template
Detailed guide for completing a dental and vision insurance enrollment form with step-by-step instructions.
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Patient Referral Form
PDF template
A comprehensive medical and dental referral form for patient intake and specialist consultation at Boston Children's Hospital dental services.
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Departmental Permit Purchase Form
PDF template
Form for departments to purchase parking permits for university personnel at California State University, Sacramento.
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DepartureTransfer Out CHECKLIST
PDF template
A comprehensive checklist for international students preparing to leave their current location, covering health insurance, student accounts, housing, and financial matters.
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DependantS Pension Application Form
PDF template
A form for Nestl European Pension Fund members to nominate a financial dependent to receive pension benefits in the event of the member's death.
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Dependent Audit Form
PDF template
A form for employees to verify and update dependent insurance coverage information and personal details.
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Departmental Software Order Form
PDF template
A form for ordering and tracking software licenses and media for Virginia Polytechnic Institute and State University departments.
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Designation Of Beneficiary And Emergency Contact Form
PDF template
A form for designating beneficiaries and emergency contacts for funds owed by the International Atomic Energy Agency (IAEA)
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Des Plaines Park District Waiver Form
PDF template
Waiver and release form for sports team participants to acknowledge and accept potential risks associated with participation.
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2022 Construction General Permit Dewatering Inspection Report
PDF template
A detailed inspection report for documenting dewatering discharges and environmental compliance under the Construction General Permit.
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Wine Importation Authorization Form
PDF template
Official form for importing wine into Alabama for personal use, requiring detailed shipping and customer information.
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MASTER SERVICES AGREEMENT
PDF template
Legal agreement governing use of Digital 55's website, services, and platform with terms of service and liability limitations.
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DIGITAL DATA AFFIDAVIT FORM
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Disability Claim Form
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SI 11268 Your Disability Benefit Claim
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International Medical History Form
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UM Diver Proof Of Insurance Form
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Guidelines For Maintaining An Equipment Inventory
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Claims Reporting Procedure Manual
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DIY Docs
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Denver Mac Repair Service Agreement
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Organizational Hold Harmless And Indemnity Agreement
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Minor (Under 18) Participant Form
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DocuSign CLM Datasheet
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UA Agreement Form Workflow
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Domestic Maid (Lite) Proposal Form
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Good Fit Domestic Partner Affidavit
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Do Not File Insurance Waiver Form
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MIT Dormitory Booking Form
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Job Displacement Insurance A Policy Typology
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Maryland Accessibility Compliance Form
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Addendum To Two Tier Nonexclusive Distributor Agreement
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Application For Temporary Tax Exemption Permit
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Disability Benefit Application Instructions
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Motor Vehicle Accident Report Form
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Confidential report form for documenting details of a motor vehicle accident involving injury, death, or property damage over $1,000.
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Central Vermont Regional Planning Commission Standard Contract
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Standard regional planning commission contract between CVRPC and Ijaz & Associates for cost reimbursement services.
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Contract For Consultancy Services
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Chapter 133 General Medical Provisions Health Care Provider Billing Procedures
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Chapter 133. General Medical Provisions Subchapter B. Health Care Provider Billing Procedures
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Driver Insurance Form Field Trips And Athletics
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New Drivers Of University Vehicles
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DriverS Accident Reporting Packet
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CIBC Insurance DriveSmart Program Terms And Conditions
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Installment Agreement
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Civil Infrastructure Acceptance Requirements
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Direct Deposit Enrollment Authorization Form
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Durable Power Of Attorney
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Workers Compensation Commission Self Insurance Program Application
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Exhibitor Appointed Contractor Form
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Liability waiver for participants in a research program, acknowledging risks and providing emergency consent.
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Accident Reporting
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North Carolina Workers Compensation Electronic Billing And Payment Companion Guide
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Lee County EConnect User Agreement
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ECU Leased Equipment Policy Change Form
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ECU Leased Equipment Policy Change Form
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Master Service Agreement Terms And Conditions
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Traveler Health And Medical Information
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Extended Health Care Claim Form
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Inspection Request Form And Declaration Of Compliance
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Electronic Communications Requirements
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Electronic Signature FAQ
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Electronic Transaction Agreement
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Employment Agreement Between The Board Of Trustees Of Northern Illinois University And Dr. Laurie El
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Employment contract detailing the appointment of Dr. Laurie Elish-Piper as Executive Vice President and Provost of Northern Illinois University.
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Form for requesting and authorizing Active Directory and email system access for faculty, staff, and consultants
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Emergency Contact Form
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Health Office Emergency Contact Form
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Emergency Contact Form
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Emergency Information
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Emergency Medical Form
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Emergency Procurement Justification Request Form
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2022 Emergency Form
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WDFW Emergency Purchase Notification Process Form
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Clauses To Emergency Use Agreement
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EmergencyMedical Authorization Waiver Form For Minor Participants
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Emeriti Reimbursement Benefit Claim Form
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Instructions for submitting healthcare reimbursement claims through Rx debit card, online portal, or paper submission.
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EMFG Venue Check List
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Comprehensive checklist of required documents and steps for preparing an event venue at a fairgrounds facility.
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Health Insurance Claim Form
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Standard health insurance claim form for submitting patient and insurance information for medical reimbursement and processing.
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ENROLLMENT FORM FOR GROUP INSURANCE
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Employee Parking Policy
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Policy establishing parking provisions and regulations for county employees using county parking facilities and lots.
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Virginia Tech Employee Software Sales Order Form
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Order form for Virginia Tech employees to purchase software and technology accessories at discounted rates.
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Eye Care Insurance Enrollment Form
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A comprehensive form for employees to enroll in or modify eye care insurance coverage for themselves and dependents.
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Employer Error Institution Process
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Guidelines for handling employer errors in employee insurance enrollment, detailing steps for institutions and employees to correct coverage issues.
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Employment Agreement
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A comprehensive employment agreement outlining employee obligations and intellectual property rights assignment to the employer.
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Woodbury County Employment Application
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Comprehensive employment application form for Woodbury County job seekers to provide personal and professional details.
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Employment Application
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Job application form for employment opportunities with Mercer County, covering personal information, work eligibility, and employment history.
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Employment Contract
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CONTRACT OF EMPLOYMENT
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A standard employment contract defining the terms of employment, duties, and responsibilities between an employer and employee.
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GIC Employment Status Change Form
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A form for documenting changes in employment status, leave of absence, and associated health insurance coverage elections.
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2023 EMRA RenewalSurvey Form
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Form for renewing and surveying emergency medical transport agency licenses in Oklahoma, with two renewal options for 2024 and 2025.
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Out Of Network Vision Services Claim Form
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A form for submitting out-of-network vision service claims with instructions for online or mail submission.
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General Purchase Terms And Conditions Of Bayer AG
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Comprehensive legal document outlining purchase terms and conditions for Bayer AG and its affiliated companies in Germany.
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General Purchase Terms And Conditions Of Bayer AG
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Legal document outlining purchasing terms and conditions for Bayer AG and its affiliated companies in Germany.
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2021 Online Encroachment Application Process
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Guide for obtaining encroachment permits for residential, commercial, and outdoor dining properties in Salt Lake City using the online citizen access portal.
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Application To Work In The Right Of Way
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A municipal permit application for conducting work in public right of way, requiring detailed applicant, owner, and contractor information.
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Energy Plan Review Checklist
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A checklist for reviewing energy conservation code compliance for residential and commercial buildings in Albuquerque, New Mexico.
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Architects And Engineers Professional Liability Insurance Application
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An insurance application form for architects and engineers to obtain professional liability coverage.
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Sussex County Engineering Plan Submission Form
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Authorization And Consent To Treatment
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A comprehensive document outlining patient consent for medical treatment, insurance benefits assignment, and payment responsibilities.
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Youth Programs Mandatory Forms
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Comprehensive legal document for youth program participation, covering travel, risk, and liability waivers for participants or their guardians.
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Enhanced Dental Benefits Enrollment Form
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A self-enrollment form for additional dental coverage for members with specific medical conditions through Blue Cross Blue Shield of Massachusetts.
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ENJAYMO Patient Solutions Enrollment Form
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Comprehensive patient enrollment form for ENJAYMO patient assistance program, collecting personal and insurance information.
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VEHICLE INSPECTION FORM
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A comprehensive form for documenting vehicle condition and existing damage for insurance purposes.
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Enrollment Change Waiver Group Insurance Form
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Insurance enrollment form for adding or changing group dental and eye care coverage for employees and their dependents.
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Continuing Consent To Treatment And Authorization To Release Information
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A consent form allowing medical treatment for a minor student and authorizing release of medical information to insurance services.
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Northern California Carpenter Funds Enrollment Form
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Form for enrolling or updating records with the Northern California Carpenter Funds, including health plan selection and participant information.
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SISC Flex Plan Enrollment Form
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Employee enrollment form for health care, limited purpose, and dependent care flexible spending accounts with benefit election options.
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Delta Dental Of Rhode Island Enrollment Form
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An enrollment form for Delta Dental insurance coverage in Rhode Island, used to add or modify dental insurance coverage for individuals and families.
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Vision Service Plan EnrollmentChange Form
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Form for employees of Fallbrook Elementary School District to enroll or modify vision insurance coverage for themselves and dependents.
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Application And Change Form For Delta Dental Individual And Family
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A comprehensive dental insurance enrollment form for individual and family coverage with personal and dependent information sections.
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Superior Dental Care Employee Enrollment Form
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Form for employees to enroll in dental and vision insurance benefits through Superior Dental Care.
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ENROLLMENT FORM
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A comprehensive form for enrolling in insurance coverage and adding spouse and dependent information for IBEW Local 26 members.
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ENROLLMENT FORM GL.2017.010
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ENROLLMENT FORM NATIONAL ELEVATOR INDUSTRY BENEFIT PLANS
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VEHICLE INSPECTION FORM
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Insurance form for documenting existing vehicle damage during policy inspection or claim process.
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Patient Intake Form
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Short Environmental Assessment Form
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Online Application Economic Development Permit Environmental Site Assessment Grant Application
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Health History Examination Form South Carolina Envirothon Program
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Release Of Liability, Promise Not To Sue, Assumption Of Risk And Agreement To Pay Claims
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Annex B Potential Vendors Self Declaration Form
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Youth Sports Medical History Form
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Employee Of The Month Nomination Form
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Form EBO 1
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Equipment Agreement Form
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Form for borrowing equipment from KC STEM Alliance, outlining rental terms, liability, and borrower responsibilities.
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Equipment Booking Form And Hire Agreement
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Equipment Purchase Agreement Form
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Equipment Rental Agreement
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A rental agreement form for equipment rental with fields for personal details, rental terms, and return conditions.
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Equipment Request Form
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Accident Waiver, Release Of Liability And IndemnityHold Harmless Agreement For The Use Of Loaned Equ
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Waiver And Release Agreement
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Equitable Distribution Inventory Affidavit
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Legal document for disclosing assets and liabilities during divorce proceedings in North Carolina's district court system.
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ERM 14 FormConfidential Request For Ownership Information
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Applied Behavior Analysis (ABA) Clinical Service Request Form
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RETIREE INSURANCE ENROLLMENT FORM
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ESCAPMCREI20222 Enabling Trade And Investment For Sustainable Development In Times Of Crisis
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A United Nations document addressing the importance of regional economic cooperation and trade in navigating global crises and promoting sustainable development.
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New Vendor Spotlight MSC
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Overview of MSC Industrial Supply as a new punch-out supplier for the University of Nebraska's procurement system with details on product range and contract terms.
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2012 OPERS Prescription Plan Guide
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Guide for OPERS health care plan participants explaining prescription drug coverage options for Medicare-eligible members
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Getting Started With Home Delivery From Express Scripts Pharmacy
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Comprehensive guide for managing prescription home delivery services through Express Scripts online platform and mobile app.
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Application For Examination Or Employment
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Official employment application form for positions in Essex County government, including towns, villages, and school districts
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Contract Performance Evaluation
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A comprehensive form to evaluate vendor contract performance across multiple dimensions including customer service and delivery metrics.
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Application For Residential Rental Permit
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Form for property owners to obtain a rental permit and schedule inspection for rental properties in the Village of Evendale.
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Event Booking Form
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A comprehensive form for event organizers to submit details and requirements for event approval by the local council.
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NAPIER CITY COUNCIL EVENT BOOKING FORM
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EVENT PROPOSAL FORM For RacesRuns Special Events
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A comprehensive form for individuals or groups to propose and request special events at county parks with detailed event and service requirements.
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Ski Area Release Agreement
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Legal document waiving liability for ski-related activities at Lake Louise Ski Area, covering potential injuries and property damage.
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Park Space Event Use Inquiry
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Form for requesting permission to host an event in Henderson County parks and recreational spaces.
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Waiver Form
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CY 2025 TITLE IV E REIMBURSEMENT FOR COUNTY EWiSACWIS COSTS
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Guidelines for preparing budget forms and time reports for Title IV-E reimbursement of county eWiSACWIS system costs for calendar year 2025.
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Consultant Agreement
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A legal agreement between the City of Lincoln, Nebraska and a consultant for professional services outlined in an attachment.
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Release Of All Claims
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Legal release form for participants of a community garden, acknowledging risks and waiving liability for potential accidents or injuries.
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Security Services Agreement
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A contract between a client and a security contractor for providing security services during a specific event.
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MEDICAL BENEFITS SUBSCRIBER CLAIM FORM
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A comprehensive medical insurance claim form for submitting healthcare reimbursement or coverage information.
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Excess Maintenance Agreement
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A legal agreement between Center Township and a user regarding maintenance and restoration of highways subjected to excess weight hauling.
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Exchange Privilege Application
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A form for requesting policy exchanges between term life insurance policies without requiring evidence of insurability.
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Exclusive Distribution Agreement Pdf
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Contract defining terms of exclusive product distribution between a supplier and distributor, outlining rights, responsibilities, and distribution territories.
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Southwestern Community College District Excursion Liability Release Agreement Form
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A liability release form for students participating in off-campus activities or field trips sponsored by Southwestern Community College District.
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Exercise Waiver And Release Form
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A legal document releasing fitness facilities or trainers from liability for potential injuries during exercise activities.
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Master Services Agreement
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An agreement between Chartis International and MMR Information Systems for providing electronic medical record storage services to insurance customers.
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Exhibit Agreement And Inventory Form
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Exhibit B Proposal Form
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Consulting Services Agreement
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A legal agreement outlining the terms and conditions for consulting services between the Sites Project Authority and a consultant.
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MOCS Consultant Subcontractor Approval Form For Discretionary
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A form used by the City of New York for approving consultants and subcontractors for discretionary contracts.
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Washoe County Liability Property Loss Report Form
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A comprehensive form for reporting personal injuries, property damage, and county property losses in Washoe County.
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Collect Background Report For VendorsContractors
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A detailed background investigation form for screening vendors and contractors, collecting personal and criminal history information.
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Security Clearance Form
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A form for collecting detailed personal and background information for security clearance of vendors and contractors.
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Notification Of Intent To Use Exhibitor Appointed Contractor
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Form for exhibitors to notify event management about using a non-official service contractor for an event
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Liability Waiver Form
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OPSCA Expert Witness Contract Request Form (CRF)
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AIA Contract Documents
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Comprehensive list of expired AIA construction contract documents and their historical editions
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Instructions For Application To Sell UnitedHealthcare Products
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Comprehensive guide for external producers seeking authorization to sell UnitedHealthcare insurance products and become appointed agents.
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Out Of Network Vision Services Claim Form
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A claim form for submitting out-of-network vision services reimbursement to First American Administrators for EyeMed Vision Care plans.
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EnrollmentChange Form
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A form for enrolling or changing employee and family insurance coverage with Fidelity Security Life Insurance Company.
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EnrollmentChange Form
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Insurance enrollment and change form for employees and their family members, underwritten by Fidelity Security Life Insurance Company.
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Out Of Network Claim Form
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A form for EyeMed Vision Care members to submit claims for out-of-network vision care services and receive reimbursement.
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OTHER INSURANCE FORM
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Employer Health Insurance Verification Individual Follow Up Health Insurance Information
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A form for employers to verify health insurance benefits offered to employees and their families for BadgerCare Plus applicants.
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PDP Prescription Reimbursement Request Form
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A form for members to request reimbursement for prescription medications purchased at retail cost when standard prescription drug coverage was not used.
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Medical Dental Time Loss Claim Form
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A comprehensive medical claim form for employees and dependents to submit healthcare and time loss claims.
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Dual Option Enrollment Form
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An enrollment form for dental insurance coverage through Transport Workers Union, Local 100, allowing members to select dental plans and add dependents.
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General Provider Billing Manual
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Comprehensive guide for healthcare providers on billing procedures for workers' compensation and crime victims services in Washington state.
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Puget Sound Benefits Trust Short Term Disability Claim Form
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A comprehensive form for employees to file a short-term disability claim, requiring details from the employee, employer, and attending physician.
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F262 024 000 Claims Suppression Complaint Form
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A form for reporting potential claims suppression by employers in workers' compensation cases.
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Subcontractor Material Supplier Declaration
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Official form for documenting and verifying subcontractors and material suppliers for state construction projects in Ohio.
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Medical Dental Vision Prescription Weekly Disability Claim Form
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Comprehensive claim form for medical, dental, vision, prescription, and weekly disability benefits for NW Plumbers & Pipefitters Health Fund members.
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Enrollment Form F33
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Comprehensive enrollment form for employees to register dependents and update personal information for benefit plans
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Form 433 H
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Internal Revenue Service form for requesting an installment agreement for tax liabilities over $50,000 or unpayable within 72 months.
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Applicant Submission Checklist Form 1
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Checklist for confirming watermain alteration compliance with drinking water permit requirements and city regulations.
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Nebraska Schedule I Bingo License
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Official form for applying for a bingo license in Nebraska, detailing organization, location, equipment, and bingo occasion details.
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Disability Claim Form
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A comprehensive form for submitting a disability insurance claim, covering coverage information, work schedule, and earnings details.
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Western Metal Industry Pension Fund Pre Retirement Death Application
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A form for surviving spouses to apply for pension benefits after the death of a participant in the Western Metal Industry Pension Fund.
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AGREEMENT BETWEEN CITY OF OVERLAND PARK, KANSAS AND VENDOR
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Agreement for the production of a video about Oxycontin and heroin between the City of Overland Park and Treehouse Entertainment and Daniel Taylor Productions.
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Huntsville Public Library Standard Rental Agreement Form
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A comprehensive form for renting rooms and facilities at the Huntsville Public Library, including event details, insurance requirements, and payment information.
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Facility Shelter Refund Request Form
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A form for requesting refunds for park facility and shelter permits with detailed cancellation and processing policies.
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Owen County Family YMCA Room Rental Application Form
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Application and liability waiver for renting rooms at the Owen County Family YMCA, including rental terms and liability release.
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Service Maintenance Agreement Subcontract
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A service maintenance agreement between Maintco Corp and a subcontractor outlining terms for construction and service projects.
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Contract Intelligence
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An advanced AI system for automated, high-precision extraction of key information from complex contracts using neuroscience-based technology.
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Domestic Academic Student Travel Waiver Form
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A legal waiver document for students participating in academic field trips or off-campus activities, outlining risk assumptions, medical consent, and vehicle use conditions.
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Faculty Payroll Authorization Form
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Form for full-time faculty to choose between academic year or fiscal year payroll distribution options.
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Exhibitor Appointed Contractors (EACs)Third Party Contractor Guidelines
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Comprehensive guidelines for exhibitors using third-party contractors for booth installation, dismantling, and services at a trade show event.
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Westtown Township Health And Fitness Registration And Insurance Form
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Registration form for fitness programs with health history and medical information collection
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Family Contact Form
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Form for collecting comprehensive contact and insurance details for a client's family members and guardians.
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FAMILY EMERGENCY CONTACT FORM
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A comprehensive document listing essential emergency contacts and insurance information for family disaster preparedness.
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NECAIBEW Family Medical Care Plan Family Enrollment Form
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An enrollment form for employees to enroll in the NECA/IBEW Family Medical Care Plan, including personal, spousal, and dependent information.
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FAQs About Affordable Care Act Implementation Part 31, Mental Health Parity Implementation, And Wome
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Frequently Asked Questions regarding implementation of market reform provisions in healthcare, covering preventive services, mental health parity, and women's health rights.
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FAQs About Affordable Care Act Implementation Part 31, Mental Health Parity Implementation, And Wome
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Guidance document providing frequently asked questions about preventive services coverage under the Affordable Care Act, Mental Health Parity Act, and Women's Health and Cancer Rights Act.
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FAQs CVS Caremark Pharmacy Transition
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Frequently asked questions about prescription drug benefits transition from Medco to CVS Caremark for PERS Select/Choice/Care members.
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Electronic Bulletin Board (EBB) Agreement Form 6800
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A contractual agreement outlining terms and conditions for accessing Southern California Gas Company's online gas services and Electronic Bulletin Board system.
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Farm Emergency Contact Form
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A comprehensive emergency contact and insurance information form for farm operations, listing critical emergency and support service contacts.
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Farm Emergency Contact Form
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Comprehensive form for documenting emergency contacts, insurance policies, and critical service providers for a farm operation.
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County Farm Labor Contractor Registration
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Official registration form for agricultural labor contractors to operate legally in a specific county.
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Invitation For Bid UA Little Rock Campus Wide Pest Control And Termite Protection
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Bid solicitation for campus-wide pest control and termite protection services for the University of Arkansas at Little Rock.
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Cancellation Form
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A form for subscribers to cancel their health or dental insurance coverage with Farm Bureau Health Plans.
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Retiree Enrollment Form
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Enrollment form for Fulton County retirees to select health and dental plan coverage options and update personal information.
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INCLUSA CLAIM FORM
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A claim form for submitting healthcare service claims to Inclusa Family Care through WPS Health Insurance.
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Claim For Dismemberment Benefits
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A federal employee insurance claim form for documenting loss of limb or eyesight benefits under the Federal Employees' Group Life Insurance Program.
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FL Engineering LLC Project Information Form
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OWCP 92 Uniform Billing Form
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Guidelines for submitting medical service bills for federal employees under compensation programs related to work-related injuries and occupational illnesses.
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Federal Procurement Form For Professional Services
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A form for documenting and justifying professional services contracts funded by federal funds, ensuring competitive procurement processes.
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Fee Refund Request Form
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A form detailing the process and conditions for requesting fee refunds for various permit and application types.
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NATIONAL FLOOD INSURANCE PROGRAM PUBLICATIONS ORDER FORM
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Order form for free publications from the National Flood Insurance Program covering flood insurance resources and materials.
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Health Benefits Claim Form
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A comprehensive form for submitting health insurance benefits claims, including patient and insurance information.
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Memorandum Opinion Fetch Interactive Television LLC V. Touchstream Technologies Inc.
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Court of Chancery case involving a dispute between technology companies over a canceled license agreement for streaming content technology.
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Project Contractor Form Procedures
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Document detailing procedures for submitting and obtaining approval for construction, renovation, and remodeling projects in a residential association.
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ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
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A comprehensive legal document that releases liability for participants in various group activities and events.
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Mutual Non Disclosure Agreement
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A legal agreement between two parties to protect confidential information during potential cooperation discussions.
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Lease Agreement Template
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A standard written document formalizing the rental agreement between a landlord and tenant, outlining property rental terms and responsibilities.
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Field Agent Terms Of Business
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Terms governing the provision of field agent services by an individual to Property Solutions Group for property-related tasks.
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Field Electrical Inspection Approval Form
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Official form for electrical system inspection certification for special events in Miami Beach, required by local building regulations.
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Carbondale Parks And Recreation Town Park Athletic Field, Tennis Or Pickleball Court, Bike Skate P
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Permit for private or commercial reservations of Town Park facilities including open spaces, pavilions, athletic fields, and recreational areas.
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Field Services Agreement
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A contract between Capistrano Unified School District and a contractor for specified field services with detailed terms and conditions.
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MIRACOSTA COMMUNITY COLLEGE DISTRICT EXCURSION LIABILITY RELEASE And AGREEMENT
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A comprehensive form outlining guidelines and requirements for field trip participation at MiraCosta Community College District.
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Release Of Liability, Waiver Of Right To Sue, Assumption Of Risk And Agreement To Pay Claims
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A legal document that releases California State University from liability for potential injuries or damages during an activity or event.
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Release Of Liability, Waiver Of Claims, Express Assumption Of Risks, And Hold Harmless Agreement
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Legal document releasing Florida Atlantic University from liability for potential risks and damages during a field trip.
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FIELD TRIPTRANSPORTATION PERMISSION AND WAIVER FORM
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A legal document granting permission for student participation in a field trip while releasing the school from potential liability.
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City Gardens Residential Tenancy Agreement
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A tenancy agreement document for rental accommodation in South Australia, outlining tenant rights, responsibilities, and terms of lease.
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UHC WTIA (EnrollCancelWaiverChanges)
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A comprehensive form for employees to enroll, modify, or cancel health insurance benefits and personal information.
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YMCA Camp Independence 2024 Health History And Examination Form
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Medical form for collecting camper health information and emergency contact details for YMCA summer camp participation.
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Address Assignment Application
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Application for obtaining an official address within Elmore County's E-911 grid system to assist emergency personnel in locating properties.
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ADDRESS ASSIGNMENT APPLICATION
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Application for obtaining an official address within Elmore County's E-911 grid system to assist emergency personnel in locating a property.
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Artist Release, Waiver Of Liability Loan Agreement
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Legal document outlining terms for an artist loaning artwork to the Children's Museum of Oak Ridge for a temporary exhibition.
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Patient Demographics Form
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Comprehensive medical intake form collecting patient personal, contact, insurance, and consent information for healthcare services.
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Contract Routing And Approval Form
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A comprehensive form for routing and documenting contract details, vendor information, and approval processes.
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Facility Rental Agreement
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A rental agreement for using museum facilities, outlining terms, fees, and liability conditions for event spaces.
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APPLICATION AND AGREEMENT FOR USE OF SWIMMING POOLS
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Application form for renting city swimming pools for events or parties, including permit details and usage fees.
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Client Financial Responsibility Agreement
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A comprehensive agreement outlining financial responsibilities and payment terms for clients receiving services from The Wellness Centre.
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Honors By Contract Overview
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Detailed guidelines for University of Texas Rio Grande Valley students to pursue honors credit through a supplemental contract with course instructors.
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ClaimIncident Report Form
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A comprehensive form for documenting insurance claims, liability incidents, and property damage details.
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Volunteer Indemnity Agreement
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Legal document indemnifying Bay Cliff Health Camp against liability for volunteer injuries or losses during camp activities.
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PRODUCER AGREEMENT
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A legal agreement between KIS Surety Bonds, LLC and an independent insurance producer defining their business relationship and operational responsibilities.
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Massachusetts Collaborative Behavioral Health Level Of Care Request Form
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A comprehensive form for requesting behavioral health services and documenting patient clinical information for insurance and treatment purposes.
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2024 25 PermissionWaiver Emergency Information Form Minor
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A comprehensive form for minor participants to provide emergency contact information and release liability for church activities
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Patient Registration Form
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Comprehensive medical intake form for collecting patient personal information, emergency contact details, insurance information, and health history.
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Arizona JKA 2024 Summer Payson Camp Waiver Form
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Legal document releasing liability for participation in martial arts training and activities, acknowledging inherent risks of physical injury.
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Fillable Realtor Rental Agreement Hawaii Amendments
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A document for modifying existing rental agreements and lease terms in Hawaii, allowing landlords and tenants to make supplemental changes.
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Pavilion Rental Permit Application
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Application form for renting a pavilion from the Warrenville Park District, including rental options, fees, and liability waiver.
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Residential Energy Compliance Declaration Form
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Official form for documenting residential energy code compliance options and requirements for building inspections in Lake County, Ohio.
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Sports Participant Waiver Form
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Legal waiver for participants in sports activities, releasing the organization from liability for potential injuries or damages.
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SUBCONTRACT INSTALLATION SERVICES
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A legal agreement between a contractor (AP Americas, Inc.) and a subcontractor for installation services on customer projects.
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Equity Cannabis Permit Transfer Request Form
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A form for transferring cannabis equity permits and applications in the City of Oakland, including details for new owners and business entities.
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Waiver Form
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A liability waiver form for user groups utilizing School District No. 5 (Southeast Kootenay) properties and facilities.
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CLARK COUNTY SCHOOL DISTRICT VOLUNTEER WAIVER AND RELEASE
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Legal document releasing Clark County School District from liability for volunteer activities and potential risks during service.
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Guidelines For Conducting Filming Surveys
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Instructions for conducting community surveys prior to obtaining a film permit, detailing survey requirements and procedures for engaging local residents and businesses.
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UCI Film Location Agreement
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Legal agreement between UC Irvine and a production company for filming on university premises, detailing locations, fees, and filming terms.
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Annual Report Form For Administrators
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Annual reporting form for insurance administrators holding a certificate of authority under Texas Insurance Code Chapter 4151
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Dental Patient Information Form
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Comprehensive form for collecting patient personal, dental, and insurance information for dental services.
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Charter Contract
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A contract between Arizona State University and a charter school holder establishing terms for operating a charter school and academic performance expectations.
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Kentucky FAIR Plan Reinsurance Association Homeowner Manual
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Comprehensive manual for homeowner insurance policies and guidelines issued by the Kentucky FAIR Plan Reinsurance Association.
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Things To Check For On Finals
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A comprehensive checklist for reviewing key elements and requirements when finalizing a construction project contract and payments.
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Contract Types And Required Documents
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Guidelines for required documentation for different types of consultant agreements based on contractor status and licensing
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Suburban Urologic Associates Financial Policy
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Detailed financial policy outlining insurance, payment, and billing procedures for a urology medical practice.
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FinlandS Response To Questionnaire On Social Protection Of Older Persons
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Comprehensive document detailing Finland's legal framework for pension and social protection systems for older persons, covering national and employment-based pension schemes.
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Firing Your Contractor Building Division Informational Worksheet
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Official City of North Port guidance for homeowners on the process of firing a contractor and transferring a building permit
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First Book Liability And Media Release Form
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A legal document providing liability waiver and media release for participants in First Book events, particularly for minors.
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Fitness Center Use Agreement And Release Of Liability
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Legal document outlining liability release and risk assumption for using a fitness center facility in Walnut Creek, California.
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FITNESS INSTRUCTORPERSONAL TRAINER Insurance Program And Enrollment Form
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Insurance program designed for U.S.-based fitness instructors providing coverage for personal training and exercise activities.
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Management Benefits Fund (MBF) Health And Fitness Reimbursement Program Claim Form
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A form for MBF members to claim reimbursement for health and fitness expenses for themselves and their spouse/domestic partner.
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HealthFitness Center Reimbursement Form
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A form for Capital Health Plan members to request reimbursement for health and fitness center memberships up to $150 per family or member.
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Fitness Benefit Coverage Form Instructions
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Instructions and form for members to request reimbursement for fitness-related expenses through their health plan
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Florida Agriculture And Lawn Equipment Contract
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A state contract for agricultural and lawn equipment procurement by governmental agencies in Florida, covering pricing, delivery, and eligibility terms.
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Reimbursement Form For Flexible Spending Account (FSA)
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Form for employees to request reimbursement for healthcare and dependent care expenses through a Flexible Spending Account.
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MEDICAL FLEX REIMBURSEMENT FORM
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A form for employees to request reimbursement for medical and dental expenses through a flexible spending account program.
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MINORS ONLY FLOWRIDER ARBITRATION AGREEMENT
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Legal document outlining risks and arbitration terms for minors participating in the FlowRider water amusement ride.
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Privacy Impact Assessment For Federal Long Term Care Insurance Program (FLTCIP) System
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Assessment of privacy considerations for the Federal Long Term Care Insurance Program's system that manages insurance enrollment and claims for federal employees and uniformed service members.
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Form FMC 67 Ocean Transportation Intermediary (OTI) Insurance Form
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Insurance form certifying financial responsibility for ocean transportation intermediaries under the Shipping Act of 1984.
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DeKalb County Government FY 2021 Budget Form Submittal Requirements
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Comprehensive guide for county departments detailing required and optional budget forms for fiscal year 2021.
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FARTHEST NORTH PICKLEBALL CLUB MEMBERSHIP FORM
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Membership registration form for the Farthest North Pickleball Club with liability waiver and annual dues information.
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FOOD POLICY WAIVER OF LIABILITY FORM
PDF template
A form for event organizers to acknowledge responsibility for food preparation, safety, and liability when catering non-university events.
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Food Service Permit Inquiry Form
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Form for determining food service permit requirements for non-licensed child and adult care food program facilities in Georgia.
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FOOT Medical And Insurance Form
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Medical and insurance form for participants in the Yale First-Year Outdoor Orientation Trips (FOOT) program, collecting health and emergency contact information.
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Accident Waiver And Release Of Liability Form
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Legal document releasing St. Vincent de Paul from liability for potential injuries during charity walk/run event
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FORAY CHECK INCHECK OUT FORM
PDF template
Waiver and check-in form for participants in mycological society mushroom forays, capturing participant details and liability release.
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Student Travel Profile General Liability Waiver
PDF template
A comprehensive waiver and medical procedure document for students participating in a mission trip, covering liability release and medical emergency protocols.
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International Travel Waiver Form
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A consent form allowing parent/guardian permission for a minor to participate in an international travel event, including liability release and emergency medical consent.
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Foreign Travel Insurance Guidelines For STUDENTS
PDF template
Guidelines for foreign travel insurance coverage for California State University students traveling domestically or internationally.
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Declaration Re Compliance With U.S. DOL Wage Determination
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A formal declaration by a contractor certifying compliance with Guam wage determination regulations for government service contracts.
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ADEM Form 23 M1
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Alabama Department of Environmental Management form for documenting construction site stormwater management and best management practices (BMPs) inspection results.
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MSU Standard Form Of Contract Between Owner And Contractor Form 110
PDF template
A standard contract template for construction projects between a contractor and Montana State University as the owner.
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TxDOT Form 1560 Certificate Of Insurance
PDF template
An official form for contractors to provide proof of required insurance coverage for TxDOT contracts.
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NEW PATIENT INSURANCE AND OFFICE POLICIES CONSENT FORM
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A comprehensive form for collecting patient personal, insurance, and medical history information for dental office registration.
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Application Q A Waste Discharge Permits
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Guidance document explaining permit requirements for various types of water discharge activities in California by Regional Water Quality Control Board.
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Expenditure Approval Form 201
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A form for South Carolina fire departments to request approval for utilizing local Firemen's Inspection Fund expenses
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2024 25 On Campus Housing And Dining Contract Waiver Form
PDF template
A form for Iowa State University students to request a housing contract waiver for academic programs outside Ames.
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Form 22 Request For Confidentiality
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A form for contractors to request confidential treatment of proposal materials, with specific instructions and limitations
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Form 273 Conservation DistrictS Decision
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Official form documenting a conservation district's decision on a land use or development permit application
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FORM 28C
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A North Carolina Industrial Commission form for reporting workers' compensation settlement details and payments.
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AgreementContract To Buy And Sell Real Estate (Residential)
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A legally binding contract for residential real estate transaction in South Carolina, outlining terms of purchase between buyer and seller.
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County Of Fluvanna Voluntary Contributions Program (Form 3.11B)
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A form explaining why a voluntary contribution has been returned by the County Treasurer's Office due to insufficient funds or lack of department designation.
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Form 430300 2 Incident Report Form
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An official form for documenting workplace incidents, injuries, property damage, and witness information for Alameda County employees.
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Demolition Permit Application
PDF template
Official permit application for demolishing buildings or structures in Chicago, requiring detailed documentation and approvals.
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Acceptance Of Site Specific Health And Safety Plan (SSHASP) Form
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Internal form for documenting compliance and acceptance of a contractor's site-specific health and safety plan by an NJSDA Field Compliance Inspector.
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Report Of Job Injury Or Illness
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A form for workers to report work-related injuries or illnesses to their employer and SAIF Corporation.
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APPLICATION FOR MOTOR CARRIER CERTIFICATE OR PERMIT PASSENGER CLASSIFICATION
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Official form for applying for a motor carrier passenger transportation certificate from the Hawaii Public Utilities Commission.
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Adult Recreation Programs Release, Indemnification Medical Form
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Legal release and assumption of risk form for adult participants in Bainbridge Island Metropolitan Park & Recreation District programs.
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Medical Claim Form
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A comprehensive form for submitting medical claims and patient information to Anthem Blue Cross and Blue Shield insurance plan.
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PROPOSAL FORM
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A formal proposal document for submitting a construction bid to Tuskegee University with details about the bidder and proposed work.
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Form C Student Waiver Form
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A legal document outlining conditions and medical treatment provisions for students performing services at Rutgers University.
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Accident Report Form
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Comprehensive form for documenting details of a vehicle accident involving a mini-bus, including vehicle information, witness details, and incident description.
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Informed Risk Insurance Form For Allied Health Students
PDF template
A form documenting student awareness of potential infectious disease risks in clinical settings and insurance requirements for Allied Health students.
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County Of Greenville At Will Employment Application
PDF template
A comprehensive job application form for Greenville County that evaluates candidate suitability and collects personal and educational information.
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FBISLED Referral Form
PDF template
Employment application form for Greenville County positions, including background check and identification requirements.
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EthylGrain Alcohol Purchase Form
PDF template
Official form for purchasing ethyl/grain alcohol for non-consumption purposes such as manufacturing, mechanical, medicinal, or scientific uses.
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Declaration Form
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A form for declaring tenant termination status for properties in Census Tract 1122.01 prior to obtaining city permits.
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COVID Vendor And Contractor Vaccination Status Submission Form Instructions
PDF template
Instructions for vendors and contractors to submit COVID-19 vaccination status for employees working at UNC Health locations
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FORM K FIELD TRIP LIABILITY WAIVER FOR ADULTS
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Legal waiver form for adult participants on field trips, releasing liability for the diocese and associated organizations.
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Nebraska FBLA Medical Release Form
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A medical release and emergency contact form for Future Business Leaders of America (FBLA) chapter members during events or activities.
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Communicorp Master Services Agreement
PDF template
A comprehensive agreement between Communicorp and a customer for graphic arts, electronic communication services, and merchandise fulfillment.
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Form Of 7 Day Notice
PDF template
A formal notice form for submitting details of proposed building development to a Building Control Authority prior to commencing work.
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Form PF 1 A Annual Report For Prepaid Funeral Benefits And Funds
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Annual report form for funeral homes to verify prepaid funeral contract details and compliance with regulatory requirements.
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Professional Liability Insurance Declaration Form
PDF template
A form for healthcare professionals to confirm their professional liability insurance coverage for the 2024-2025 period.
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VacationPaid Time Off Advance Agreement
PDF template
An agreement allowing employees to receive advanced vacation pay during the COVID-19 pandemic, to be repaid through future vacation earnings.
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Real Estate Purchase Contract
PDF template
A legally binding contract for purchasing real estate in Connecticut, detailing property, parties, fixtures, and personal property inclusions/exclusions.
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Nevada Prepaid Tuition Program Cancellation And Refund Request Form
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Official form for contract owners to cancel and request a refund of their Nevada Prepaid Tuition Program contract
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Florida Contractor Licensed Professional Registration Form
PDF template
Registration form for contractors and licensed professionals to use Reedy Creek Improvement District's online permitting services and systems.
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Patient Registration
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A comprehensive medical patient registration form for collecting personal, contact, and insurance information for a dental practice.
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DEKALB COUNTY GOVERNMENT RETIREE CONTACT INFORMATION
PDF template
A voluntary form for DeKalb County retirees to update and share their contact information for county communications and events.
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Prescription Drug Reimbursement Coordination Of Benefits Claim Form
PDF template
A form for submitting prescription drug reimbursement claims with details about medication, pharmacy, and patient information.
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Add Insurance Form
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A form used to add payer information to the Community Practice Services database for insurance and billing purposes.
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Application For Bingo License Packet
PDF template
Comprehensive packet for obtaining a bingo license from the Arizona Department of Revenue, including required forms and submission guidelines.
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SERVICE REQUEST FORM
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A healthcare service request form for Medi-Cal, Healthy Families, and Medicare prior authorization submissions.
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Keenan Insurance Scholarship Application
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A scholarship application for students pursuing insurance, risk management, financial services, or benefits-related education
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Financial Agreement Appointment Reminders
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A comprehensive financial agreement outlining patient payment responsibilities, insurance billing, and appointment policies for counseling services.
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WATAUGA COUNTY ROAD SIGN MAINTENANCE REQUEST FORM
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A form for reporting issues with road signs in Watauga County, such as damage, missing signs, or vegetation obstruction.
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Change Address
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Guide for employees to update personal information and manage insurance-related documentation
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ACORD Forms Added Or Updated In AMS360 2016 R2
PDF template
Comprehensive list of ACORD insurance forms added or updated in the AMS360 2016 R2 software release.
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FORTIFIED Roof Designation Requirement FORTIFIED HomeHigh Wind ROOFING COMPLIANCE FORM
PDF template
A form for documenting roof installation and compliance with FORTIFIED Home high wind roofing standards.
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Foster Provider Liability Insurance Incident Report Form
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A comprehensive form for reporting incidents involving foster care providers, documenting details of potential insurance claims and liability events.
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Application For OccupancyCompliance Inspection Form
PDF template
A form used by businesses to request occupancy and compliance inspection from the Willows Fire Department
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Faith Pharmacy New Patient Intake Form
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Comprehensive medical intake form for new patients at Faith Pharmacy, collecting personal, insurance, and medical information.
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Florida Petroleum Liability Restoration Insurance Program Claim
PDF template
Florida state form for reporting petroleum storage tank discharges and claiming liability restoration insurance under Section 376.3072.
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MODEL OF FREELANCE AGREEMENT AND CONTRACT
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A comprehensive contract template defining the working relationship between a client and a freelancer, specifying terms of service, payment, and legal conditions.
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Free Trader Agreement Template
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A template for establishing terms of trade and partnership between two entities, covering intellectual property transfer, contact protocols, and trading conditions.
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Resident FreshmanSophomore Parking Waiver
PDF template
A form for freshman and sophomore students to request a parking waiver at Hampton University based on specific circumstances.
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Patient Registration Form
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A comprehensive patient intake and dental insurance information form for a dental practice in Lancaster, Ohio.
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Volunteer Form Release Of Claims
PDF template
Legal release form for volunteers participating in activities with Friends of the Blue Ridge Parkway, covering volunteer responsibilities and liability waivers.
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Medical Reimbursement Form
PDF template
A comprehensive checklist for submitting medical reimbursement claims to Mass General Brigham Health Plan, detailing required documentation and submission process.
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Incident Report Form
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A comprehensive form used to report serious incidents, breaches, injuries, or emergencies within an organization or chapter.
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VendorExhibitorThird Party Entity Agreement Form
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A contractual agreement outlining terms and conditions for vendors, exhibitors, and third-party entities conducting business on Auburn University campus.
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FACILITIES USE AGREEMENT
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A legal document outlining terms and conditions for using a facility, including event details, fees, and usage requirements.
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Dependent Care And Health Care Reimbursement Claim Form
PDF template
Form for submitting claims for dependent care and health care expenses under a flexible spending account benefit plan.
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Flexible Spending Account Claim Form
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A form for employees to request reimbursement for healthcare and dependent care expenses through a Flexible Spending Account.
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Healthcare FSA Expense Claims
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A form for submitting unreimbursed medical expenses for reimbursement through a Flexible Spending Account (FSA)
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Reimbursement Of Orthodontic Expenses
PDF template
Detailed guidelines for reimbursing orthodontic expenses, explaining IRS guidelines and requirements for monthly service reimbursements.
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Procurement Form (DOC)
PDF template
A policy document outlining requirements for vendors to submit a Business Inclusion and Diversity Plan for procurement solicitations over $1 million.
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Procurement Form (DOC)
PDF template
Guidelines for vendor diversity and inclusion requirements for procurement contracts over $1 million with Great Lakes Water Authority.
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Exhibit E Incident Blanket Purchase Agreement (I BPA) Performance Evaluation
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A form used to evaluate and document the performance of a contractor during a specific rating period for an Incident Blanket Purchase Agreement.
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Virginia Tech Employee Software Sales Order Form
PDF template
A form for Virginia Tech employees to purchase software licenses and technology accessories at discounted rates.
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Conditional Exclusive Locker Rental Agreement
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A rental agreement for storage lockers at FSS Armory, Inc. facility, detailing rental terms and conditions.
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Limited Use Contract Template
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A contract template that defines usage rights and restrictions for creative freelance work across design, photo, and video projects.
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FY 2025 Brownfield Remediation Program Application
PDF template
A county-level application for environmental remediation and assessment of brownfield sites in Cuyahoga County.
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Funds Transfer Request Form
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A form for requesting non-payroll payments to be transferred to a bank account at the United Nations.
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Funeral Benefit Application Form
PDF template
Application form for claiming funeral benefits through the JLT (CSI Member Benefits) Discretionary Trust
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MEDICAL HISTORY FORM
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Comprehensive form for collecting patient personal information, medical history, and dental visit details
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Pre Authorization Form
PDF template
Medical form for patients seeking insurance pre-authorization for hospital treatment, documenting patient and medical details for insurance approval.
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MEMBERSHIP AGREEMENT TERMS AND CONDITIONS
PDF template
A comprehensive agreement outlining the terms and conditions for membership at Fitness World fitness centres, including membership rights, services, and definitions.
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PFPD Fire Water Supply Tank (FWST) Sign Approval Form
PDF template
A form for approving fire water supply tank signs and reflective markers for the Pioneer Fire Protection District.
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Rental Checklist
PDF template
A comprehensive checklist for renting the Fairmount Water Works venue, outlining required steps, documentation, and payment procedures.
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Exhibitor Appointed Contractor Form
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A form for exhibitors to declare independent contractors working at the event with required insurance and service details.
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Exhibitor Appointed Contractor Form
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Form for exhibitors to register and authorize independent contractors for event services at Fan Expo Canada.
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Out Of Network Claim Form
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A comprehensive form for submitting out-of-network vision care claims to EyeMed Vision Care for reimbursement of medical services.
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FY13 Annual Report Form
PDF template
Annual report documenting University Information Services (UIS) activities, accomplishments, and strategic alignment for fiscal year 2013.
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Non Tagged Mobile (Transient) Property Inventory FY2023 DOAS Insurance Agreement Renewals
PDF template
Instructions for Kennesaw State University departments to submit an inventory of mobile property for insurance coverage purposes.
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Non Tagged Mobile (Transient) Property Inventory FY2022 DOAS Insurance Policy Renewal
PDF template
A document requiring Kennesaw State University departments to provide an accurate inventory of non-tagged mobile property for insurance coverage purposes.
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DR 1 Disability Benefit Application
PDF template
A comprehensive form for Ohio Public Employees Retirement System members to apply for disability benefits, requiring detailed personal and physician information.
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Accident And Claim Reporting Procedure
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Procedure for reporting accidents and filing insurance claims during dance activities for the Folk Dance Federation of California, South, Inc.
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Request For Task Order Proposal
PDF template
Solicitation for a contractor to perform a comprehensive, in-person inventory of technology assets across 117 school campuses for District of Columbia Public Schools.
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GAO Decision Native American Industrial Distributors, Inc. Protest
PDF template
Government Accountability Office decision regarding a contract award protest involving Native American Industrial Distributors and Chenega Federal Systems under the Buy Indian Act.
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Green Light Bill New York Requirements
PDF template
Informational webinar and resources for obtaining a driver's license in New York under the Green Light law for immigrant populations.
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GAPWise Cancellation Request Form
PDF template
A form for cancelling a Guaranteed Asset Protection (GAP) insurance addendum with supporting documentation requirements.
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GATEWAY SERVICES AGREEMENT TERMS AND CONDITIONS
PDF template
Legal agreement between Shift4 Payments and a merchant defining terms and conditions for gateway payment services.
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MedicalEmergency Information And Waiver Of Liability And Parental Consent Form
PDF template
A comprehensive medical information and liability waiver form for participants in Great Bay Rowing activities, collecting emergency contact details and medical history.
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FORTIFIED Home Continuous Load Path Form
PDF template
A form documenting the proper installation of continuous load path design elements in a home construction project, verifying structural integrity.
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GCAA Form 7 Liability Waiver Form
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A liability waiver form for student athletes participating in GCAA athletic events, requiring parent or guardian signature.
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Gasconade County 4 H County Wide Project Form
PDF template
A form for 4-H club leaders to propose and register a county-wide project for Gasconade County youth members.
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Global Counseling Patient Intake Form
PDF template
Comprehensive medical intake form for counseling services, collecting patient personal and insurance information.
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Property And Casualty Model Rate And Policy Form Law Guideline
PDF template
A comprehensive model law guideline for regulating property and casualty insurance rates, policy forms, and competitive market practices.
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Medical Claim Form
PDF template
Comprehensive guide for completing and submitting medical insurance claims to GEHA, including instructions for in-network and out-of-network claims.
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General Application Form
PDF template
A comprehensive form for applying to use property, potentially involving infrastructure or facilities near railroad rights of way.
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CLAIM FORM
PDF template
Claim form for reporting property loss or damage related to utility operations by Consolidated Edison Company of New York, Inc.
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Louisiana Department Of Insurance Complaint Report Form
PDF template
A form for filing complaints against insurance companies or agents with the Louisiana Department of Insurance for various insurance-related disputes.
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Certification As To Status Of Licensure Licensed General Contractor
PDF template
Official document certifying a general contractor's license status, insurance coverage, and legal compliance for construction contracts in North Carolina.
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Chelan County Assessor Frequently Asked Questions
PDF template
A guide to departments and contact information for various county services related to property assessment, taxation, and development.
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General Liability Insurance For MTNA Affiliated State And Local Associations
PDF template
Comprehensive guide to liability insurance coverage for Music Teachers National Association (MTNA) state and local associations, detailing event coverage and insurance procedures.
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General Liability Claim Form
PDF template
A comprehensive form for reporting general liability claims related to Little League activities and incidents.
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General Liability Incident Report
PDF template
A state-level form for reporting general liability incidents not involving automobiles, used by Minnesota state agencies.
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General Liability Loss Reporting Form
PDF template
A comprehensive form for reporting general liability insurance claims, documenting injuries, property damage, and incident details.
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GENERAL LIABILITY PERSONAL INJURY CLAIM FORM
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A comprehensive form for documenting details of a personal injury claim, including claimant, injured person, incident, and witness information.
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Liability Waiver Form Stained Glass Workshop
PDF template
A legal document outlining safety procedures and liability release for participants in stained glass classes at MOCA and SHill Creations Studio.
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WAIVER OF LIABILITY PERMISSION MEDICAL RELEASE FORM
PDF template
A liability waiver and medical release form for students staying overnight in a Mount Holyoke College residence hall, covering medical consent and risk acknowledgment.
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General Release And Medical Information Form
PDF template
A comprehensive form for youth program participants covering medical information, emergency contacts, and liability release for recreational activities.
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Prior Authorization Form
PDF template
A form for healthcare providers to request prior authorization for prescription medications through Express Scripts.
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GENERAL CLAIM SUBMISSION FORM
PDF template
A comprehensive form for submitting insurance claims with sections for member information, coverage details, and claim specifics.
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HENNEPIN HEALTHCARE GENERAL TERMS AND CONDITIONS FOR INFRASTRUCTURE AND CONSTRUCTION SERVICES
PDF template
General terms and conditions governing contractor services for infrastructure and construction projects at Hennepin Healthcare System (HHS).
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ADOBE GENERAL TERMS (2017v1) (APAC)
PDF template
Legal document outlining general terms and conditions for Adobe product and service agreements in the Asia-Pacific region.
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Duchesne County Volunteer Application Form
PDF template
Application form for individuals interested in volunteering with Duchesne County, including personal information, driver's license details, and legal acknowledgments.
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Medical Release, Photo Release, Liability Waiver Form
PDF template
Comprehensive waiver for participants in a construction training program, covering medical risks, property damage, and legal liability.
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MEDICAL HISTORY AND RELEASE FORM
PDF template
Medical history and consent form for DeMolay participants under 21 years of age, including health history and liability release.
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Section 5. Refill Reminder Program Consumer Enrollment Form
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A form for consumers to enroll in a pharmacy's prescription refill reminder and medication management service.
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Pre Authorization For Genomic Testing Form
PDF template
A form for obtaining insurance pre-authorization for genomic testing with required patient and clinical information.
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Personal Vehicle Use Form
PDF template
Form documenting employee personal vehicle usage and insurance details for official district business and field trips.
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Patient Intake Form
PDF template
Comprehensive patient intake document for healthcare services, collecting personal, contact, and medical information with insurance and consent provisions.
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Grading Bond Instructions
PDF template
Guidelines for obtaining a grading bond for construction projects in hillside areas of Los Angeles, detailing submission requirements and process.
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ACCIDENT INFORMATION FORM
PDF template
A comprehensive form for documenting details of a motor vehicle accident, including personal and insurance information.
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Employer Notice Of Claim Long Term Disability
PDF template
A comprehensive claim package for employers to submit long-term disability claims for employees, including detailed instructions and employee information sections.
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Short Term Disability Claim Form
PDF template
A form for employees to file a claim for short-term disability benefits, documenting medical leave and disability details.
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Quartz Medicare Advantage (HMO) Quartz CashCard Reimbursement Form
PDF template
Form for Medicare members to request reimbursement for fitness memberships or medical transportation rides using their Quartz CashCard.
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Dental Claim Form
PDF template
A comprehensive form for submitting dental insurance claims, capturing patient, subscriber, and dental service details.
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Giant Food Pharmacy Vaccine Informed Consent
PDF template
A comprehensive form for collecting patient information, insurance details, and consent for vaccination at Giant Food Pharmacy.
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Gibson Beach Rentals, Inc. Rental Policies
PDF template
Comprehensive rental policies for daily, weekly, and monthly beach rental guests, covering payment terms, cancellation rules, and travel insurance options.
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Illegal Immigration Reform And Enforcement Act Notice
PDF template
Official document outlining requirements for verifying lawful presence for insurance applications in Georgia.
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Advancing Access Patient Support Form
PDF template
A comprehensive form for patient information, contact authorization, and insurance details for Gilead medication support programs
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Health And Medical History Form
PDF template
A comprehensive medical history and health information form for American Heritage Girls members, valid for 12 months.
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Girl Scouts Health History And Medical Examination Form For Minors
PDF template
Comprehensive medical and health history form for Girl Scout participants to capture essential health information and emergency contact details.
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Health History And Medical Examination Form For Minors
PDF template
Comprehensive medical form for collecting health information and medical history for Girl Scouts participants under 18 years old.
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Digital Data License Agreement Standard
PDF template
A license agreement for purchasing and accessing digital geographic information system (GIS) data from Piatt County, Illinois.
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City Of Ann Arbor Volunteer Release Waiver Of Liability
PDF template
Legal document outlining liability and risk assumptions for City of Ann Arbor volunteers, detailing participant responsibilities and legal protections.
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Gresham Japanese Garden Release, Waiver Of Liability And Indemnity Agreement
PDF template
Legal agreement for renting the Gresham Japanese Garden property, outlining risks and liability limitations for renters.
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Request For Benefits ClaimantS Report Of Loss
PDF template
A claim form for filing disability benefits for Glaziers, Architectural Metal and Glass Workers Local Union 1399 members.
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Short Term Disability Claim Form Statement Of Employee
PDF template
A comprehensive form for employees to file a short-term disability claim with detailed personal, employment, and medical information.
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Long Term Disability Claim Form PhysicianS Statement
PDF template
A comprehensive medical form for submitting a long-term disability insurance claim, requiring detailed patient and medical information.
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Commercial General Liability
PDF template
An insurance endorsement modifying commercial general liability policy to provide additional coverage and protections for insureds.
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Standard Purchasing Agreement
PDF template
A purchasing agreement between the University of Houston-Clear Lake and Texas Security Shredding for secure document destruction services.
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7 Items Every Independent Contractor Agreement Should Have
PDF template
A comprehensive guide outlining key components of independent contractor agreements in real estate, focusing on the rights, responsibilities, and legal considerations for brokers and salespeople.
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Change Of Address Form
PDF template
A form used to update personal address information with the county clerk's office.
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Rental Agreement Form
PDF template
Rental form for airsoft equipment, outlining rental terms, responsibilities, and equipment details.
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Rental Agreement Form
PDF template
Rental form for airsoft equipment with terms of responsibility and rental details.
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Government Claim
PDF template
Official form for filing a claim against state agencies or employees in California, detailing incident information and damages.
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OPIC Handbook
PDF template
Comprehensive guide for international investment and political risk insurance provided by the Overseas Private Investment Corporation (OPIC)
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PATIENT ENROLLMENT FORM
PDF template
A comprehensive form for collecting patient personal, insurance, and contact information for medical enrollment purposes.
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Student Health Insurance Plan Cancellation Form
PDF template
Form for cancelling health insurance coverage for spouse, partner, or dependent students at Washington State University for Spring 2024 semester.
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Certificate Of Insurance On Grain In Licensed Missouri Public Grain Warehouses
PDF template
Official document certifying insurance coverage for grain warehouses in Missouri, demonstrating compliance with state regulations.
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Green Building Project Checklist
PDF template
Official form for certifying a green building project's compliance with Cambridge zoning requirements for sustainable development.
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San Luis Coastal Teachers Association Grievant Interview
PDF template
A formal document used to document details of a teacher's workplace grievance and potential contract violation.
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Pre Authorisation Form Group Care
PDF template
A medical insurance form for requesting cashless hospitalization, to be filled by the patient and treating doctor
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Insurance Information At Retirement
PDF template
Comprehensive guide for Illinois state employees regarding insurance eligibility, coverage, and options at retirement.
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Group Policy Change Form
PDF template
A form used to modify group life insurance policy details, including member information, beneficiary changes, and account transfers.
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Group Short Term Disability Claim Form
PDF template
A comprehensive form for filing a short-term disability insurance claim with Dearborn National, capturing employee medical and income details.
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SCENE75 ENTERTAINMENT CENTER ALL VENUE ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
PDF template
Legal document releasing Scene75 Entertainment Center from liability for potential accidents or injuries during participation in venue activities.
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G.S. 114 8.3
PDF template
North Carolina statute defining requirements for legal review of state contracts exceeding specified dollar thresholds by the Attorney General or institutional General Counsels.
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G.S. 143 50.1
PDF template
Legal statute defining the responsibilities and functions of the Contract Management Section within the Division of Purchase and Contract in North Carolina's Department of Administration.
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Notice Of Cancellation Form (Home Solicitation Sale)
PDF template
Legal document outlining consumer rights to cancel a home-solicitation sale transaction within three business days of purchase.
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G.S. 58 65 40
PDF template
Legal statute governing hospital service corporation contract filing and rate approval requirements with the Commissioner of Insurance.
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LOS RIOS COMMUNITY COLLEGE DISTRICT SERVICE AGREEMENT
PDF template
A service agreement between Los Rios Community College District and a contractor, outlining work scope, compensation, and general conditions.
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Blach V. Diaz Verson Supreme Court Of Georgia Decision
PDF template
Supreme Court of Georgia case examining whether an insurance company qualifies as a 'financial institution' under the state's garnishment statute.
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Tag Along Insurance Form
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Form for purchasing required Tag-Along Insurance coverage for non-registered children and adults attending Girl Scout troop activities.
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Delaware Department Of Correction Security Requirements Procedures
PDF template
Comprehensive guidelines for vendors and contractors entering Delaware correctional facilities, including security clearance and access procedures.
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Intent For International Travel
PDF template
Form for Girl Scout troops to request approval and document details for international travel experiences.
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GSS Waiver
PDF template
Legal document releasing UBC Graduate Students Society from liability for potential risks during an event or activity.
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Girl Scouts Health History And Medical Examination Form For Minors
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Comprehensive health history and medical examination form for Girl Scout participants to document medical information and insurance details.
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Ground Transportation Bureau License Driver Operator Tour Guide Permit Requirements
PDF template
Comprehensive guide detailing required documents and qualifications for obtaining a ground transportation driver/operator/tour guide permit in New Orleans, Louisiana.
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Accident Claim Form
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Insurance claim form for documenting student accident details and health information authorization
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Dental Claim Form
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Comprehensive form for documenting dental procedures, treatments, and insurance billing details.
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Your Guide To Filing A Long Term Disability (LTD) Claim
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A comprehensive guide for filing a long term disability claim with Guardian, providing step-by-step instructions for completing the required forms and submission process.
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Guardian Life Insurance Enrollment Form
PDF template
Insurance enrollment form for University of Massachusetts Medical School employees to select benefits and coverage options.
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REQUEST FOR PROPOSALS Oracle Customer Cloud Service (CCS, OUAV, OUTA), Oracle Cloud Infrastructure (
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Request for competitive proposals for Oracle cloud system managed services and support for Greenville Utilities Commission.
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Accident Waiver And Release Of Liability
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Legal document waiving liability for participants in a university athletic event involving physical risks and potential injury.
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Reimbursement Form
PDF template
A form for submitting optical service reimbursement claims to General Vision Services by members.
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REIMBURSEMENT FORM
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Form for submitting optical services reimbursement to General Vision Services by members.
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Business License Change Of Address Form
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A form for businesses to update their physical location and mailing address with Gwinnett County Licensing & Revenue.
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Reimbursement Request Form
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A form for members to request reimbursement for eligible healthcare services paid out-of-pocket.
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PATIENT INTAKE FORM
PDF template
Comprehensive form for collecting patient personal, contact, insurance, and medical information for healthcare providers.
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Quotes For Small Purchase (QSP) 215 18, Drawing And Drafting Services
PDF template
Request for proposals from qualified entities to provide on-call surveying and drafting services for housing development projects in Stanislaus County.
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QUOTES FOR SMALL PURCHASE (QSP) 2021 36 ELECTRICAL SERVICES
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Request for quotes from licensed electrical contractors for repair, maintenance, and construction services for Stanislaus Regional Housing Authority.
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Town Hall Rental Form
PDF template
Application form for renting the Duluth Township Town Hall, with requirements for event details, insurance, and usage guidelines.
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Notification Of Injury
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Detailed guidelines for submitting medical accident insurance claims, including documentation requirements and claim processing procedures.
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Concealed Handgun Permit Change Of Address Form
PDF template
Form for updating personal information on a concealed handgun permit, including address and name changes.
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Vacation Dwelling Unit Guide
PDF template
A comprehensive guide for property owners in Duluth, Minnesota regarding regulations, permits, and requirements for short-term rental properties.
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Kadena Marina Watercraft Rental Agreement
PDF template
Comprehensive rental agreement for watercraft usage at Kadena Marina, outlining renter responsibilities, safety rules, and liability waivers.
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Hardware Maintenance Agreement
PDF template
A service agreement outlining the terms for hardware maintenance services provided by Interactive Pty Ltd to customers.
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MC Hardware Request
PDF template
A form for requesting computer hardware for Montgomery College employees, with options for remote work and instructional needs.
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Wellness Reimbursement Form Instructions
PDF template
Instructions and guidelines for submitting wellness program and fitness reimbursement claims through Harvard Pilgrim Health Care.
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Registration Form
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Comprehensive intake form for collecting patient personal, contact, insurance, and medical history information for mental health services.
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Registration Form
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Comprehensive registration form for healthcare services, collecting patient demographic, contact, insurance, and medical history information.
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H.B. No. 119
PDF template
Legislation addressing manufacturer liability for modified automated motor vehicles and accident reporting requirements in Texas.
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HB 1217 Fiscal And Policy Note
PDF template
Maryland bill establishing permits for direct delivery of alcoholic beverages from breweries, wineries, and distilleries to consumers with expanded delivery limits.
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Honors By Contract Evaluation Form
PDF template
Academic form for instructors to assess student performance and participation in an honors contract course
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Record Of Employment
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A form used by employers to document an employee's job separation for unemployment insurance purposes in New York State.
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Hiram College Enrollment Form
PDF template
A comprehensive benefits enrollment form for Hiram College employees covering medical, dental, vision, and supplemental insurance options.
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CruzCare Enrollment Cancellation Form
PDF template
Pre-paid access for students waiving UC SHIP, providing on-campus health care visits for acute illness or injury at the Student Health Center.
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Health Referral And Coverage Form
PDF template
A comprehensive health referral form capturing patient details, insurance information, and social determinants of health
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HEALTHCARE ADVOCATE TOOLS LINKS PHONE NUMBERS
PDF template
Comprehensive guide for AlaskaCare employees and retirees with contact information and resources for health insurance plans and provider networks.
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Huntley Community Centre Outdoor Rink Rental Application
PDF template
Rental application for Huntley Community Centre and outdoor rink facilities, including terms of use and liability requirements.
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1500 Health Insurance Claim Form
PDF template
Standard medical claim form used for submitting healthcare insurance reimbursement requests.
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Henderson County Parks Recreation Program Proposal Form
PDF template
A comprehensive form for instructors and contractors to propose recreational programs to Henderson County Parks and Recreation department.
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HOME STRETCH HOUSING ASSISTANCE FUND APPLICATION
PDF template
A confidential application for housing assistance funds for individuals experiencing or recently experiencing homelessness in Alameda County.
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CMS 1500 Claim Filing Instructions
PDF template
Detailed guidelines for completing the CMS-1500 healthcare claim form with specific instructions for each field.
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Health And Temperament Agreement
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A legal agreement outlining owner responsibilities and liability waivers for dogs attending a dog daycare facility.
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Expense Reimbursement Voucher For Healthcare Flexible Spending Account (Healthcare FSA)Health Reimbu
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A form for employees to request reimbursement for medical expenses through their flexible spending account or health reimbursement arrangement.
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Health Benefits Plan Enrollment For Retirees And Survivors
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Enrollment form for CalPERS retirees and survivors to manage health benefits coverage and dependent information.
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Health Extras Reimbursement Form
PDF template
Form for submitting healthcare service reimbursement claims through Independent Health's Health Extras program.
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Health History Form
PDF template
Comprehensive health form for students to provide medical history, insurance, and emergency contact information to the university's student health center.
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Health Information Form
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Detailed medical history and personal health form for participants, collecting comprehensive health information and emergency contact details.
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Retiree Health Cancellation Form
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A form for retirees to cancel their health coverage and dependent coverage through Blue Cross Blue Shield.
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Health Insurance Refund Request Form For F 1 Students
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Form for international F-1 students to request a refund of their health insurance premium under specific conditions at Santa Monica Community College.
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Medical Claim Form
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A comprehensive form for submitting medical insurance claims, capturing patient, subscriber, and medical service details.
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10 Day Agreement Review Cancellation
PDF template
A form for subscribers to request cancellation of a health insurance policy within 10 days of coverage effective date.
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New Provider Contract Inquiry Form
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A comprehensive form for healthcare providers seeking to join a health insurance network, detailing provider information and contract review process.
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Health And Safety Student Waiver Form Part A
PDF template
COVID-19 safety waiver for students participating in boot camp activities at the Bahamas Technical and Vocational Institute.
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Health Screening Benefit Claim Form
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Claim form for requesting reimbursement of health screening benefits under critical illness or supplemental health plans.
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DCH 1315 Health Risk Assessment
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A confidential form for collecting personal health information to help individuals improve their health and healthcare coverage through the Healthy Michigan Plan.
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Heartland Anglers Membership Form
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Membership registration form for Heartland Anglers fishing tournament participants with liability release and contact information collection.
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Mexican Springs Chapter Heavy Equipment Rental Agreement Form
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A rental agreement form for grader and backhoe equipment from the Mexican Springs Chapter, including rental terms and liability provisions.
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Disability Claim Form
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A comprehensive claim form for submitting disability insurance claims with Unum Group subsidiaries.
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Release And Waiver Of Liability
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Legal document releasing Habitat for Humanity from liability for volunteers participating in construction and related activities
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Important Notice For Household Goods Carriers Previously Designated As Type B
PDF template
Notice for household goods carriers regarding registration status, requirements, and re-establishing active registration with the Texas Department of Transportation.
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Shasta County HHSA Economic Mobility Homeless Assistance Contact Form
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A referral form for homeless individuals to connect with county outreach workers and access housing and community resources.
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Patient Intake Form
PDF template
Comprehensive medical questionnaire collecting patient personal, insurance, and health history information for medical providers.
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HIRER COLLISION Or DAMAGE REPORT FORM
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Comprehensive form for documenting details of a vehicle rental accident, including vehicle, driver, witness, and incident information.
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LESSEE HIRING AGREEMENT
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A contractual document for arranging material transportation services between a subcontractor and lessee, potentially involving DBE (Disadvantaged Business Enterprise) firms.
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Accident Report Form
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A comprehensive form for documenting details of a motor vehicle accident for legal and insurance purposes.
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HM 47 OwnerAgent Agreement
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A contract establishing the terms between a property owner and a managing agent for property management services.
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Hmsa Travel Assistance Request Form
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A form for requesting travel-related medical assistance or coverage through HMSA health plan
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Harvard Outing Club Medical Form
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A comprehensive medical form for Outing Club members to provide emergency medical information and disclose health conditions that might impact trip participation.
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NYC DCWP HIC Change Order
PDF template
A document used to modify the terms, costs, or timeline of an existing home improvement contract by documenting specific changes in work scope.
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NYC Home Improvement Contractor (HIC) Contract
PDF template
A standard contract form for home improvement services in New York City, detailing work scope, costs, warranties, and legal requirements.
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Home Improvement Contractor Trust Fund Enrollment
PDF template
Enrollment form for home improvement contractors to participate in the NYC Department of Consumer and Worker Protection Trust Fund by paying a mandatory $200 fee.
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HOME INVENTORY
PDF template
A comprehensive guide for documenting household valuables to assist in theft recovery, insurance claims, and disaster preparedness.
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HOME INVENTORY FORM
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A comprehensive form for documenting household possessions and their replacement costs across different rooms for insurance purposes.
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Homeowner Affidavit
PDF template
A legal document for homeowners seeking a construction permit exemption under Michigan's construction code regulations.
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HomeownerS Affidavit Form
PDF template
Official document for homeowners to certify property ownership and intent to complete permitted construction work in East Point, Georgia.
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Hospitalization Pre Authorization Form
PDF template
A comprehensive form for patients and healthcare providers to request pre-authorization for hospital admission and medical treatment from Jubilee Health Insurance.
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Hotel Guest Shipping Form
PDF template
A form for hotel guests to request shipping of lost or found items with mailing and insurance options.
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HOUSE CONNECTION PROPOSAL FORM
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Form for proposing house connections for 1-3 family homes, detailing sewer and connection specifications.
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Housing Contract Cancellation Request Form
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A form for students to request cancellation of their university housing contract with details on penalties and no-cost termination conditions.
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AUTHORIZATION FOR PRE AUTHORIZED DEBITS (PADS) AND CREDIT CARD DEBITS
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A form authorizing Howick Mutual Insurance Company to automatically debit insurance premiums from a bank account or credit card.
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How To Choose The Correct Proof Of Insurance Form
PDF template
A decision tree for University of Illinois staff, faculty, students, and medical professionals to determine the appropriate proof of insurance form to submit.
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How To Submit A Claim For Critical Illness, Accident And Hospital Indemnity Insurance
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Comprehensive guide for filing insurance claims for critical illness, accident, and hospital indemnity coverage with The Hartford.
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Short Term Disability Claim Form
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Instructions for filing a short-term disability insurance claim through Mutual of Omaha, detailing submission methods and required sections.
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Medical Release Form
PDF template
Step-by-step guide for completing an online medical release form for Forest Home organization through CircuiTree registration account.
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Visitor Parking Permit Instructions
PDF template
Comprehensive guide for obtaining temporary and annual visitor parking permits on campus, detailing requirements, costs, and purchase procedures.
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Entity Professional Liability Insurance Application
PDF template
An insurance application form for healthcare entities seeking professional liability coverage for their practice and healthcare professionals.
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Health Reimbursement Arrangement (HRA) Claim Form
PDF template
Claim form for health reimbursement arrangements for members of Operating Engineers Local #49, used to request reimbursement for eligible healthcare expenses.
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Mid Central Operating Engineers Health And Welfare Fund Health Reimbursement (HRA) Account Reimburse
PDF template
A form for submitting health care expense reimbursement claims through a Health Reimbursement Arrangement (HRA) account.
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Health Reimbursement Account (HRA) Claim Form
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A form for employees to submit healthcare expense reimbursement claims through their Health Reimbursement Account (HRA)
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Service Request Form
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A comprehensive form for making various changes to an insurance policy, including beneficiary, name, address, and ownership modifications.
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REQUEST FOR REIMBURSEMENT FORM
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A form for submitting healthcare expense reimbursement requests through the Southern California Pipe Trades Health & Welfare Fund HRA program.
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Right Of First Refusal
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A legally binding contract detailing the right of first refusal in a real estate transaction, allowing purchasers the opportunity to match or withdraw from an offer if another acceptable offer is received.
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Active Local Government And Local Education Employee Group Employee Coverage WaiverReinstatement For
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Form for New Jersey state employees to waive or reinstate health benefits coverage under the State Health Benefits Program (SHBP) or School Employees' Health Benefits Program (SEHBP).
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Supplemental Insurance Cancellation Form
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A form for employees to cancel pre-tax and post-tax supplemental insurance deductions with specified effective date.
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International Travel Authorization Request
PDF template
A form for requesting and documenting international travel for university employees, students, and volunteers, including safety and risk assessment details.
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Claim Form
PDF template
A form for seeking reimbursement of eligible out-of-pocket expenses with participant certification and submission instructions.
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Health Savings Account (HSA) Contribution Form
PDF template
A form for employees to enroll in and specify Health Savings Account (HSA) contributions, including eligibility requirements and tax considerations.
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Health Savings Account (HSA) Contribution Form
PDF template
A form for individuals to make contributions to their Health Savings Account through various deposit methods.
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HSA Enrollment Form
PDF template
A form for employees to enroll in a Health Savings Account (HSA) with employer contribution and payroll deduction options.
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Health Savings Account FAQs
PDF template
Comprehensive guide explaining Health Savings Accounts (HSAs), their benefits, eligibility, and tax advantages for participants.
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Health Savings Account Payroll Deduction 2021
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Form for employees to authorize health savings account contributions through payroll deduction for qualified high deductible medical plans.
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Health Savings Account (HSA) Payroll Deduction Form
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A form for employees to establish, change, or stop payroll deductions for their health savings account (HSA)
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Health Savings Account Payroll Deduction Form
PDF template
Form for employees to set up payroll deductions for a Health Savings Account with High Deductible Health Plan coverage details.
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BlueFund HSA Payroll Deduction Form
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A form for employees to set up payroll deductions for a Health Savings Account (HSA) with contribution guidelines and instructions.
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HSA Transfer Request Form
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A form for transferring Health Savings Account assets between custodians or trustees, potentially involving a former spouse in a divorce scenario.
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Concurrent Enrollment Agreement
PDF template
Application for high school students to enroll concurrently in college courses at Northeastern State University
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HSR Special Risk Claim Form Fill Able
PDF template
Comprehensive guide for filing a special risk insurance claim, detailing required documentation and submission process.
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State University Of New York Medical Reimbursement Form Claims Incurred Outside Of The United States
PDF template
A medical reimbursement form for SUNY employees and members to claim medical expenses incurred outside the United States.
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Prescription Reimbursement Form
PDF template
A form for submitting prescription drug expenses for insurance reimbursement, requiring patient and prescription details.
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Voluntary Benefits Whole Life Cash Surrender, Dividend Withdrawal, Cancellation And Loan Request For
PDF template
A form for managing whole life insurance policy transactions including cash surrender, dividend withdrawal, cancellation, and policy loans.
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Special Olympics Massachusetts Release And Waiver Of Liability
PDF template
Liability waiver for participants in the 2019 Berkshire County Sheriff's Office Law Enforcement Torch Run Humvee Push event
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Utah Elk Hunting Permit Order Form
PDF template
Official form for ordering and requesting refunds for elk hunting permits in Utah.
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HMMA Terms And Conditions
PDF template
Legal document outlining terms and conditions for parts supply and delivery between Hyundai Motor Manufacturing Alabama and its suppliers.
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Form I 864A, Contract Between Sponsor And Household Member
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A contract used to combine income and assets of a sponsor and household member to meet financial requirements for supporting immigrants.
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Record Of Employment
PDF template
A form for documenting employment status for unemployment insurance purposes in New York State.
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Record Of Employment
PDF template
A form for documenting employment details for unemployment insurance claims in New York State.
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Newborn Notification Of Delivery Form
PDF template
Healthcare form for providers to report newborn details for Amerigroup Iowa, Inc. Medicaid members within 24 hours of delivery.
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Iowa Accident Report Form
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Official form for reporting motor vehicle accidents in Iowa involving death, injury, or property damage over $1,000.
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Irrevocable Burial Trust Form
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A comprehensive form for documenting personal, financial, and funeral service preferences with detailed client and next of kin information.
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CUNY ICA Independent Contractor Agreement
PDF template
A contract between The City University of New York and an independent contractor for professional services with specified terms and payment conditions.
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Independent Contractor Amendment Form
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Guidelines for amending existing independent contractor contracts, detailing required steps and documentation for contract modifications.
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Cancel My Insurance Cover
PDF template
Form for members to cancel some or all of their insurance coverage with Brighter Super for Local Government & Associated Industries.
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Patient Intake Form Template
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A comprehensive form for collecting patient personal, medical, insurance, and payment information during initial healthcare visit.
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Lease Amendment Template
PDF template
A template document for modifying an existing residential lease agreement with provisions for landlord and tenant signatures.
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Sample Memorandum Of Agreement
PDF template
A sample agreement template for independent contractors in Montana, providing guidance on contract elements and contractor rights
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ICSVEBA 2021 Back To School E Kit Guide
PDF template
Comprehensive benefits enrollment guide for San Pasqual Valley Unified School District employees for the 2021-2022 school year
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MVA Report Form 111121
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A comprehensive form for reporting details of a motor vehicle accident for insurance and workplace documentation purposes.
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Independent Contractor (IC) Form
PDF template
Comprehensive guide for processing and approving independent contractor work relationships and transactions.
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IFQ Permit Holder Fee Submission Form
PDF template
Form for submitting fees and identifying information for Individual Fishing Quota (IFQ) permit holders or Registered Quota Entities (RQE)
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Ignite Award Incident Report Form
PDF template
A comprehensive form for documenting details of an incident involving personal injury or property damage with multiple sections for reporting information.
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Personal Automobile Policy Change Form
PDF template
A form for making changes to a personal automobile insurance policy, including options to reject certain coverages.
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Minutes Of The Meeting Of The New Jersey Individual Health Coverage Program Board
PDF template
Official minutes documenting the meeting of the New Jersey Individual Health Coverage Program Board, including staff reports and board actions.
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Employee SystemsAccess Checklist Form
PDF template
A form for tracking and managing system access and resources for new or transitioning employees in an educational or administrative setting.
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Direct Deposit Form
PDF template
Form for setting up or updating direct deposit payment instructions for Independent Life Insurance Company
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Immigration Department Services Checklist
PDF template
Multiple checklists for extending entry permits, landing permits, and work permit renewals from the Immigration Department.
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Incident Report Form Accidents
PDF template
Confidential form for documenting accidents and injuries at school sites, used for reporting and potential legal purposes.
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Incident Report Form
PDF template
A comprehensive form for reporting incidents across various settings, capturing details about the event, location, and involved parties.
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New York State PTA Incident Report Form
PDF template
A detailed form for documenting incidents, accidents, or injuries during PTA-related activities or events.
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Incident Report Form
PDF template
A comprehensive form for documenting incidents resulting in bodily injury during approved club activities or potential insurance issues.
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Angeles Chapter Sierra Club Incident Report Instructions
PDF template
Instructions for Sierra Club trip leaders on reporting various types of incidents during outings, including mandatory reporting requirements and documentation procedures.
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Incident Report
PDF template
A form used to document details of incidents involving city property, personnel, or citizens, including damages, injuries, and witness information.
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Angeles Chapter Sierra Club Incident Report Instructions
PDF template
Detailed instructions for reporting incidents during Sierra Club outings, specifying types of incidents that require formal reporting and submission process.
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RESIDENT DAMAGESINCIDENT CLAIM FORM
PDF template
A form for reporting property damage or personal injury incidents for residents to document details and submit to management.
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Incident Report Form
PDF template
A form for documenting and reporting incidents, injuries, or accidents within an organization or club setting.
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Incident Report Form
PDF template
Form for reporting non-auto related incidents involving potential bodily injury or property damage at the University of Virginia.
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Incoming Loan Agreement
PDF template
A form for borrowing artwork or objects for temporary exhibition, detailing loan conditions, insurance, shipping, and signatures.
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Indemnity And Waiver Form For Acro Angels Gymnastics
PDF template
Legal document waiving liability for potential injuries during gymnastics activities at Acro Angels Gymnastics.
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Surety Program Application
PDF template
Application for surety bond program with details on fees, levels, and payment terms for potential applicants.
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Acrobranch Adventure Park Indemnity Form
PDF template
Comprehensive safety and liability waiver for participation in extreme sports activities at Acrobranch Adventure Park, outlining risks, safety guidelines, and participant responsibilities.
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Acrobranch Adventure Park Indemnity Form
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Legal waiver and safety guidelines for participating in extreme sports activities at Acrobranch Adventure Park, outlining risks, responsibilities, and participant obligations.
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How To Use Your New Caremark Prescription Drug Program
PDF template
Guide explaining new prescription drug coverage details for county employees through Caremark beginning January 1, 2011.
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Independent ContractorConsultant Form
PDF template
Form for documenting independent contractor services, qualifications, and payment details for UCLA.
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Independent Contractor Agreement
PDF template
A contract defining the terms of engagement between Psychological Mobile Services, PA and an independent contractor providing psychological services.
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Independent Contractor Agreement
PDF template
A contract document for engaging independent contractors to perform specific services for Fordham University with defined terms of work and payment.
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Independent Contractor Classification Documentation
PDF template
A form used to determine the tax classification status of an individual performing services for the University of Missouri-Columbia.
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Independent Contractor Agreement For Consulting, Services, And Deliverables
PDF template
A contract defining the terms of engagement between Arizona State University and an independent contractor for consulting services and deliverables.
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Molloy University EmployeeIndependent Contractor Checklist
PDF template
A form used to determine whether an individual should be classified as an employee or independent contractor at Molloy University.
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Independent Contractor Form
PDF template
A form to determine whether an individual should be classified as an independent contractor or an employee for work with the University of Arizona.
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HR Independent Contractor Determination Form
PDF template
A document used by HR to assess and document the classification of an individual as an independent contractor or employee for a specific service.
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Independent Contractor Services Agreement Cover Sheet
PDF template
A formal agreement outlining terms of service for independent contractors working with EnviroSpark Energy Solutions, Inc.
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IRO Annual Report
PDF template
Annual reporting form for Independent Review Organizations detailing external health insurance review processes in Oklahoma.
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Indirect Membership Agreement
PDF template
A membership and loan agreement document outlining membership eligibility, insurance requirements, and authorization for joining Lewis Clark Credit Union.
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BRADLEY UNIVERSITY INDIVIDUAL INDEPENDENT CONTRACTOR AGREEMENT
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A contract form for engaging independent contractors at Bradley University for services valued at $1,000 or more.
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Individual Player Waiver Form
PDF template
A comprehensive waiver form for sports participants covering liability, medical information, and consent for activities at Crown Sports Center.
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Initial Disability Claim Form
PDF template
Insurance claim form for reporting initial disability claims, covering policyholder and patient information related to sickness or injury.
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General Terms Conditions (Individuals)
PDF template
Terms and conditions for individual service providers outlining payment, invoicing, and compensation rules.
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Change Order Request Form
PDF template
A form used to document and request modifications to an existing construction contract, including potential cost and time adjustments.
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Form 2C Uniform Certificate Of Authority Application (UCAA) Corporate Amendments Application
PDF template
A form used by insurance companies to request changes to their existing certificate of authority across multiple states.
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Uniform Certificate Of Authority Application (UCAA) Corporate Amendments Application Checklist
PDF template
A checklist and guide for insurers submitting corporate amendments to their certificate of authority application.
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Uniform Certificate Of Authority Application (UCAA) Expansion Application Checklist
PDF template
A comprehensive checklist for insurance companies seeking to expand their operational jurisdictions and obtain new insurance authority.
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Form 2C Uniform Certificate Of Authority Application (UCAA) Corporate Amendments Application
PDF template
A comprehensive form for insurance companies to request amendments to their existing certificate of authority across multiple U.S. states and territories.
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Uniform Certificate Of Authority Application (UCAA) Expansion Application
PDF template
A form for insurance companies to apply for expansion of business lines across multiple states in the United States.
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Inflatable Rental Terms Conditions
PDF template
Comprehensive rental agreement outlining safety rules, weather policies, risk assumptions, and liability releases for inflatable rental equipment.
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West Virginia Informational Letter No. 1 A
PDF template
Guidelines for insurance companies regarding policy cancellation notices and policyholder rights in West Virginia.
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Informed Consent And Liability Waiver Form
PDF template
A consent form detailing patient rights, treatment expectations, and liability release for physical therapy services.
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Informed Risk Insurance Form For Allied Health Students
PDF template
A document detailing potential infectious disease risks for allied health students and insurance requirements during clinical studies.
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Prescription Reimbursement Claim Form
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Initial Disability Claim Form
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Insurance claim form for reporting initial disability claim with details about injury, hospitalization, and patient information.
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Initial Disability Claim Form
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Injury Incident Report Workers Compensation
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Injury And Third Party Liability Form
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MORRIS COUNTY TRAILS CONSTRUCTION GRANT PROGRAM GOODSMATERIALS IN KIND CONTRIBUTION FORM
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CERTIFICATE REQUEST FORM
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CMS 1500 Claim Form Instructions
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INSTRUCTIONS FOR PRE AUTHORIZATION FORM
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Instructions For Service Agreement Forms
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Standard Services Provider Agreement (SSPA)
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City Of Lincoln Contract Instructor Proposal Packet
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Towner County Instrument List
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Insurance And Safety Policy
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MOTOR VEHICLE INSURANCE AGENT INSURANCE BINDER CANCELLATION FORM
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SPD SP048 Insurance And Bonding Guidelines
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Certificate Of Insurance Form
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Certificate Of Insurance Form
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INSURANCE FINANCIAL POLICY
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Insurance Form 1
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Insurance Form 1
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Insurance Requirements Form
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Insurance Form 2
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Dental Insurance Information
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KAPOS Insurance Information Form
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Insurance Form Filing Procedures
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Insurance Form For Residence Hall Students
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Insurance Information And Authorization Form
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NEW PATIENT INFORMATION SHEET
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Student Athlete Insurance Information Form
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Insurance Reference Manual
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Insurance Form
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CA.04 21.REF.05 Insurance Terms And Conditions
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Insurance WaiverChange Of Address
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Change Of Address Form
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Insuring Technology Risks In A Professional Environment
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DELL COMPUTER REQUEST FORM
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Official form for requesting Dell computer products for university departments, with specific instructions for processing and approval.
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Primary Eyecare Associates Patient Form
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Comprehensive medical and vision history intake form for eye examination and patient records.
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Patient Intake Form
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Adult Patient Intake Form
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Comprehensive medical intake form for collecting patient personal, contact, emergency, and insurance information for medical treatment.
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New Patient Intake Form
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Comprehensive form for collecting patient demographic, contact, insurance, and scheduling information for new healthcare patients.
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NEW PATIENT INTAKE FORM
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Comprehensive medical and insurance information form for new patients, focusing on vision and health insurance details.
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Patient Intake Form
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Comprehensive patient intake form collecting personal information, medical history, insurance details, and pre-examination assessment for medical treatment.
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Claim Form ICS Non Medical Expenses Aon Student Insurance
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Healthcare authorization form for durable medical equipment (DME) services from Neighborhood Health Plan of Rhode Island
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Master Services Agreement
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Interlocal Contact Form
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International Claim Form
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International Student Insurance Refund Request
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Intern Medical Treatment Authorization Form
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Medical authorization form for interns to provide emergency treatment details and contact information in case of medical incidents.
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INTERNSHIPFIELD EXPERIENCE RESPONSIBILITIES AGREEMENT
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Internship Learning Agreement Form
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Entry Medical Examination United Nations And Specialized Agencies
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Medical examination form for employment candidates seeking positions with United Nations and specialized agencies, requiring comprehensive health disclosure and authorization for medical record review.
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Fireside Members Gallery Inventory
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Mason County Investigation Report Form
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Instructions For Submittal Of Contractor Invoice For Payment
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Salesian College IPad LossDamage Report Form
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Medicare Part B Income Related Monthly Adjustment Amount (IRMAA) Reimbursement Form
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ISD Mailstop Service Request Form
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Information Technology Project Request Form
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ISS Trip Liability Waiver Form
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IT Addendum To ContractorS Contract Form
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WELLNESS CENTER LIABILITY WAIVER
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Contractor Form
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CDW Customer Service Order Form
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Agreement between Tulsa County and CDW Government, LLC for Mimecast M2A and LCS-Gold annual subscriptions
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Letter Agreement Software License And Maintenance Agreement Amendment
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Amendment to extend software license and maintenance agreement between Evisions, LLC and The College of the Florida Keys for an additional term.
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Customer Services Agreement
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Items Of Extraordinary Value Inventory
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A shipping document to identify and declare high-value items for special handling and liability protection during transportation.
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I.T Maintenance Request Form
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ITP 3 Technology Governance And Procurement Review
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Administrative procedure defining the technology governance process and requirements for technology procurement review at Marshall University.
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Information Technology Professional Services Agreement
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A service agreement between Cornell University and a technology consultant for professional IT services and deliverables.
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SIUE ITS Network Infrastructure Management Service Requisition Form
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Information Technology Services Purchase Requisition Form
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Guidelines for staff to request and purchase IT equipment through the Information Technology Services department's requisition process.
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Investigative Unit Operations Plan
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Detailed plan outlining the Case Integrity Division's process for investigating and handling client fraud allegations in Cayuga County.
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Scholars Insurance Compliance Form
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J 51 Application Packet
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Comprehensive application packet for obtaining J-51 tax benefits for property improvements in New York City.
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Release And Waiver Of Liability And Indemnity Agreement To Jeep Adventure Academy
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Invitation To Bid 15 85
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Solicitation for food service contract for Birmingham City Jail for a three-year period
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Patient Intake Form
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Comprehensive medical intake document collecting patient personal, contact, insurance, and consent information for medical services.
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Jet Interactive Pty Ltd Master Services Agreement
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Accident Waiver And Release Of Liability Form
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Jurisdictional Inquiry Form
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Jeep Jamboree Waiver And Release Of Liability
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Legal waiver for participants in Jeep Jamboree off-road events, releasing organizers from liability and setting vehicle participation requirements.
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Job Aide International Guest Lecturer (IGL)
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A step-by-step guide for processing payments to international guest lecturers at MICA, including required documentation and payment procedures.
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Job Application Form
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Comprehensive job application form for potential employees seeking work at Jones & Associates Insurance, collecting personal, employment, and educational information.
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Piatt County Maintenance Dept. Job Application
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Employment application form for potential job candidates applying to the Piatt County Maintenance Department
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Journeyworker Training Contributions Form
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A form for contractors to submit monthly training contributions for journeyworker projects in California.
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Contract Authority And Delegation Policy
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Policy outlining contract execution guidelines and authority for entering into agreements on behalf of the university.
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Junior Treekeeper Camp Accident Waiver And Release Of Liability
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JudicialCourt Bond Application
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Application form for obtaining a judicial or court bond for legal proceedings, used by attorneys or law firms.
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FSCS Newsletter
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Newsletter from FSCS detailing changes to pension application forms for seven specific firms, including new mandatory questions and document requirements.
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Artwork Loan Agreement
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Legal Guide K 10 Contracting With A Contractor The HomeownerS Rights To Cancel
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Kentucky Assigned Claims Plan Billing Summary Form
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Kentucky Assigned Claims Plan Billing Summary Form
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Detailed guide for insurers on submitting reimbursement requests and subrogation details for the Kentucky Assigned Claims Plan.
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Kaiser Permanente Payment Selection Form
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A form for selecting automatic payment methods via bank account or credit card for Kaiser Permanente services.
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Member Reimbursement Form For Medical Claims
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A comprehensive form for submitting medical claim reimbursement requests, including patient and provider details.
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Kaiser Permanente Senior Advantage (HMO) Group Medicare Election Form
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Form for enrolling in Kaiser Permanente's Senior Advantage Medicare health plan for group participants.
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2025 Budget Summary
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A comprehensive budget document detailing proposed expenditures and tax rates for various county funds in 2025.
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Keenan Insurance Scholarship Guidelines 2024
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Guidelines for a scholarship program administered by the Foundation for California Community Colleges, providing funding for students in insurance and related fields.
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Keenan Insurance Scholarship Guidelines 2024
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Guidelines for a scholarship program providing financial support to California Community College students studying insurance and related fields.
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Key Facts You Need To Know About Helping Families That Include Immigrants Apply For Health Coverage
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KW AA Cancel Request
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Transfer Request Form
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Official form for transferring a vehicle policy or contract from one owner to another with required documentation and fees.
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Aflac Cancer Wellness Claim Form
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Document providing guidance on filing wellness claims with Aflac insurance and information about Primary Care Provider (PCP) selection.
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Member Reimbursement Form For Over The Counter COVID 19 Tests
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A form for Kaiser Permanente members to request reimbursement for over-the-counter COVID-19 test purchases.
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Accident Waiver And Release Of Liability Form
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Accident Waiver And Release Of Liability Form
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Competition Entry Form
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Entry form for a national insurance customer service representative award recognizing excellence in professional performance.
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Lessee Agreement Form
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A lease agreement template for Tennessee Tech University to lease property from a lessor, detailing lease terms, rental, and occupancy conditions.
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Incident Report Form For Bodily Injury
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Insurance form for documenting details of a bodily injury incident, likely related to cycling or athletic events.
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Labor Interview Form
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A detailed form to collect employee information, work details, and employment status for contractors and subcontractors.
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Boise State UniversityS Lab Waiver Of Liability And Assumption Of Risk
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A legal document granting parental permission and outlining liability terms for students participating in Boise State University lab programs.
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Chronic Illness Benefit Application Form
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Application form for patients seeking chronic illness benefits through LA Health Medical Scheme, requiring patient and medical professional details.
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Bessie Marshall Benefit Fund Instructions
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Detailed instructions for members to apply for weekly benefits in case of sickness or injury, with specific eligibility requirements and limitations.
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Ladies Auxiliary To The Maryland State FiremenS Association Bessie Marshall Benefit Fund Instructi
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Benefit fund guidelines for sick or injured members of the Maryland State Firemen's Association providing weekly financial assistance under specific conditions.
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PROOF OF DISABILITY CLAIM FORM
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A form for employees to document and claim disability benefits through the Labor Alliance Managed Trust Fund.
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Land Records Request Form
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A form for requesting property record information from the Buncombe County Property Assessor's office.
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Land Use Application Form
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A comprehensive form for submitting various land use and development permit requests to a municipal planning department.
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Authorization For Release Of Information And Liability Waiver
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Lease Agreement
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A lease agreement between Mighty Mekong Agro Industries Co., Ltd. and Sara Ramany for property leasing in Phnom Penh, Cambodia.
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Resource Description Form
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Financial document detailing resources and budget for Wasco County 4-H & Extension Service District across multiple years
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Circular Letter 241 Of The Commissariat Aux Assurances On The Insurance Agencies Annual Reporting
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Official document providing instructions for insurance agencies' annual reporting requirements and submission process for the year 2024.
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INSURANCE PRE AUTHORIZATION FORM
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A form for collecting client and insurance details for pre-authorization of therapeutic services.
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Forsyth County Waiver Form For Open Burning Within 500 Feet Of Occupied Dwellings
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A form allowing open burning near occupied structures with signed permission from nearby residents or property owners.
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Budget Form Instructions
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Comprehensive instructions for completing a budget form for program services, including details on administration, program costs, and budgeting guidelines.
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Dealership Cancellation Form
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A form for cancelling a dealer's mechanical breakdown insurance policy with options for various cancellation reasons and refund processing.
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California Integrated Waste Management Board Registration Permit Application
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Application form for registering a waste management facility with the California Integrated Waste Management Board, documenting facility details and compliance requirements.
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Addendum To Lease
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Supplemental lease agreement outlining additional tenant responsibilities, rent payment terms, and property conduct rules.
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Lease Addendum
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A legal document used to modify an existing lease agreement with additional terms or changes to current lease conditions.
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Lease Agreement
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A lease document for transferring horse ownership or usage rights within the Paso Fino Horse Association.
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Lease Template (Tenant)
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A standard lease agreement template for a property lease between Stanislaus County and an unspecified landlord.
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Apartment Lease
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A standard lease agreement outlining terms and conditions for renting a residential apartment unit.
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College Houses Contract Cancellation Form
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A form for residents to terminate their housing contract with College Houses, detailing cancellation fees and conditions.
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Resident Lease Agreement
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A residential lease agreement for Legends Living LLC detailing lease terms, rent, and tenant responsibilities.
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Lease To Purchase Option Agreement
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A legal document outlining the terms of a lease agreement with an option to purchase the property for a specified tenant/buyer.
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STATE OF CALIFORNIA STANDARDIZED PERMIT APPLICATION
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A comprehensive permit application form for waste management facilities in California, collecting detailed operational and site information.
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Cancellation Form
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A form for employees to cancel or continue legal resources and identity theft plan coverage during employment termination or open enrollment.
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LEGALFINANCE PRE APPROVAL FORM FOR THE PROFESSIONAL SEGMENT OF TAX ACCOUNTING
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Internal form for legal and finance review of non-standard contract terms for tax and accounting professional services.
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ARAG Legal Insurance LLNS Benefit Program Summary
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Summary of legal insurance benefits for employees and retirees under the LLNS Health and Welfare Benefit Plan
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ARAG Legal Insurance LANS Benefit Program Summary
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Summary of legal insurance benefits for LANS employees and retirees, effective January 1, 2017.
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RENTAL CONTRACT
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Formal rental contract for the American Legion Charles Cowden Post 184 hall in Pine Island, Minnesota, outlining terms and conditions for event rental.
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Guidelines For The Jorge Paulo Lemann Education Fellowships
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Fellowship program providing financial support for Brazilian graduate students at MIT to study education, policy, and social impact areas.
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Letter Of Credit Sample Form
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A standardized bank document for providing a financial guarantee for permit-related work in Montgomery County, Maryland.
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Disability Claim Form
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A comprehensive form for employees to file a disability claim, documenting injury/illness details, personal information, and income sources.
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Maryland Insurance Administration Complaint Form Life And Health Insurance
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Official form for submitting complaints about insurance companies to the Maryland Insurance Administration, covering various insurance types and policy details.
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Review Requirements Checklist Group Accident Only And Indemnity Insurance
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A comprehensive checklist for insurance carriers to submit group accident and indemnity insurance forms for approval in Virginia.
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Long Term Care Applications Review Requirements Checklist
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A comprehensive checklist for insurance carriers preparing long-term care application form filings for approval by the Virginia Bureau of Insurance.
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Release And Waiver Of Liability And Indemnity Agreement
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Legal document releasing the Winona Family YMCA from liability for injuries or damages during facility use or program participation.
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Accident Waiver And Release Of Liability Form
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Legal document releasing The First Tee of San Antonio from liability for potential injuries or damages during volunteer activities.
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Liability And Indemnity Agreement
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Legal agreement outlining contractor responsibilities, indemnification, and insurance requirements for performing work in the Town of West Hartford.
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Teen Entrepreneur Academy (TEA) Liability Medical Release Form
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Liability and medical release form for participants in the Teen Entrepreneur Academy program at Concordia University, Irvine.
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Liability And Photo Media Release Form
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A comprehensive release form for participants covering liability, health insurance, and media usage rights for museum activities.
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Personal Liability Claim Form
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A comprehensive form for filing a personal liability insurance claim, specifically related to travel incidents.
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City Of South Gate Liability Claim Form
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Official form and instructions for filing a liability claim against the City of South Gate for personal injury or property damage.
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City Of South Gate Liability Claim Form
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Official form for filing a liability claim with the City of South Gate for personal injury or property damage.
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Assumption Of Risk, Waiver Of Liability And Indemnification Agreement
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Legal document for participants to assume risks and waive liability for University of Utah program or event activities.
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Conference Registration, Personal And Liability Release Form
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Registration and liability release form for SkillsUSA conference participants, covering student details and emergency contact information.
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Release Of Liability, Waiver Of Claims, Assumption Of Risks And Indemnity Agreement
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A comprehensive legal document that releases MetamorphiiFit Fitness Society from liability for potential risks and injuries during fitness programs and activities.
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Liability Insurance Form
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A form for obtaining a certificate of insurance and listing additional insured parties for facility usage events.
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Professional Liability Insurance For Nurse Aide Students
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Insurance option for nurse aide students providing professional liability coverage with policy limits between $1,000,000 and $3,000,000.
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Liability Media Release Form Required Of All Students
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A legal document for student registration that includes liability waiver and media release permissions for Community Music School activities.
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UNIVERSITY DAY LIABILITY RELEASE FORM
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A legal document for releasing liability and providing medical consent for campus visitors to Franciscan University of Steubenville.
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Waiver Of Liability And Hold Harmless Agreement
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Legal document releasing College of the Mainland from liability for potential injuries or damages during an activity.
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Liability Waiver Form Adult Student (18 YrsOlder)
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A legal document waiving liability for adult students participating in service-learning activities at a college.
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Leave No Trace Center For Outdoor Ethics Course Participant Acknowledgment, Assumption Of Risks, Rel
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Legal document outlining participant risks and responsibilities for Leave No Trace outdoor education courses.
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Liability Release And Assumption Of Risk For Activity Participation And Local Travel
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A legal document releasing the University of Maryland, Baltimore County (UMBC) from liability during an activity or travel event
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Liability Release
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A legal document releasing Laredo College from liability for potential injuries during a student activity or trip.
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Liability, Risk Acknowledgment, And Claims Release Form
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A legal document for participants to acknowledge risks and release claims for activities sponsored by Los Angeles City College.
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Release Liability Medical Release Form
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A comprehensive form for collecting student medical information, emergency contacts, and liability release for a summer orientation program
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ToursClasses Liability Release
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A comprehensive liability release for kayaking and stand-up paddleboarding tours and classes, acknowledging inherent risks and waiving legal claims.
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Release And Indemnity Agreement
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A legal document that releases Southern Adventist University from liability for risks associated with student, employee, or volunteer activities.
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Liability Waiver Form Shoreline Cleanup
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Waiver for volunteers participating in shoreline cleanup activities at Blowing Rocks Preserve, outlining risks and participant responsibilities.
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Liability Waiver
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A legal document releasing the University of Indianapolis from liability for injuries or damages that may occur during participation in university activities.
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Waiver, Indemnification, And Media Release Form
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Legal document releasing Houston Christian University from liability for participants in university events and activities.
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Liability Waiver Form
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A legal document waiving liability for potential health risks associated with consuming food at student-organized events.
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Arkansas Tech University Student Liability Waiver
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A comprehensive liability waiver for students participating in on or off-campus university activities, outlining participant responsibilities and risks.
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Disability Claim Form
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A comprehensive form for employees to report disability, injury, or illness for benefits claim purposes.
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EmployerS Statement For Disability Insurance
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Comprehensive employer documentation form for reporting employee disability insurance details and work status
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Permission Form For Minors With Indemnity Agreement And Emergency Contacts
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A consent and liability waiver form for parents/guardians allowing minor children to participate in a diocesan event with legal indemnification provisions.
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Patent License Agreements
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A professional document outlining key considerations and principles for patent license agreements and intellectual property licensing.
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Township Of Seguin, License Agreement Form
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Official form and process guidelines for obtaining a license agreement with the Township of Seguin, detailing application steps and requirements.
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Contractor License Application
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A comprehensive application form for obtaining a contractor license in Pennington County, South Dakota, with detailed requirements and checklist.
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License Cancellation Request Form 206
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Official form for cancelling various types of insurance-related licenses in the State of New Mexico.
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Rhode Island DMV Document Checklist REAL ID LICENSE ID CARDS
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Comprehensive guide detailing document requirements for various DMV transactions including permits, renewals, name changes, and REAL ID cards in Rhode Island.
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Licensed Contractor Declaration Form
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A form for contractors and owner-builders to declare their licensing status and compliance with state regulations for construction permits.
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Waiver Of Construction Lien
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A legal document used to waive construction lien rights for specific work performed on a property under Wisconsin state law.
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Retiree Life Cancellation Form
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Form for cancelling retiree life insurance coverage with UCM Benefits Group, with a warning that once cancelled, participation cannot be reinstated.
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LIFESPAN CARE RESPITE PROVIDER CONTRACT
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A contract between a primary caregiver and a respite care provider outlining service terms, responsibilities, and payment details for providing support to an individual care recipient.
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VENDOR AGREEMENT
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A vendor participation agreement for the Lights On! festival with liability waiver and event guidelines.
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State Of Florida Group Long Term Disability Claim Form
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A comprehensive claim form for employees seeking long-term disability benefits through the State of Florida's insurance program administered by Cigna.
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Life Solutions COVID 19 Impacts Frequently Asked Questions
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Document providing guidance on Lincoln Financial Group's operational changes and policies during the COVID-19 pandemic for financial professionals.
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ENROLLMENT FORM FOR GROUP INSURANCE
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Insurance enrollment form for employees of Ashland School District to select various life and disability coverage options
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Adult LIPOS Private BedPHPAdmissionUtilization Form
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A form for documenting admission and utilization details for mental health hospital or partial hospitalization program (PHP) services.
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Youth LIPOS Funding Discharge Form
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Form for documenting discharge and funding verification for youth psychiatric inpatient or partial hospitalization services without insurance coverage.
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Shaw Environmental, Inc.S Exhibit List
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Exhibit list submitted by Shaw Environmental, Inc. for a legal case related to FEMA trailers and potential formaldehyde liability.
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RMLS OREGON LISTING CONTRACT FORM
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A contract granting a real estate broker exclusive rights to sell a specific property within a defined term and compensation terms.
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UNall HR Service Requests
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Comprehensive listing of HR service requests and forms available to UN staff members for various administrative and personal actions.
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BOONE COUNTY 4 H LLAMA LEASING CONTRACT
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A contract outlining the responsibilities and terms for leasing a llama through the Boone County 4-H Llama Project program.
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LLNS Prescription Drug Benefit For Anthem Members
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A summary of prescription drug benefits for Anthem members provided by CVS/Caremark, covering retail and mail-order pharmacy options.
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Dauphin County Board Of Commissioners Legislative Meeting
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Official meeting minutes for the Dauphin County Board of Commissioners documenting their legislative session and agenda items.
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Vessel Liveries Inspection Form
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Inspection form for boat rental businesses to ensure safety standards and liability compliance at Lake Norman.
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LOAN AGREEMENT REPAYMENT FORM
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A form for policyholders to document and agree to loan repayment terms for their life insurance policy.
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Loan Application Form
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A form detailing loan terms and conditions for policyholders seeking to borrow against their life insurance policy's surrender value.
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Application For First Loan In Respect Of Policies Prior To 1 6 69
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Application form for obtaining a loan against a life insurance policy from the Life Insurance Corporation of India, with specific terms and conditions.
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Loan Application Form
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A loan application form for borrowing money against a life insurance policy from the Eswatini Royal Insurance Corporation (ESRIC).
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Loan Purchase And Sale Agreement
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A legal document outlining the terms and conditions for buying and selling loans between a seller and purchaser.
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Lobster Trap Transfer Request Form
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A form for transferring lobster trap allocations between a seller and buyer, specifying trap numbers for different fishing areas.
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Local Government Approval For Liquor License
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Official form for local government recommendation of new liquor licenses or banquet facility permits in Michigan.
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Film And Photography Location License Agreement
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A license agreement for film and photography productions using locations owned by the City of Albuquerque.
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NJDOBI Location Of Records Agreement Form
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A legal agreement between a licensee and the New Jersey Department of Banking and Insurance regarding the storage and accessibility of business records.
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Lodge Transfer Request Form
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A form for members to request transfer of their lodge membership to a different location or lodge chapter.
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Lodge Transfer Request Form
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Form for requesting transfer of lodge membership to another location or lodge within Hermann Sons Life organization.
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Disability Claim Form FL
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A comprehensive form for filing a disability insurance claim with detailed sections for employer and employee information.
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Student Blanket Insurance Policy Disability Claim Form
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A comprehensive form for students to file a disability insurance claim, documenting medical conditions, educational status, and treatment details.
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Long Term Disability Insurance For Judges Attorneys FAQs
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Informational document about long-term disability insurance options for New Mexico Judicial Branch judges and attorneys through Northwestern Mutual.
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Lost Instrument Bond Application
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A legal form used to apply for a bond when an original financial instrument has been lost, requiring comprehensive applicant information.
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Group Health Claim Form
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A comprehensive form for submitting healthcare claims for employees, spouses, and dependents under the LSU First Health Plan.
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Invoice For Independent Health Care Providers
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A form for independent healthcare providers to record time and cost of care services provided to insured individuals under a long-term care insurance policy.
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Long Term Care Insurance Medical History Form
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A medical history form for long-term care insurance professionals to collect patient health information for underwriting purposes.
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Insurance Cancellation Request
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A form for employees to request cancellation of group insurance coverage, specifically long-term disability insurance.
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Group LTD Insurance Cancellation Form
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Form for employees to cancel voluntary long-term disability insurance coverage with Tennessee Board of Regents
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2024 LTD Change Form
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Form for employees to select or modify their Long-Term Disability (LTD) coverage options at the University of Rochester
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Long Term Disability Claim Form
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A claim form for employees to submit long-term disability insurance claims with personal and medical information.
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Disability Claim Form
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A comprehensive form for filing a disability insurance claim, requiring input from the member, plan sponsor, and attending physician.
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Group Long Term Disability Claim Form
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A comprehensive claim form for employees seeking long-term disability benefits, requiring details from both the employee and attending physician.
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Long Term Disability Claim Form Employer Statement
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Comprehensive employer statement form for filing a long-term disability insurance claim, capturing employee and claim details.
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Long Term Disability Claim Form Statement Of Employer
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A form used by employers to submit details for an employee's long-term disability insurance claim with Lincoln Financial Group.
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NRECA Long Term Disability Plan Summary Plan Description
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A comprehensive summary plan description detailing the long-term disability benefits provided by the National Rural Electric Cooperative Association for eligible participants.
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LAMAR UNIVERSITY UNIVERSITY INSURANCE POLICY
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Policy governing insurance procurement and risk management for Lamar University, defining institutional approaches to purchasing property, liability, and other non-benefit insurance.
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Fax Referral Form
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A comprehensive medical referral form for patient information, insurance details, and provider selection in pulmonary and sleep medicine.
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LEHIGH UNIVERSITY WAIVER And RELEASE OF LIABILITY FORM For ACTIVITIES OFF CAMPUS
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A legal document that releases Lehigh University from liability for potential injuries or losses during off-campus activities or trips.
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Liability Waiver Form
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A municipal form for waiving insurance requirements for building and construction-related permit applications in Boston.
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Digital Application For Contraception Management Member Reimbursement Form
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A form for members to request reimbursement for digital contraception management application subscriptions under their Blue Cross and Blue Shield of Minnesota plan.
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Document 00 21 13 Instructions To Bidders (Limited Scope Electronic Bid)
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Comprehensive guide outlining bidding procedures, legal requirements, and contract instructions for public facility construction projects in Ohio.
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Emergency Contact Form
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A form for parents to provide comprehensive emergency contact, health, and medical information about their child
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Medical Claim Form
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A form for submitting out-of-network medical claims for reimbursement by UnitedHealthcare for Pennsylvania members.
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TW Clause Library
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A comprehensive collection of standard clauses and legal wording for real estate brokerage transactions and documentation.
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Workers Compensation Audit Report Form
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A detailed form for documenting payroll, employee information, and policy details for workers compensation insurance auditing purposes.
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Professional Liability Insurance Form
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Form for medical doctors to provide professional liability insurance details for employment with Research Foundation for Mental Hygiene, Inc.
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Malpractice Payment Report Form For Insurance Companies
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Official form for reporting medical malpractice judgments and settlements in Alabama by insurance companies and healthcare entities.
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Managed Care Referral Form
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A medical referral form for Blue Cross and Blue Shield of Minnesota managed care patients requiring specialist or additional medical services.
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Managed Services Statement Of Work
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A service agreement detailing the terms of managed IT services provided by Framework IT to a client, including service commencement, scope, and exclusions.
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MANAGEMENT AGREEMENT EXAMPLE
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A comprehensive management agreement outlining the professional relationship between an artist/band and their management company for entertainment industry activities.
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Mandatory Travel Form
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A required form for documenting details of Sport Club travel, including participant information and trip itinerary for insurance purposes.
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Medical History Form
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A comprehensive medical form for camp participants to document health information, emergency contacts, and treatment authorization.
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PolicyholderS Change And Service Request
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A form for making changes to a ManhattanLife insurance policy, including coverage modifications, beneficiary updates, and personal information changes.
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Manpower Supply Agreement Malaysia
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Legal agreement outlining terms and conditions for manpower supply and employment services in Malaysia.
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Manual Claim Form
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Form for submitting out-of-pocket healthcare expense claims for reimbursement through Flexible Spending Accounts (FSAs) or Health Reimbursement Arrangements (HRAs).
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Manual Purchase Requisition Form
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A training guide for submitting a manual purchase requisition for fiscal year 2019/2020 when the standard electronic submission system is closed.
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Extended Health Care Claim
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Insurance claim form for submitting extended healthcare expenses to Manufacturers Life Insurance Company group benefits plan.
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Limited License For Use Of Road Right Of Way
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A legal document granting a license to use county and township highway rights-of-way for manure disposal hose placement.
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Massachusetts Property Insurance Underwriting Association Producers Operations Manual
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A comprehensive manual for licensed insurance producers in Massachusetts detailing procedures and guidelines for placing business with the Association.
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Guidelines For Completing The Offer To Purchase And ContractVacant LotLand
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Comprehensive guidelines for brokers and attorneys on completing a vacant lot/land purchase contract in North Carolina.
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RESIDENTIAL RENTAL CONTRACT
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A standard residential lease agreement for rental properties in North Carolina, defining terms between tenant and landlord.
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Marketplace Appeal Request EAII Form (062019)
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A form for appealing decisions related to health insurance marketplace eligibility and financial assistance.
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Marketplace Medical Claim Form
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A comprehensive form for submitting medical insurance claims, including subscriber and patient information, accident details, and coverage information.
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Marriage License Information
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Official guide detailing requirements and process for obtaining a marriage license in Cedar County, Nebraska.
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ITP 1 Technology Governance And Procurement Review
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Defines the technology governance process and outlines requirements for technology procurement review at Marshall University.
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EXCLUSIVE BUYER AGENCY AGREEMENT
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A legal agreement between a buyer and a real estate broker establishing an exclusive relationship for property acquisition services.
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Massage Establishment Handout For New Business License Applicants
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A handout providing regulatory guidelines for new massage establishments in Sacramento County, including permit requirements and distance separation rules.
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Master Services Agreement Terms And Conditions
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Legal agreement outlining terms of service between Launchmetrics and its customers for information technology services.
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Material Damage Proposal
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Insurance proposal form for documenting property details, insurance requirements, and risk assessment for material damage coverage.
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Pregnancy Tips And Information For MUSC University Employees
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Comprehensive guide for MUSC university employees providing information about pregnancy-related benefits, insurance, and leave policies.
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Short Term Disability Insurance For Maternity Leave
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A detailed explanation of short-term disability insurance coverage for maternity leave, including claim filing process and state-specific benefits.
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Bryan College Dual Enrollment Math ACT Waiver Form
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A form allowing students to enroll in college-level math courses despite not meeting standard ACT math prerequisites
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Alcohol Service Request Form
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Form for requesting permission to serve alcohol at city facilities, requiring approval and documentation for event organizers.
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Bank Account Withdrawal Pre Authorization Form
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A form allowing Medicare Advantage members to authorize electronic funds transfer for monthly plan premiums from their bank account.
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Multnomah Bar Association Enrollment Application Change Of Information Form
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A comprehensive form for enrolling or making changes to membership or insurance coverage for Multnomah Bar Association members
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Multnomah Bar Association EnrollmentChange Of StatusWaiver Form
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A comprehensive form for attorneys to enroll in or modify health insurance coverage through the Multnomah Bar Association.
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Deliverables List (US)
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Contract detailing required deliverables for a film production, including publicity materials, documentation, and rights-related items.
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MetroPlusHealth Wellness And Fitness App Reimbursement Program
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A program offering up to $300 per year in reimbursements for specific wellness and fitness mobile applications for MetroPlusHealth members.
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Sharp Health Plan Reimbursement Request Form
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A form for submitting medical expense reimbursement claims to Sharp Health Plan with detailed instructions and personal information fields.
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Insurance Declaration Form 1 To Participate In 2023 South Dakota 4 H Rodeo
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Insurance form for 4-H members to declare insurance coverage for participation in South Dakota 4-H Rodeo events
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Vehicle Use Permit Power Of Attorney
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A legal document granting permission to another person to operate a specific vehicle at MCB Camp Lejeune
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Exhibitor Appointed Contractors (EACs)Third Party Contractor Guidelines
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Guidelines for using third-party contractors at the MC2020 event, including requirements for insurance and contractor approval.
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Chronic Illness Benefit Application Form 2024
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An application form for patients seeking chronic illness benefits through the MultiChoice Medical Aid Scheme for the year 2024.
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Customer Satisfaction Survey
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A survey to gather feedback on customer experiences with the Minnehaha County Planning & Zoning Department's services and staff performance.
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CVS Caremark Mail Service Order Form
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A form for submitting prescription medication orders through CVS Caremark's mail service pharmacy program.
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Medical Expense Claim Form
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A form for employees to claim medical expense reimbursements through their flexible spending account with detailed claim submission instructions.
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Meadville Community Theatre Parental Consent Form
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A consent form for parents to authorize their child's participation in Meadville Community Theatre productions, including medical and liability provisions.
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Release And Indemnification Agreement
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A legal document releasing The Medical College of Wisconsin from liability for potential injuries or damages during an unspecified activity involving a minor participant.
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Miami Dade County Employee Benefits
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Comprehensive overview of employee benefits package for Miami-Dade County employees, including insurance, retirement, and support services.
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MDE NPDES E Permits Subscriber Agreement
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A form that enables authorized representatives to submit electronic Notices of Intent (NOIs) and documents for Clean Water Act NPDES stormwater permits.
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Standardized Health Claim Form Model Regulation
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A model regulation for standardizing health care claim forms to reduce complexity and encourage electronic data interchange in healthcare billing and reimbursement.
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Meal Approval Form Policy 1020
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A form for documenting and approving meal expenses for county business meetings, including attendee details, meal types, and payment information.
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MEDICAL BENEFITS SUBSCRIBER CLAIM FORM
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A comprehensive medical insurance claim form for submitting healthcare expense reimbursement and insurance details.
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Medco By Mail Order Form
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A form for submitting prescription medication orders through Medco Health Solutions via mail, including payment and patient information.
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Prescription Drug Reimbursement Form
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A form for submitting prescription medication reimbursement claims through an insurance or benefits program.
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ENROLLMENT FORM
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A comprehensive form for employees to enroll in medical, dental, vision, and life insurance benefits with dependent information and coverage election details.
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MEDEX ACADEMY Consent Form
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Consent form for students 21 years and older participating in MedEx Academy, covering medical treatment, liability release, and media permissions.
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Medex Subscriber Claim Form
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A claim submission form for medical services processed by Blue Cross Blue Shield of Massachusetts for Medex subscribers.
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Student Medical Form
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Comprehensive medical form collecting student health details, emergency contact information, and medical history for school purposes.
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Media Release Form
PDF template
A comprehensive release form for participation in university programs, covering media usage and liability waiver for participants and guardians.
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Medical History Form
PDF template
Instructions and form for students to provide medical history, immunization records, and insurance information for campus health services.
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Anderson University Summer Camp Program Participation Form
PDF template
Registration form for Anderson University Summer Camp Program with medical and liability information for participants
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Studentsafe Inbound Medical Risk Assessment Form
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Insurance form for international students to disclose pre-existing medical conditions for coverage under Studentsafe insurance policy.
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USA Ultimate Medical Authorization Form
PDF template
A medical authorization form for parents/guardians to provide emergency treatment consent for children participating in Ultimate activities.
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Subscriber Medical Claim Form
PDF template
A comprehensive form for submitting medical insurance claims, capturing patient and insurance details.
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H.P.T.R.6 MEDICAL CHARGES REIMBURSEMENT FORM
PDF template
A comprehensive form for employees to claim reimbursement of medical expenses with detailed documentation and verification requirements.
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Claim Form To Pay InsuredSubscriber
PDF template
A comprehensive form for submitting medical insurance claims, capturing patient and treatment details for reimbursement.
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Medical Claim Form
PDF template
Insurance claim form for submitting medical expenses and travel-related healthcare claims with multiple payment options.
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Medical Claim Form
PDF template
Form for submitting out-of-network health care claims to UnitedHealthcare for reimbursement of eligible medical services.
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Medical Claim Form
PDF template
A form for submitting medical insurance claims with patient and insurance details for reimbursement processing.
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Claim Form To Pay InsuredSubscriber
PDF template
A comprehensive insurance claim form for submitting medical treatment claims, capturing patient and treatment details.
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Claim Form To Pay InsuredSubscriber
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A comprehensive medical insurance claim form for submitting healthcare treatment reimbursement or payment requests.
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Claim Form To Pay InsuredSubscriber
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A comprehensive form for submitting medical insurance claims with details about patient, treatment, and coverage information.
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Direct Member Reimbursement Form
PDF template
A form for AvMed members to request reimbursement for covered medical services by submitting documentation and details of treatment.
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Medical Plan Enrollment Form
PDF template
Comprehensive form for enrolling in medical coverage, changing plans, or adding/dropping dependents for ACERA members.
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Medical Consent Form
PDF template
Comprehensive medical form for collecting a child's health history, emergency contact information, and medication permissions.
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Medical Form
PDF template
A comprehensive medical form for collecting student health information, emergency contacts, and parental consent for medical treatment.
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Adult Confidential Medical Record
PDF template
A comprehensive medical form for collecting personal health information and emergency contact details for program participation.
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Cottonwood Crossing Summer Institute Health Insurance And Medical History Form
PDF template
A form collecting student health information, insurance details, and medical emergency consent for a summer program participation.
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MEDICAL HISTORY FORM
PDF template
A comprehensive form for collecting patient personal and insurance information for medical purposes.
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MEDICAL HISTORY FORM
PDF template
Comprehensive form for collecting patient personal and insurance information for medical purposes.
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MEDICAL HISTORY FORM
PDF template
Comprehensive medical history and personal health information form for students at Vanguard University's Health Center.
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MSSU Willcoxon Health Center Medical History
PDF template
Comprehensive medical history and contact form for Missouri Southern State University students to provide health and emergency information.
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University Health Center Medical Insurance Form
PDF template
A form for collecting student and insurance policy details for medical services at a university health center.
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PATIENT INTAKE FORM PPOMEDICARESELF PAY
PDF template
Comprehensive patient registration form collecting personal, insurance, and financial information for medical services.
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Medical Release FormPermission To Treat
PDF template
A comprehensive medical form for collecting personal, emergency contact, insurance, and medical information with treatment authorization.
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Medical Liability Release Form
PDF template
A medical liability release form for HOSA delegates, parents, and guardians to attend conferences and experiences during the 2019-2020 academic year.
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IM, Inc. ETEAM MEDICAL RELEASE FORM
PDF template
A comprehensive medical information and emergency contact form for gathering participant health details and insurance information.
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Medical Liability Release Form
PDF template
A liability release form for HOSA delegates, parents/guardians, guests, and advisors to participate in conferences and experiences.
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Medical Release Form
PDF template
A form to authorize the release of patient medical information for insurance claim processing.
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Soapstone United Methodist Church Information, Permission And Medical Release Form For Adults
PDF template
A comprehensive medical release and information form for adults participating in church activities, including emergency contact and medical details.
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Christ In Youth Discipline, Liability Medical Release Form
PDF template
A comprehensive release form for participants of Christ In Youth events covering discipline, liability, and medical information.
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MEDICAL LIABILITY RELEASE
PDF template
Comprehensive medical and liability release form for camp registration, including health information, emergency contacts, and photo/transportation permissions.
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RELEASE FROM LIABILTY And MEDICAL CARE
PDF template
A form allowing individuals to decline medical assistance and release the college from liability for such refusal.
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USAV YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
PDF template
A medical release form for youth and junior volleyball players to capture medical information, emergency contacts, and insurance details.
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Youth Junior Volleyball Player Medical Release Form
PDF template
A comprehensive medical release and consent form for youth and junior volleyball players to participate in volleyball activities and competitions.
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IUOE Local 4 Reimbursement Form
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Medical reimbursement form for IUOE Local 4 members seeking compensation for DOT physical exams, massage therapy, and related services.
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New York Health Benefits Waiver Of Coverage
PDF template
Form for employees to decline group health insurance coverage and document alternative coverage status
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Direct Member Reimbursement Request Form
PDF template
A form for Medicare plan members to request reimbursement for dental, eyewear, and hearing aid services.
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Medical Reimbursement Request Form
PDF template
A form used to request reimbursement for medical, dental, vision, hearing, and foreign travel care and supplies from a health insurance plan.
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Plan Selection Form Retiree Supplemental Medical
PDF template
A form for retired Oklahoma State University employees to select supplemental medical insurance plans with Medicare eligibility requirements.
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PATIENT INTAKE FORM
PDF template
Comprehensive form for collecting patient personal, medical, and insurance information for medical services or therapy referral.
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Medication Prior Approval Form
PDF template
Healthcare form for requesting prior approval of medical procedures, medications, and services with patient and provider information.
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Fidelis Care Medication Request Form
PDF template
A comprehensive form for requesting medications through Fidelis Care health plans, requiring detailed patient and prescription information.
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Cancellation Request Form
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A form used to request cancellation of Medigap insurance plan coverage, including provisions for refund of premiums.
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Claim Form Instructions
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Detailed instructions for submitting prescription medication reimbursement claims with specific guidance on documentation requirements.
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Sample Employment Contract
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A contract defining employment terms between Medla WPlus.com, Inc. and an employee for a technical support role with at-will employment status.
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MIT Student Medical Report Form 20242025
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Medical report form for new and returning MIT students requiring health documentation, immunization records, and medical screening information.
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Chronic Medicine Benefit Application
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A medical form for applying to a chronic medicine benefit program, to be completed by patients seeking ongoing medication coverage.
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BULLETIN MEL 24 04 Crime Statutory Bond Coverage
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Provides guidelines for statutory bond coverage for specific municipal positions requiring underwriting in joint insurance funds.
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Meltdown Release Of Liability, Waiver Of Claims, Express Assumption Of Risk And Indemnity Agreement
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Legal document releasing liability for participation in the Meltdown Mechanical Ride, outlining potential risks and participant responsibilities.
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Member Claim Form
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Insurance claim form for submitting medical service reimbursement requests to BlueCross North Carolina.
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Member Claim Submission Form
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A comprehensive form for submitting medical, vision, and other healthcare-related insurance claims with detailed service type options.
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Claim Form 1 Reimbursement For Out Of Network Benefit
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Form for submitting vision service reimbursement claims for out-of-network eye doctor visits and services.
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Member Reimbursement Form
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A form for members to request reimbursement for healthcare services and medical expenses from Network Health insurance.
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Member Reimbursement Form
PDF template
A form for members to request reimbursement for various medical services and expenses from Network Health insurance plan.
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Member Reimbursement Form
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A form for Kaiser Permanente members to request reimbursement for medical expenses paid directly to a healthcare provider.
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White County Parks Recreation Membership Form
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Membership registration form for White County Parks & Recreation facilities with personal and family information collection.
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Vegas Tuffest Jr. World Championship Membership Application
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Membership application for participating in the Vegas Tuffest Jr. World Championship sporting event with liability release and payment details.
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Memorandum Of Agreement Loan Sample Philippines
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A sample memorandum of agreement for loan documentation in the Philippines, outlining key terms and conditions for lending.
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Collective Bargaining Agreement
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Collective bargaining agreement between Mercy College and Technical, Office and Professional Union, Local 2110
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Request For Proposal DE SOL 0005388 QA
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Question and answer document providing clarifications for a government solicitation regarding proposal submission requirements and evaluation criteria.
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Metered Space Permit Application (Residential)
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Application form for obtaining a residential metered space permit in specific areas of Hobart for vehicle parking.
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General Terms (2014v1) (APAC)
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Legal document defining the terms and conditions for Adobe's enterprise licensing agreement in the Asia-Pacific region.
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General Terms (2014v3) (APAC)
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Legal document outlining general terms and conditions for enterprise licensing agreements in the Asia-Pacific region.
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Legal document outlining enterprise licensing terms, definitions, and interpretation guidelines for a commercial agreement.
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Legal document outlining general terms and conditions for Adobe products and services in the Asia-Pacific region.
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Legal document defining terms and conditions for Adobe's Managed Services offering, including key definitions and terminology related to service usage.
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Comprehensive document defining key terms and definitions for Adobe's Managed Services agreement.
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Adobe Exhibit For Managed Services (2014v3) (Japan)
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Legal document defining terms and conditions for Adobe's Managed Services offering in Japan.
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Legal document defining terms and conditions for Adobe's on-demand services, including definitions of key terms related to customer data and content.
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Exhibit For OnDemand Services (2014v1) (APAC)
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Legal exhibit defining terms and conditions for Adobe's on-demand services, including definitions of key terms related to customer data and content.
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Exhibit For On Demand Services And Managed Services
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Legal exhibit defining terms and conditions for Adobe's on-demand and managed services agreement with customers.
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A MasterS Guide To Shipboard Accident Response
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CLHIA Standardized MGA Compliance Review Survey
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Form To Request Documentation From An Employer Sponsored Health Plan Or A Group Or Individual Market
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Minor Contracted Service Invoice
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Brand TLD Designation Application
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Form for medical providers to submit patient information, treatment details, and request insurance verification for wound care products.
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Digital Patient Intake Form
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Environmental impact assessment for a recycling transfer station expansion in Los Angeles, including additional office space and material recovery facility.
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ACCIDENT INCIDENTS REPORTING AND ACTIONS PROCEDURE
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MOTOR ACCIDENT REPORT FORM
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Comprehensive form for documenting details of a motor vehicle accident for insurance claim purposes.
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University Of Kentucky Vehicle Accident Report Form
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Registration form for employees seeking access to county motor pool vehicles with departmental approval process.
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CEAR Construction And Erection All Risk Policy
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A comprehensive insurance policy covering project works, third-party liability, and potential delays in project start-up for construction and erection projects.
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A liability release and medical consent form for participants in the Missouri State University Sugar Bears Dance Team program
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A medical and liability release form for participants of the Missouri State University Sugar Bears Dance Team for the 2023-24 season.
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Medical release and liability waiver for participants in MWSU Mystics Dance Team clinics and tryouts.
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Official registration form for Risk Retention Groups operating under the Federal Liability Risk Retention Act of 1986.
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North Country HealthCare ParentalPatient Consent Form
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ACT Parental Consent Form
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Netball Waiver
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Analysis of potential legal approaches for a new international climate change agreement to succeed the Kyoto Protocol.
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Policy document outlining patient responsibilities, insurance claims processing, and appointment cancellation terms for physical therapy services.
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New Contractor Form
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Form for cancelling a Guaranteed Asset Protection (GAP) insurance policy with options for refund destination and cancellation reasons.
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Emergency Contact Form
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Comprehensive medical intake form for gastroenterology patients, collecting personal, demographic, and insurance information.
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Comprehensive checklist for new employees of the Office of the Comptroller of the Currency to complete benefits enrollment and required forms within specified timeframes.
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Newly Wed Checklist (Active Retired)
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Instructions for adding a spouse to welfare benefits for Uniformed Firefighters Association members.
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Annual Minor Participant Health And Medical Form
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Comprehensive medical information form for minors under 18 years old, collecting health details, emergency contacts, and medical consent.
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New Patient Intake Form
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Comprehensive form for collecting new patient medical information, health history, and insurance details.
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NEW PATIENT REGISTRATION FORM
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Comprehensive medical form for collecting new patient personal, contact, insurance, and emergency contact information.
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Patient Intake Form
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Comprehensive medical intake form collecting patient personal information, insurance details, medical history, and treatment authorization.
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New Patient Insurance Form
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A comprehensive intake form for new patients seeking outpatient therapy, collecting personal, insurance, and referral information.
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New Patient Intake Form
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Comprehensive medical intake form for collecting new patient personal, contact, medical, and insurance information.
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NEW PATIENT INTAKE FORM
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Comprehensive medical intake form for new pediatric patients, collecting personal, medical, and insurance information.
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New Patient Intake Form
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Comprehensive form for new pharmacy patients to provide personal, medical, and insurance information for prescription services.
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NEW PATIENT INTAKE FORM
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Comprehensive medical intake form for collecting patient personal, insurance, and health information for a medical clinic or practice.
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NEW PATIENT INTAKE FORM
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Comprehensive form for collecting new patient personal, medical, insurance, and contact information for healthcare providers.
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NEW PATIENT INTAKE FORM
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Comprehensive intake form for new patients at Chicago Gastro, collecting personal and medical contact information along with financial policy acknowledgment.
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NEW PATIENT REFERRAL FORM
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Comprehensive medical referral form for new patients seeking cardiothoracic surgical consultation, collecting patient, insurance, and medical information.
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Patient Intake Form
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A comprehensive patient intake form for collecting personal, medical, and insurance information with communication preferences and service consent.
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NEW PATIENT INTAKE FORM (With TriCare Insurance)
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Comprehensive medical intake form for new patients, collecting detailed personal and medical history information.
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Property Status Inquiry
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A municipal form for obtaining detailed property status information related to building permits, inspections, and property standards compliance.
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New Patient Intake Form
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Comprehensive medical intake form for new patients at Rowan Tree Medical, collecting personal, medical, and contact information.
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Demographic Form
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Comprehensive patient intake form collecting personal, contact, insurance, and medical information for Centeno-Schultz Clinic.
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New Additional Insured Endorsement Forms Will Impact Contractors, Project Owners, Lessees
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Overview of new ISO insurance endorsement forms affecting Additional Insured status and risk management in the construction industry.
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New Service Request Form
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NEW SUPPLIER CONTACT FORM FOR BID OPPORTUNITIES
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Official visa application form for entry into Rwanda covering personal, passport, and travel details.
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Volunteer Participation Agreement And Acknowledgement Of Risks
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Patient Information Form
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Voter Registration Address Change Form
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NFDA INSURANCE FORM PACKET
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Nashville Fairgrounds Speedway Registration Form
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UNDERGRADUATE AND GRADUATE RESIDENT STUDENTS PARKING APPLICATION (NIGHTS AND SHABBOS ONLY)
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NJPEC 1634 19 Therapy Services Request Form
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Comprehensive claim form for health, accident, and disability insurance claims from National Teachers Associates Life Insurance Company.
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Neuromodulation Pre Authorization Support Resources
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Exclusive Rental Property Leasing And Management Agreement
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A legal agreement between a property owner and a management company for exclusive rental property leasing services.
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NEW MEXICO FIRM PERMIT CANCELLATION FORM
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Official form for cancelling a firm's professional permit with the New Mexico Public Accountancy Board
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New Mexico Uniform Prior Authorization Form
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Customer Contract Requirements Santa Susana Field Laboratory (SSFL) Property Disposition And Maint
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Detailed contract requirements for a government procurement contract with specific FAR clause provisions and compliance guidelines.
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No Fault Insurance Form
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Texas Standard Prior Authorization Request Form For Prescription Drug Benefits
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Common Nomination Form For Gratuity, General Provident Fund And Central Government Employees Group I
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United Nations Prize In The Field Of Human Rights 2013 Nomination Form
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Official nomination form for the United Nations Prize in the Field of Human Rights recognizing significant contributions to human rights
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Non Medication Preauthorization Request
PDF template
A form for healthcare providers to request preauthorization for non-medication medical services and procedures from the Motion Picture Industry Health Plan (MPI).
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Private Medical Consultations Price List
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Comprehensive pricing guide for private medical services, consultations, certificates, and travel-related medical procedures
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EHS Non Standard Discharge Form
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Form for documenting and requesting approval for non-standard discharge into the UMass Amherst sewer system with specific chemical and environmental parameters.
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Trust Policy Form
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A comprehensive guide for setting up a trust policy, outlining key considerations, beneficiary selection, and trustee appointment.
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Northwell Health, Health Welfare Flex Benefit Program Summary Plan Description
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Comprehensive overview of short-term and long-term disability options for Northwell Health employees administered by Sedgwick and The Hartford.
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Incident Claim Form
PDF template
A form for reporting non-vehicular related claims involving injury or property damage within the City of West Linn
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Non Payment Complaint Form
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A detailed form for filing non-payment complaints with specific documentation requirements and instructions for submission.
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North Carolina General Terms And Conditions
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Comprehensive terms and conditions governing vendor performance, intellectual property, and service expectations for state contracts in North Carolina.
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Offer To Purchase And Contract
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A legal document used to make an offer to purchase real property, detailing the terms and conditions of the real estate transaction.
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Northeast Community Center Liability Waiver
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A legal document waiving liability for participants and their children using Northeast Community Center facilities and activities.
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North Grove Equestrian Park Equine Release And Waiver Of Liability, Assumption Of Risk, And Indemnit
PDF template
A legal document releasing North Grove Equestrian Park from liability for potential injuries or damages related to horseback riding and equine activities.
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Northside Boxing Club Membership Form Waiver
PDF template
Comprehensive membership form for boxing club participants, including personal information, medical history, and liability waiver.
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Surprise Billing Protection Form
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A document explaining patient protections against unexpected out-of-network medical billing and requesting consent for potential additional charges.
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Excess Secondary Insurance Plan For Sports Club Athletes
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Insurance policy document outlining coverage details for San Diego State University sports club athletes, explaining secondary insurance provisions and claim procedures.
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Authorization Request Form
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Medical service authorization request form for providers to submit routine and urgent pre-service requests for patient care.
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Novi Parks, Recreation Cultural Services Waiver Form
PDF template
A comprehensive liability waiver for participation in City of Novi recreational activities and events, covering in-person and online programs.
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NPDES Permit Transfer Request Form
PDF template
A form for transferring National Pollutant Discharge Elimination System (NPDES) permit responsibility between facility owners or operators.
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Patient Intake Form
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Comprehensive patient intake form for prosthetics services, collecting medical history, contact details, and amputation information.
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Patient Intake Form
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Comprehensive intake form for patients seeking prosthetic services, capturing medical history, contact information, and amputation details.
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Grand Bargain Self Reporting Explanatory Guidance
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Guidance document for signatories to complete annual self-reporting on humanitarian commitments and progress.
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NSCAS ACT Parental Consent Form
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Form providing information and consent for Nebraska public school students in the Third Year Cohort to take the standard college admission ACT test.
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Natick Soccer Club 2023 Fall Classic Tournament Medical Release Form
PDF template
Medical and liability release form for youth soccer tournament participants, allowing medical treatment and acknowledging participation risks.
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Spinraza Pre Authorization Form
PDF template
A medical pre-authorization form for requesting Spinraza medication treatment, used for documenting patient details and motor ability assessments.
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CMS 1500 Claim Form Instructions
PDF template
Comprehensive instructions for completing the CMS-1500 medical claim form with detailed field requirements and change history.
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Managed Service Provider Request For Proposal
PDF template
Request for proposals from qualified Managed IT Services Providers to provide IT services to the Naugatuck Valley Council of Governments.
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Northwest Dance And Acro Registration Form
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Registration form for dance and acro classes with student and parent/guardian information, class selection, and liability release.
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Cancellation Form
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A form for customers to cancel a contract or service with Northwood House Charitable Trust Company Limited.
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Certificate Of Insurance
PDF template
Detailed instructions for submitting a proof of liability insurance certificate with specific coverage requirements for New World Symphony.
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Member Medical Reimbursement Claim Form
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A claim form for Wellcare By Fidelis Care members to request reimbursement for out-of-pocket medical expenses.
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Continuation Of Disability Claim Form
PDF template
A form for reporting ongoing disability status, medical treatments, and work return details for an insurance claim.
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Disability Claim Form
PDF template
Comprehensive form for employees to report disability, medical information, and related benefit claims.
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UnitedHealthcare Community Plan Of New York Specialist Referral Form
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A referral form for UnitedHealthcare Community Plan of New York members to obtain specialist services with specific guidelines and requirements.
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Record Of Employment
PDF template
Official form for documenting employment status for unemployment insurance purposes in New York State.
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Contractor Exempt Purchase Certificate
PDF template
A tax form for contractors to certify exempt purchases of tangible personal property or services in New York State
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American Arbitration Association SumUM Arbitration Request
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A legal form for requesting arbitration in uninsured or underinsured motorist insurance disputes through the American Arbitration Association.
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Exclusive Buyer Agency Agreement
PDF template
A legally binding contract between a buyer and a real estate broker for exclusive representation in property acquisition.
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OAC Panel Case Procedures How To Submit Ancillary Service Requests, Ancillary Service Bills, Atto
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Detailed instructions for legal professionals on submitting ancillary service requests and documentation for the Office of Assigned Counsel (OAC).
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GoldS Gym Membership Cancellation Form
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A guide for cancelling a Gold's Gym membership, including online cancellation process and important requirements.
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Property Maintenance Agreement Template
PDF template
A comprehensive template for property management agreements covering service scope, fees, maintenance protocols, and termination clauses.
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5050 Partnership Agreement Template
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A comprehensive template for establishing a fair and balanced 50/50 business partnership between two entrepreneurs or business owners.
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Lease Buyout Agreement Template
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A document outlining the terms and process for terminating a lease before its natural expiration, allowing tenants or landlords to negotiate lease termination.
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ACORD Cancellation Form
PDF template
A standardized document used to officially terminate an insurance policy and provide formal documentation of cancellation.
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Oberlin College Employer Contribution Amounts Health Savings AccountHealth Reimbursement Account
PDF template
Details employer contributions to health savings accounts for Oberlin College employees in 2024, including contribution amounts and IRS limits.
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Occupancy Compliance Form
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A municipal form for obtaining building occupancy compliance from the Town of Marana's Development Services department.
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Contract Payment Checklist
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Detailed instructions for contractors submitting payment requisitions to the City of Miami, specifying required documentation and submission process.
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Scientific Research Proposal
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A form for researchers to propose and obtain permits for scientific research involving fish species in Vermont.
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Recurring Premium Reimbursement Form
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Form for requesting reimbursement of recurring insurance premiums through OneExchange
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Emergency Equipment Rental Agreement
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A legal document for rental and use of emergency equipment during an incident, specifying terms, rates, and responsibilities.
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Miami Dade College Off Campus Activity Student Agreement Form
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A legal agreement for students participating in off-campus activities, acknowledging risks and releasing the college from liability.
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Off Campus Event Risk Assessment Form
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A comprehensive form for evaluating risks and safety protocols for off-campus university events and activities.
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IWU University Sponsored Off Campus Travel Form
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A liability release and consent form for students participating in off-campus university-sponsored travel activities.
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Off Campus Activity Trip Leader Form
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A form for university staff to request approval and document details for an off-campus educational activity or trip.
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IBEW Local No. 683 Health Welfare Fund Weekly Disability Benefits Claim Form
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Claim form for obtaining weekly disability benefits from the IBEW Local No. 683 Health & Welfare Fund, providing compensation for disabled workers.
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CITY OF OCONTO FALLS VOLUNTEER FORM
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A form for registering volunteers and obtaining legal release for participation in City of Oconto Falls activities.
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WAIVER, INDEMNIFICATION, AND MEDICAL TREATMENT AUTHORIZATION CONSENT FORM
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Legal document releasing liability for participants in a cultural diversity colloquium sponsored by Texas A&M Rangel College of Pharmacy.
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Contract Review Procurement Form
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A document outlining procurement processes and contract review requirements for vendor selection at Cleveland State University.
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Oil And Gas Well Transfer Form
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Official form for transferring oil and gas well permits and associated equipment ownership in Illinois
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Applied Behavior Analysis (ABA) Clinical Service Request
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A healthcare form for requesting Applied Behavior Analysis clinical services, used for initial or concurrent treatment requests.
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MINOR PARTICIPANT AGREEMENT FORM
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Legal consent form for parents/guardians to allow minor children to participate in camp and retreat center activities, including risk acknowledgment and publicity waiver.
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Olustee Fun Run Waiver Form
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Waiver form for participants in a community running event, outlining event rules and liability release.
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AML Contractor Form
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Instructions for contractors to complete a form for eligibility verification in abandoned mine land reclamation work.
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AML Contractor Form
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Form for conducting eligibility checks for businesses performing abandoned mine land reclamation work to verify compliance with SMCRA regulations.
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Services Agreement Fee Disclosure
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A services agreement detailing the terms of retirement plan administration and recordkeeping for a 403(b) Tax-Deferred Annuity Plan.
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SaaS Agreement
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A software as a service (SaaS) agreement between OneStream Software LLC and a customer, defining terms of service usage and rights.
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CCC Parking Permit Information
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Comprehensive guide to obtaining and using parking permits at Coconino Community College campuses in Flagstaff, Arizona.
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Online Will And Legal Form Preparation
PDF template
An online service offering employees the ability to create legal documents like wills, living wills, and powers of attorney through a secure platform.
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MIT Overnight Program Medical Release Form
PDF template
A medical release form required for minors participating in the MIT Overnight Program, collecting medical and emergency contact information.
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Direct Reimbursement Claim Form
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A form for requesting reimbursement for vision services from providers outside the Davis Vision network, covering examinations and eyewear expenses.
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Out Of Network Reimbursement Instructions
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Detailed instructions for submitting out-of-network healthcare reimbursement claims with VBA, including required documentation and submission methods.
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Vision Plan Out Of Network Claim Form
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Form for employees to submit out-of-network vision care expenses for reimbursement from their employer's vision plan.
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HSP Change Order Request Form For Contract Modifications
PDF template
A form for documenting subcontracting opportunities and modifications to existing contracts in accordance with state law.
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FACULTYSTAFF VEHICLE REGISTRATION FORM
PDF template
Form for university faculty and staff to register vehicles and obtain parking permits on campus.
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DEPARTMENTAL BLANKET (OPEN) PURCHASE REQUISITION
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A government form for submitting departmental purchase requests with budget and vendor details in Erie County, Pennsylvania.
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WFU Outdoor Pursuits Medical Form
PDF template
A comprehensive medical form for WFU Outdoor Pursuits participants collecting personal, emergency contact, and insurance information.
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Terms And Conditions Optimizely Campaign
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Legal document outlining terms of service for Optimizely's marketing automation Campaign software platform and related services.
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Patient Intake Form
PDF template
Comprehensive medical intake form for collecting patient personal, contact, and insurance information for medical treatment.
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Patient Intake Form
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Comprehensive medical intake form for collecting patient personal, contact, and insurance information with consent and assignment sections.
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Diaper Request Form
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A form for TennCare and CoverKids members to request diaper coverage for children under 2 years old, with specific guidelines for diaper allocation.
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OPT OUT AFFIDAVIT
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A form for healthcare practitioners to formally opt out of Medicare billing and payment systems for a two-year period.
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Voluntary Waiver Of Health Insurance For Enrollment In Opt Out Program
PDF template
A voluntary form allowing City of Somerville retirees to waive health insurance coverage in exchange for a monetary opt-out payment.
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New Prescription Mail In Order Form
PDF template
A form for submitting prescription medication orders via mail with patient and payment details
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ILWU PMA Welfare Plan Prescription Drug Program
PDF template
Supplemental summary plan description for prescription drug benefits for ILWU-PMA Welfare Plan participants, detailing eligibility and prescription acquisition methods.
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Oracle Software Configuration Service Request Approval Stepper
PDF template
Instructions for submitting and processing Oracle software configuration service requests within an organization's information technology workflow.
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CopyOrderForm
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A form for requesting certified or non-certified copies of recorded documents from Sacramento County Clerk/Recorder's office via mail or fax.
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Order Invoice Form
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An order form for purchasing the 2023-2024 South Dakota County Directory from the state association of county commissioners.
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Bond Issuance Policies Ordinance
PDF template
An ordinance establishing policies, standards, and criteria for bond issuance and project qualification by Santa Fe County.
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Oregon Vehicle Title And Registration Application
PDF template
Official Oregon state form for vehicle title registration and ownership transfer with legal certifications and insurance declarations.
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RESIDENTIAL REAL ESTATE SALE AGREEMENT
PDF template
Legal document for residential property sale in Oregon, detailing purchase terms and agency relationships.
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Oregon Institute Of Technology General Conditions For Public Improvement Contracts
PDF template
Standard contractual guidelines and provisions for public improvement contracts at Oregon Institute of Technology
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Organization Primary Contact Guidelines
PDF template
Instructions for selecting and managing the primary contact for an organization within the UNT OrgSync system, detailing visibility and privacy settings.
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Frequently Asked Questions Professional Indemnity
PDF template
Comprehensive overview of professional indemnity insurance covering legal costs, damages, and incidences of professional liability.
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VisitorClient Accident Reporting Form
PDF template
A form for documenting details of a visitor or client accident for risk management purposes.
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Consent To Treat Form
PDF template
A patient consent form authorizing medical treatment, information release, and assignment of benefits at a medical practice.
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Government Unit Contract Submission Form
PDF template
A comprehensive form for documenting government contract details, procurement method, and supporting documentation.
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FUNDER EVALUATION SURVEY FORM
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A comprehensive survey form for organizations to provide details about their contract, services, and performance for funding evaluation purposes.
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Medical Form
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Confidential medical form for collecting student health information prior to educational travel programs, enabling emergency preparedness and medical screening.
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Patient Intake Form
PDF template
Comprehensive form for collecting patient personal, medical, and insurance information for healthcare providers.
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CPNC Transfer Application Requirements
PDF template
Comprehensive guide for transferring a Commercial Passenger Nuisance Carrier (CPNC) license in New Orleans, detailing required documentation and application process.
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OSWAP Approval Form
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Form for obtaining county approval for onsite wastewater treatment system design and installation, requiring detailed property and system information.
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REQUEST FOR WAIVER FORM
PDF template
A form for requesting a waiver of Minority and Women-Owned Business Enterprise (M/WBE) participation goals in New York State procurement contracts.
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Record Of Other Insurance Form
PDF template
A comprehensive form for collecting student and family insurance and employment details for the Foothill-DeAnza Community College District.
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Excess Accident Medical Expense Insurance Claim Requirements Guidance
PDF template
Guidelines for submitting medical insurance claims for sports-related injuries with detailed documentation requirements for students.
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Domain Name Service Request Form (OTS 39)
PDF template
Form for requesting domain name services from the Louisiana Office of Technology Services, including domain creation, modification, and removal.
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Outdoor Dining License Agreement
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A license agreement for businesses using public right of way for outdoor seating in San Rafael, California.
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Event Planning In An Outdoor Space Resource Guide
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Comprehensive guide for planning events in outdoor campus spaces, covering policies, catering, food service, insurance, and equipment requirements.
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Out Of Network Prior Authorization Form
PDF template
A form for requesting prior authorization for out-of-network medical services from Neighborhood Health Plan
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Out Of Network Referral Form
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A form for requesting authorization to see an out-of-network healthcare provider with detailed patient and service information.
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Out Of Network Vision Services Claim Form
PDF template
Claim form for reimbursement of vision services obtained from providers outside the Blue View Vision network.
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Outpatient Referral Form
PDF template
A comprehensive referral form for patients seeking outpatient services at Children's Hospital Los Angeles, collecting physician, patient, clinical, and insurance information.
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Outside Employment Waiver Form
PDF template
A form for city employees to request permission for outside employment and waive city liability for potential injuries or incidents.
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Declaration Of Trust
PDF template
A legal document for assigning a life insurance policy to trustees, establishing the terms of trust for the policy.
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Over Dimensional Vehicle And Load Permit
PDF template
A permit form for obtaining authorization to transport oversized vehicles or loads with specific route and dimensional details.
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Overseas Treatment Benefit Application Form 2024
PDF template
Application form for members seeking medical treatment coverage outside their home country under the Executive and Comprehensive Plans.
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Voluntary Audit Form
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Guide explaining the process of completing a voluntary premium audit form for insurance policy premium adjustments.
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Property Owner As Contractor
PDF template
A form for property owners to acknowledge their responsibilities and exemptions when self-contracting work on their own property in Minnesota.
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Owner Builder Building Permit Acknowledgment
PDF template
Legal document outlining responsibilities and risks for property owners acting as their own contractors when obtaining a building permit.
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Owner Builder Declaration
PDF template
Legal document outlining responsibilities and risks for property owners acting as their own contractor during construction projects.
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SITE OWNERRESPONSIBLE PARTY CONTRACTOR PERFORMANCE SURVEY FORM
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A survey form for evaluating contractor performance in petroleum restoration and cleanup projects by the Florida Department of Environmental Protection.
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SITE OWNERRESPONSIBLE PARTY CONTRACTOR PERFORMANCE SURVEY FORM
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A survey form for evaluating contractor performance in petroleum restoration projects by the Florida Department of Environmental Protection.
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Employee Enrollment Form
PDF template
A comprehensive form for employees to enroll in or waive health insurance coverage with detailed personal and employment information.
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Accident Report Form
PDF template
A comprehensive form for documenting transportation-related accidents, including provider, member, and incident details.
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Pre Authorization Form Revision
PDF template
Notice of revision to the pre-authorization/prior approval request form with new form number and submission guidelines.
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VENDOR CONTRACT AGREEMENT
PDF template
A contract between Partner4Work and a contractor for providing workforce development services under specific terms and conditions.
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Removal Of Benefit Riders AndOr Dependents
PDF template
A form for policy owners to remove specific insurance riders or dependent coverage from their Trustmark insurance policy.
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Sewer Disposal Or Storm Water System Event Notice Of Claim Form
PDF template
A form for reporting property damage or physical injury related to sewer or storm water system events in Saginaw County.
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Activity Participation Waiver
PDF template
A comprehensive liability waiver for university-sponsored activities covering risks, health certification, policy compliance, and legal release
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Incident Report Form
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A comprehensive form for documenting injuries or incidents occurring during sports club activities, events, or premises.
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IHCP Prior Authorization Request Form Instructions
PDF template
Detailed instructions for completing a prior authorization request form for Indiana Health Coverage Programs, covering submission requirements and field details.
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Exhibit List Of Corporate Documents
PDF template
A compilation of employment agreements and corporate distribution contracts for Turning Point Brands, Inc.
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Prior Authorization Form
PDF template
Comprehensive instructions for completing a Medicaid prior authorization request form with detailed field guidance.
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INSURANCE CLAIM FORM
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Insurance claim form for reporting tank-related releases or environmental incidents at business locations.
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Prescription Reimbursement Claim Form
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A form for submitting prescription medication reimbursement claims, detailing patient and pharmacy information for insurance processing.
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AHCA B P 222 Prescription Drug Program Direct Member Reimbursement Form
PDF template
Form for members to request reimbursement for out-of-pocket prescription drug expenses through their healthcare plan.
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School Parental Consent Form (Grades PK 12)
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A comprehensive form for collecting student medical, contact, and insurance information for school admission purposes.
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Parental Consent Form
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A consent form for parents or legal guardians to authorize a minor's volunteer participation with Basset Hound Rescue of Southern California.
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Parental Guardian Consent Form Waiver Of Liability
PDF template
A consent form allowing a parent or guardian to add minor children to a primary member's fitness center membership while waiving liability
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Parental Consent Medical Release Form
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A comprehensive form for parents/guardians to provide consent and medical information for a child's participation in church activities.
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PARENTGUARDIANSTUDENT INFORMATION FORM
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A comprehensive form for collecting student, parent, and guardian contact and medical insurance details for athletic purposes.
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Insurance Information
PDF template
Guidelines for sport-related injury insurance claims and reporting procedures for students at Chattanooga State.
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PARENTS INSURANCE FORM
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A form for collecting parent/guardian insurance information for student athletes participating in intercollegiate sports.
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Standardized Prior Authorization Request Form
PDF template
A standardized form for submitting prior authorization requests to multiple health plans in Massachusetts, designed to streamline the administrative process for healthcare providers.
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Accessible Parking Form
PDF template
Application form for students, faculty, and staff to obtain an accessible parking permit due to mobility impairments or medical conditions.
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Parking Cancellation Form
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Form for cancelling university parking permits and preventing future payroll deductions for parking fees.
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Vehicle Registration Form For Physician And Resident Fellow
PDF template
Form for hospital staff to register vehicles and obtain parking permits at Children's Hospital & Medical Center.
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Mohawk Valley Community College Vehicle Registration Form
PDF template
A form for registering vehicles for students, faculty, staff, and administrators at Mohawk Valley Community College.
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GSW Public Safety Parking Information For FacultyStaff
PDF template
Comprehensive parking guidelines for faculty and staff at Georgia Southwestern State University, detailing parking zones, citation policies, and vehicle registration requirements.
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Permit RegistrationApplication Form
PDF template
A comprehensive form for registering vehicles and obtaining parking permits for students, faculty, and staff on a campus.
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Frostburg State University 2024 2025 Parking Permit Application
PDF template
Application for obtaining a parking permit for students, faculty, and staff at Frostburg State University for the 2024-2025 academic year.
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FacultyStaff Parking Permits
PDF template
Guidelines and purchase options for faculty and staff parking permits at Black Hills State University for the 2021/22 academic year.
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Parking Permit Payroll Deduction Cancellation Form
PDF template
A form for employees to cancel pretax payroll deductions for parking permits with specific processing timeline.
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Parking Permit Refund Request Form
PDF template
A form for students to request refunds for parking permits under specific circumstances at Bellevue College.
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Parking Permit Report Form
PDF template
Form for reporting lost or stolen parking permits at a university or campus
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Permit And Service Order Form
PDF template
A form for requesting parking permits and related services at IUPUI, including billing and payment information.
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Commuter StudentEmployee Parking Permit Vehicle Registration Form
PDF template
Form for registering vehicles for parking permits at Viterbo University for students and employees.
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Resident Guaranteed Parking Permit Vehicle Registration Form
PDF template
A form for registering a vehicle for parking at Clare Apartment indoor or outdoor parking areas at Viterbo University.
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Campus Vehicle And Parking Regulations
PDF template
Comprehensive guidelines for vehicle parking, traffic rules, and associated penalties on college campus
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Parking Regulation For Academic Year 2024 25
PDF template
Comprehensive parking guidelines for North Dakota State University covering vehicle operations, permit requirements, and parking enforcement for the 2024-25 academic year.
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Saint AugustineS University Parking Rules Regulations
PDF template
Comprehensive guidelines for vehicle parking on Saint Augustine's University campus, requiring permits for all faculty, staff, and students.
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Saint AugustineS University Parking Rules Regulations
PDF template
Guidelines for vehicle parking and permit requirements for faculty, staff, and students at Saint Augustine's University.
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Rules And Regulations Parking Operations
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Comprehensive guide outlining parking rules, regulations, permit policies, and enforcement procedures for Southeastern Louisiana University campus.
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AGREEMENT FOR LEASE OF PARKING SPACE
PDF template
Agreement detailing terms for leasing a parking space in a West New York parking garage with monthly renewal and payment terms.
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Application For Use Of Village Property For Municipal Parking Lots
PDF template
Application form for obtaining permission to use municipal parking lots in the Incorporated Village of Westhampton Beach
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Participant Release And Waiver Of Liability Form
PDF template
Legal document releasing Optimist Club from liability for a minor participant's activities and potential injuries.
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ParticipantVisitor Liability Release And Waiver Form
PDF template
A liability release form for participants and visitors of Saving Grace Animals for Adoption, a non-profit dog rescue organization.
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PARTICIPANT TRAVEL FORM
PDF template
A comprehensive form for students, chaperones, and directors to complete for group travel, including personal and emergency contact information and travel insurance options.
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Participant Liability Release, Hold Harmless And Indemnification Form
PDF template
A legal document releasing liability for participants in activities at the Brian Bent Memorial Aquatics Complex under Coronado Unified School District supervision.
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Participation Agreement And Waiver Form
PDF template
Legal document releasing liability for participation in a program or activity, signed by parent or guardian on behalf of a participant.
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Participation Agreement And Waiver Form
PDF template
Legal document releasing liability for participation in a program or activity, typically used by organizations to protect against potential legal claims.
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Participant Agreement Form
PDF template
A legal document outlining participant consent, risk acknowledgment, and liability release for an organized activity or program.
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Exchange Student Application Packet Part II Visa, Finances, And Insurance Certification
PDF template
Application packet for international exchange students detailing required documentation for visa, finances, and insurance for the Fall 2023 semester at Baruch College.
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Risk, Incentives, And Contracts Partnerships In Rio De Janeiro, 18701891
PDF template
A research paper examining partnership contracts in late 19th-century Brazil, analyzing the impacts of liability structures on business partnerships.
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PATIENT MEDICAL HISTORY FORM
PDF template
A comprehensive form for collecting patient personal and medical information, including previous physicians, pharmacies, and insurance details.
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Privacy Rule Of Patient Consent Agreement
PDF template
A consent form for medical treatment and information disclosure at Pacific Northwest Recovery and Counseling, outlining patient rights and treatment terms.
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Demographic Insurance Form
PDF template
Comprehensive form for collecting patient personal, emergency contact, medical provider, and insurance information.
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Patient Demographic Insurance Billing Form
PDF template
A comprehensive form for patient demographic information, insurance details, and billing for diagnostic services.
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Patient Intake Form
PDF template
Comprehensive patient registration and medical history form for Swank Chiropractic Sports Medicine & Wellness Center
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PATIENT INTAKE FORM
PDF template
Comprehensive form for collecting patient personal, insurance, and medical history information for healthcare providers.
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PATIENT INTAKE FORM
PDF template
Comprehensive form for collecting patient personal, medical, insurance, and contact information for healthcare purposes.
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Initial Intake Form
PDF template
Comprehensive form for collecting patient personal, contact, insurance, and medical visit information.
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PATIENT INTAKE FORM
PDF template
Comprehensive patient intake form for chiropractic services, collecting personal, medical, and insurance information.
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Patient Information Form
PDF template
Comprehensive medical intake form collecting patient personal details, medical history, and insurance information.
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NEW PATIENT INTAKE FORM
PDF template
Comprehensive form for collecting new patient personal, medical, insurance, and emergency contact information.
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Patient Referral Form
PDF template
A comprehensive form for patients seeking specialist medical referrals through We Care Manatee health services.
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PATIENT REGISTRATION FORM
PDF template
Comprehensive form for collecting patient personal, contact, insurance, and payment responsibility information for medical or dental services.
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Patient Registration Form
PDF template
Comprehensive patient information and insurance registration document for healthcare services.
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Patient Registration Form
PDF template
A form for collecting patient insurance details and establishing financial responsibilities for medical services.
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Patient Registration Form
PDF template
Comprehensive form for collecting patient personal information, contact details, insurance, and demographic data for healthcare providers.
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Patient Registration Form
PDF template
Comprehensive form for collecting patient personal, contact, employment, emergency contact, and insurance information for healthcare providers.
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PHAS Empowered Patient Online Toolkit Insurance Form
PDF template
A comprehensive document for collecting and organizing personal insurance details across multiple insurance types and providers.
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City Of El Lago Pavilion Rental Agreement
PDF template
A rental agreement for using the City of El Lago pavilion, detailing event terms, fees, and liability conditions.
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Paxman Hub Enrollment Form
PDF template
Comprehensive enrollment form for patient information, insurance, and treatment details for Paxman medical services.
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PAYMENT AGREEMENT FORM
PDF template
A form for property owners to agree to pay fees associated with county application processing and project review.
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Foreign Travel Insurance Form
PDF template
Form for registering and obtaining mandatory travel insurance for university-sponsored international group travel
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NYSUT Member Benefits Payroll Deduction Authorization
PDF template
A form allowing NYSUT members to authorize payroll deductions for various member benefits programs.
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NEW ENROLLMENTCHANGE FORM
PDF template
A form for employees to enroll in or modify flexible spending account (FSA) and dependent care spending account benefits.
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Professional Services Order Form (PSOF)
PDF template
A form detailing professional services engagement terms, project specifications, billing rates, and authorization between a client and service provider.
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PINE BEACH YACHT CLUB RENTAL APPLICATION AGREEMENT
PDF template
Application and agreement for renting the Pine Beach Yacht Club facility for private events.
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Release And Waiver Of Liability, Assumption Of Risk And Indemnity Agreement
PDF template
Legal document releasing liability for participants in Porsche Club of America events and activities
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State Of Vermont Contract 47338 With Public Consulting Group LLC
PDF template
Contract for business support services related to Medicaid Data Aggregation & Access Program for home and community-based service providers.
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Providence College Standard Engagement Vendor Agreement
PDF template
A standard agreement between Providence College and a vendor for services, detailing engagement terms, compensation, and responsibilities.
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Sample Rental Agreement
PDF template
A standard rental agreement outlining lease terms, rent payment requirements, and tenant obligations for a one-year residential lease.
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Miscellaneous Cancellation Form
PDF template
A form for employees to cancel insurance or annuity policies through their employer's benefits office.
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Miscellaneous Cancellation Form
PDF template
A form for UNC Health Care System employees to cancel insurance or annuity policies with specific details about policy types and premium amounts.
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Employee Travel ActionsSubmission Of Expense Claims
PDF template
Policy outlining procedures for employee travel expenses and reimbursement for official county duties.
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Owner Builder Declaration Form
PDF template
A legal form informing property owners of their responsibilities and risks when obtaining an owner-builder building permit in California.
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PDS Cancel Form
PDF template
A form for cancelling non-GAP warranty products with options for refund and various cancellation reasons
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Incoming Referral Form
PDF template
A comprehensive form for collecting patient demographics, insurance details, and referral information for medical practices.
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Physician Referral Service Form
PDF template
A comprehensive medical referral document for patient transfer between healthcare providers, capturing patient and insurance details.
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Post Employment Health Plan (PEHP) Claim Form
PDF template
Form for requesting health plan reimbursements for medical expenses or insurance premiums after employment separation.
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NRECA Long Term Disability Plan Summary Plan Description
PDF template
A summary plan description detailing the long-term disability benefits provided by the National Rural Electric Cooperative Association (NRECA) for eligible participants.
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FORM OF PENSION BENEFIT ELECTION
PDF template
A form for selecting pension benefit options, including single life and joint survivor annuity choices for retirees.
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Michigan Department Of Treasury Pension System Report
PDF template
Detailed pension system financial report for Kent County, Michigan covering fiscal year 2022.
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Standard Contractor Performance Report
PDF template
A standardized document for evaluating contractor performance during an incident or contract period, used for documenting and tracking contractor work quality.
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INSTRUCTIONS FOR COMPLETING THE APPLICATION
PDF template
Detailed instructions for completing a permit application for work within state highway right-of-way, including required documentation and information.
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WAIVER OF LIABILITYPERMISSIONMEDICAL RELEASE FORM
PDF template
A comprehensive form for students staying overnight at Smith College, requiring parental consent and liability release.
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Permit Application Check List
PDF template
Comprehensive checklist for submitting permit applications in the Town of Howey-in-the-Hills, detailing required documents and specifications for construction projects.
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Building Permit Application
PDF template
Official form for submitting building permit requests in Alameda County, California, for various types of construction and renovation projects.
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Permit Cancellation Refund Request Form
PDF template
A form for requesting cancellation or refund of construction permits from the Building Development Division.
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PURCHASE FORM
PDF template
Form for purchasing a parking permit at the University of Arizona with detailed terms and conditions for vehicle registration and RFID unit usage.
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PERMIT REFUND REQUEST FORM
PDF template
A form for requesting a refund for permits issued by the New Mexico Manufactured Housing Division with options for account credit or account closure.
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Permit Fee Refund Request Form
PDF template
A form for property owners to request a refund for permit fees with specific guidelines and approval process.
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Parking Permit Refund Request Form
PDF template
A form for students or staff to request a refund for a parking permit at the University of Wyoming
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Permit And Service Order Form
PDF template
A form for requesting parking permits and services at Indiana University Indianapolis, including payment and billing details.
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Introduction To Permix And FAQS
PDF template
Comprehensive guide explaining Permix, a web-based software and iPad application for storm water permit compliance tracking and reporting.
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CLAIM FORM
PDF template
Insurance claim form for students with international visa status, covering injury and medical claims.
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Personal Automobile Policy Forms And Endorsements
PDF template
Comprehensive reference guide for personal automobile insurance policy forms and endorsements across different states.
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Personal Effects Claim Form
PDF template
Insurance claim form for reporting loss, damage, or theft of personal items during travel, used to request compensation from Chubb insurance.
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PATIENT INJURYMEDICAL HISTORY FORM
PDF template
A comprehensive form documenting patient details and medical information following a vehicle accident.
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Personal Liability Release Form
PDF template
Liability release and consent form for student participants at the North Carolina Technology Student Association Regional Competitive Events Conference.
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Loss Or Damage Report Form Personal
PDF template
A comprehensive form for reporting property loss or damage claims to NFU Mutual, providing detailed instructions for claim submission.
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Personal Service Contract Invoice Form
PDF template
Detailed instructions for completing a personal service contract invoice form for a university, outlining key contract preparation guidelines.
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Personal Service Contract Invoice Form
PDF template
Instructions for completing a personal service contract, covering contract details, payment terms, and service specifications.
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Assumption Of Risk, Waiver And Release Of Liability, And Indemnity Agreement
PDF template
Legal document outlining risk assumption and liability release for personal training services and facility use.
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Personal Vehicle Travel Form
PDF template
A comprehensive travel safety and liability form for university clubs and organizations outlining driver and vehicle requirements.
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Patient Intake Form
PDF template
A comprehensive medical intake form for patients undergoing PET/CT imaging, collecting patient medical history, current health status, and pre-scan details.
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Registered Food Business Booking Form
PDF template
A form for registered food businesses to apply for a stall at the Malmesbury Carnival, including business details, insurance, food safety, and operational compliance.
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Pfizer EnCompass Enrollment Form For INFLECTRA And RUXIENCE
PDF template
Enrollment form for Pfizer medications with patient and insurance information collection for Inflectra and Ruxience prescriptions.
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Pfizer EnCompass Enrollment Form For INFLECTRA (Infliximab Dyyb) For Injection And RUXIENCE (Rituxim
PDF template
Enrollment form for patients seeking information and assistance for specific Pfizer medications, including insurance verification and potential co-pay assistance.
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Form PFL 1 Applying For Paid Family Leave Military
PDF template
A form for requesting paid family leave to assist family members of military personnel on active duty or impending active duty abroad.
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Proposal Form Motorcycle
PDF template
Insurance proposal form for motorcycle coverage by Liberty Insurance in Singapore, requiring detailed personal and driving information.
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General Liability Insurance Form Update (PGL1)
PDF template
Update to General Liability Insurance form allowing insurance agents and brokers to validate insurance documentation.
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ADEM NPDES Pesticide Adverse Incident Report Form
PDF template
Official form for reporting adverse incidents related to pesticide applications under NPDES permit regulations.
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Pharmacy Pre Authorization Form General Requests
PDF template
A form for healthcare providers to request pre-authorization for medication coverage from an insurance provider.
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Phase 2 Contract Preparation Checklist
PDF template
A comprehensive checklist for preparing contract documents for construction projects, detailing required documentation and submission process.
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Informed Consent, Release Agreement, And Authorization
PDF template
Legal document for participant consent and medical authorization for Boy Scouts of America activities, covering emergency medical treatment and risk acknowledgment.
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Photo Submission Release Form
PDF template
A form for photographers to submit photos of Fluvanna County for use in county publications, website, and social media.
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Prior Authorization Request Form
PDF template
A form for requesting prior authorization for specialty medical services through Positive Healthcare in California.
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Physical Therapy Overview
PDF template
Comprehensive overview of physical therapy services, treatment approaches, and insurance information for patients at a student health center.
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Sound Health Wellness Trust Physical Therapy Pre Authorization Request Form
PDF template
A medical form used to request pre-authorization for physical therapy services from Sound Health & Wellness Trust.
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In Home Care Permit Medical Affidavit Form
PDF template
A medical affidavit form used to apply for residential parking permits for individuals requiring healthcare-related parking accommodations.
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Digital Data License Agreement Standard
PDF template
A licensing agreement for accessing and using digital geographic information system (GIS) data from Piatt County, Illinois.
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Notice Of Claim For Short Term Disability Benefits
PDF template
A form for employees to file a claim for short-term disability benefits with insurance details and medical information.
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PLAN APPLICATION FORM
PDF template
Application form for building plan review and submission to the Kentucky Department of Housing, Buildings and Construction
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Dental AndOr Vision Option Election Form
PDF template
Form for electing dental and vision insurance coverage for retired laborers in Northern California.
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A Plan For Action On Climate Change
PDF template
A comprehensive strategy by MIT leadership to address climate change through research, collaboration, and engagement with industry and government.
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Planned Unit Development Conditional Use Permit Application
PDF template
Application form for new Planned Unit Development projects in Ketchum, Idaho, requiring comprehensive project details and documentation.
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CHRONIC ILLNESS BENEFIT APPLICATION FORM
PDF template
Application form for patients seeking chronic illness benefits through Platinum Health medical scheme, requiring detailed personal and medical information.
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PLAT COMPREHENSIVE CHRONIC ILLNESS BENEFIT APPLICATION FORM
PDF template
Application form for patients seeking chronic illness benefits from Platinum Health medical scheme, requiring detailed personal and medical information.
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Attending PhysicianS Statement Of Disability
PDF template
Medical form used by physicians to document and certify a patient's disability status and work limitations for insurance purposes.
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USAV YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
PDF template
Medical release and emergency contact form for youth and junior volleyball players participating in sanctioned competitions and practices.
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YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
PDF template
A comprehensive medical release and consent form for youth and junior volleyball players, detailing medical information, emergency contacts, and participation permissions.
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Professional Liability Insurance Form
PDF template
Insurance enrollment form for Texas retired teachers returning to work in public schools, providing professional liability coverage.
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PROFESSIONAL LIABILITY INSURANCE FORM
PDF template
Insurance application for retired teachers returning to work in public schools, providing professional liability coverage through the Texas Retired Teachers Association.
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Third Amended Opinion And Order
PDF template
Court document addressing a summary judgment motion regarding an alleged breach of collective bargaining agreement contributions under ERISA and Labor Management Relations Act.
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Plan Application Form
PDF template
Official form for submitting building plans and project details to the Kentucky Department of Housing, Buildings and Construction for review and approval.
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Commercial Plan Review Application Checklist
PDF template
Comprehensive checklist for submitting commercial construction project plans and documentation for permit review in the City of Corvallis, Oregon.
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Patient Intake Form
PDF template
Comprehensive medical intake form for collecting patient demographic, contact, insurance, and referral information for physical therapy services.
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Petroleum Restoration Program Guidance PO Cancellation AndOr Request For Replacement Site
PDF template
Guide for cancelling purchase orders or requesting replacement sites in the Petroleum Restoration Program when work cannot be completed.
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POLICY CHANGE FORM TEXAS AUTOMOBILE INSURANCE PLAN ASSOCIATION
PDF template
A form used to modify automobile insurance policy details, including vehicle and operator information for the Texas Automobile Insurance Plan Association.
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University Housing Policy And Procedures Manual Personal Liability Claims
PDF template
Guidelines for reporting and managing personal liability claims involving injury or property damage in university housing settings
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University Housing Policy And Procedures Manual Purchasing Information Technology Equipment
PDF template
Establishes procedures for requesting and purchasing information technology equipment within University Housing units.
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2.19. Travel And Business Expenses
PDF template
Policy detailing travel expense reimbursement and guidelines for authorized county travelers and employees.
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Accident Reports Policy
PDF template
Policy requiring employees to report workplace injuries within 24 hours and complete an accident report form to maintain insurance eligibility.
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Policy Change Form
PDF template
A comprehensive form for policyholders to request changes to their insurance coverage, including termination, dependent modifications, and benefit adjustments.
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Policy Change Form
PDF template
A comprehensive form for modifying insurance coverage, including terminating coverage, adding/removing dependents, and adjusting benefits.
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Policy Change Form
PDF template
A form used to modify insurance policy details including address, driver, vehicle, and coverage information.
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Policy Change Request
PDF template
A form for requesting changes to an existing insurance policy, to be submitted via fax or email to Richards Insurance.
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POLICYHOLDER REQUEST CHANGE FORM
PDF template
A form for policyholders to request changes to their insurance coverage, including name changes, beneficiary updates, and coverage modifications.
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Policy Change Form
PDF template
A comprehensive form for making changes to an existing insurance policy, including address, driver, vehicle, and coverage details.
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DriverS Declaration Form
PDF template
A form for adults who transport youth during diocesan events, requiring driver and vehicle details, license and insurance verification.
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Service Request
PDF template
Form for making changes to an insurance policy, including name, address, premium mode, and non-forfeiture options.
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Tier 1 Large Scale Renewables Program Request For Proposals RESRFP23 1
PDF template
Policy document outlining eligibility, termination conditions, and proposal submission requirements for renewable energy contract proposals.
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COUNTY OF POWHATAN EMPLOYEE HANDBOOK
PDF template
Comprehensive guide outlining employment policies, compensation, and benefits for Powhatan County employees.
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Pfizer Dermatology Patient Access Form
PDF template
A multi-page form for patient information, prescription selection, and insurance details for Pfizer dermatology medications.
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Prescription And Patient Support Enrollment Form
PDF template
Comprehensive patient enrollment form for Pfizer dermatology medications, capturing patient and insurance information for prescription support.
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TRUST PREFERRED PROVIDER ORGANIZATION (PPO) PROGRAM REFERRAL FORM
PDF template
A form for referring patients to non-PPO healthcare providers when services are medically necessary and not available within the TRUST network.
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Federal Highway Administration Form PR 1391
PDF template
Guidelines for contractors and subcontractors to complete the Federal Highway Administration reporting form for federal-aid projects.
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FCL Pre Authorization Form
PDF template
A medical insurance pre-authorization form for requesting approval of medical procedures and services
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Pre Authorization Form
PDF template
A form for requesting pre-authorization for medical procedures or treatments from GBG Assist insurance provider.
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Admission Request Note
PDF template
A comprehensive form for requesting medical admission and insurance coverage, capturing patient and medical details for hospital admission.
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Pre Authorization Form (PAF)
PDF template
A form used by insured members to request pre-approval for non-emergency hospitalization and medical procedures through Allianz EFU health insurance.
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Pre Authorization Form
PDF template
A form for requesting pre-authorization for medical procedures and treatments through TieCare insurance.
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Pre Authorization Form
PDF template
A form allowing credit card charges for medical services when insurance reimbursement is received.
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Predetermination Request Form
PDF template
A medical form used to request pre-approval for medical treatments, procedures, or services from a health insurance provider.
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Preferred Vendor Contract Feedback Form
PDF template
A form for campus departments to provide feedback on preferred vendor contracts and their performance across various evaluation criteria.
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BN 688 1117, Routine Pregnancy Claim Form
PDF template
A claim form for processing routine pregnancy and childbirth claims through American Fidelity Assurance Company.
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Policyholder Payroll Audit Report
PDF template
A comprehensive form for reporting payroll details, employee information, and subcontractor details for insurance policy purposes.
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Pre Project Safety Assessment Form
PDF template
A comprehensive safety assessment form for documenting potential hazards and permitting requirements for construction and renovation projects.
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APPLICATION For PREQUALIFICATION
PDF template
A form for contractors to provide evidence of qualifications for bidding on Massachusetts Department of Transportation (MassDOT) Highway Division projects.
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Contractor Prequalification Application Synthetic Turf Field Installation Projects
PDF template
Application for contractors seeking to bid on synthetic turf field installation projects for Fairfax County Public Schools, with prequalification requirements and submission guidelines.
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PRESCRIPTION AND SERVICE REQUEST FORM FOR CINQAIR (Reslizumab) Injection 100mg10mL
PDF template
Medical form for prescribing Cinqair medication, collecting patient and insurance information, and requesting support services.
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Prescription Claim Reimbursement Form
PDF template
A form for submitting prescription medication claims for reimbursement by a pharmacy services provider.
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Prescription Drug Claim Form
PDF template
A form for submitting prescription drug claims and receiving pharmacy benefits reimbursement.
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Prescription Drug Claim Form
PDF template
Form for members to request reimbursement for prescription medication expenses with various claim scenarios.
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Prescription Drug Claim Form
PDF template
A form for submitting prescription drug claims to Blue Cross Blue Shield for reimbursement or processing.
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Prescription Pre Authorization Request Form
PDF template
A medical form used to request pre-authorization for prescription medications from Sound Health & Wellness Trust.
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Prescription Drug Reimbursement Form
PDF template
Form for submitting prescription drug reimbursement claims to an insurance provider, including details about medication and patient information.
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PRESCRIPTION AND ENROLLMENT FORM
PDF template
A comprehensive form for patients to provide personal, insurance, and healthcare provider information for medical enrollment purposes.
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Prescription Drug Reimbursement Form
PDF template
Form for submitting prescription drug reimbursement claims, including patient and pharmacy information, with certification of medication receipt and eligibility.
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Prescription Drug Reimbursement Form
PDF template
A form for submitting prescription drug reimbursement claims with patient, pharmacy, and member information.
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Facility License Agreement Presidents Hall
PDF template
A legal contract for licensing the Presidents Hall facility at Indiana University for an event, detailing rental terms, charges, and authorization requirements.
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PCP CHANGE February 2014
PDF template
A form for members of Health Plan of San Mateo (HPSM) health insurance programs to select or change their primary care physician and update their address.
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Referral Form Submission Instructions
PDF template
Comprehensive instructions for submitting medical referrals including patient demographics, service details, and pre-authorization requirements.
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Member Refund Request Form
PDF template
A form for members to request refunds for medical expenses through Prime Cure medical scheme.
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PRINTING WAIVER FORM
PDF template
A form used to request approval for using a printing vendor not on the pre-approved vendor list for procurement services.
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PROPERTY SELF INSURANCE PROGRAM TRANSIT (BUS 28 COVERAGE C) PRIOR APPROVAL FORM
PDF template
A form for prior approval of property shipments over $100,000 or involving household moves under the University of California's self-insurance program.
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Data Protection Consent Form For Consulting And Support
PDF template
A document outlining how Swiss Life processes personal data for consulting and support purposes, with details on privacy protection and data handling.
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Online Privacy Policy Agreement
PDF template
Privacy policy detailing data collection, usage, and user rights for Harpenau Insurance's online services and website.
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Application For Private RoadDriveway
PDF template
Official form for applying for a private driveway permit in Elmore County, Idaho, detailing property and road access information.
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PRIVATE PROPERTY INSURANCE Terms And Conditions No. 0801.01
PDF template
Insurance terms and conditions for real estate, moveable property, and third-party liability insurance provided by BTA Baltic Insurance Company.
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Proposed Amendments N.J.A.C. 114 40.2 And 43.3
PDF template
Proposed regulatory changes for life insurance, annuity, and variable contract form filing requirements in New Jersey.
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Process Number Cancellation Request
PDF template
A form used to request cancellation of a building permit process in the City of Doral, Florida
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SOLICITOR PERMITS PROCEDURE
PDF template
Detailed procedure for obtaining, renewing, and canceling solicitor permits with specific requirements for application, bonding, and compliance.
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Declaration Re Compliance With 5 GCA 5150
PDF template
A legal declaration by a procurement officer certifying compliance with procurement cost and legal consultation requirements.
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Declaration Re Compliance With 5 GCA 5150
PDF template
A legal declaration by a procurement officer certifying compliance with procurement regulations and legal advisory requirements for contracts over $500,000.
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Campus Procurement Annual Accessibility Report Academic Year 1213
PDF template
Annual report detailing the development of Section 508 compliance processes and procedures for procurement activities.
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Introduction To Procurement
PDF template
A comprehensive guide explaining MIT's procurement process, policies, and best practices for purchasing goods and services.
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Vendor Complaint Form
PDF template
A form for filing complaints related to vendor services, contracts, and procurement issues at Old Dominion University.
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Small Purchase Form
PDF template
Documentation of small purchase procurement for ServicePoint software licenses from Bowman Systems, LLC for homeless management information system.
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Political Contribution Disclosure Form
PDF template
Form for disclosing political contributions by vendors when bidding on or renewing contracts with an authority.
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Producer Controlled Insurer Information Report Form
PDF template
Annual reporting form for property and casualty insurers detailing producer relationships and financial information
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Producer Appointment Request Form
PDF template
A form used by insurance professionals to request appointment as a producer, requiring personal and professional background information.
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Producer Artist Agreement Contract
PDF template
A legal contract defining the terms of collaboration between a music producer and an artist, covering rights, royalties, and collaboration parameters.
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CASSCA VOLUNTEER REQUEST FORM
PDF template
A volunteer agreement form for students participating in a university activity, outlining responsibilities and liability waivers.
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Important Notices To The Applicant
PDF template
Legal notice outlining an applicant's duty of disclosure when applying for a general insurance contract, including potential consequences of non-disclosure.
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Professional Services Consultant Invoice Form
PDF template
Invoice form for professional services consultants working with the Georgia Department of Transportation (GDOT)
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State Of Minnesota Professional And Technical Services Contract
PDF template
A standard contract template for professional and technical services between the State of Minnesota and a contractor, outlining terms and conditions of service engagement.
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2025 Plan Year Draft QIS Progress Report Form
PDF template
A form for healthcare issuers to report on their quality improvement strategy progress for the 2025 plan year.
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We Mean Green Fund Project Approval Form
PDF template
A document for project leaders to obtain departmental approval and support for a proposed project through the We Mean Green Fund.
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Project Submission Form
PDF template
A form for submitting project details to the Fort Bend County Drainage District for review and approval.
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Discipline ContractEmergency Contact Form For JuniorSenior Prom
PDF template
A contract and emergency contact form for students and their guests attending the high school junior/senior prom, outlining behavior expectations and contact information.
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Disability Claim Form
PDF template
A comprehensive form for employees to file a disability claim, documenting medical condition, work status, and physician certification.
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Proof Of Insurance Form
PDF template
Form for verifying medical and emergency insurance coverage for students, faculty, and staff traveling internationally.
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Proof Of Insurance Form
PDF template
Official document used to verify vehicle insurance coverage at the time of an offense in Ohio.
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Illinois Department Of Insurance Consumer Complaint Form
PDF template
Official form for filing insurance-related complaints with the Illinois Department of Insurance for auto, home, property, or commercial insurance issues.
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Risk Management Property Damage Claim Form
PDF template
A form for reporting and documenting property damage incidents within an organization's risk management process.
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PROPERTY DAMAGE REPORT FORM
PDF template
A comprehensive form for documenting property damage incidents, including details about the loss, damaged property, and involved parties.
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Property Damage Report Form (Other Than Auto)
PDF template
A detailed form for reporting property damage incidents, capturing details about the damage, location, type of loss, and estimated costs.
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PROPERTY INVENTORY FORM
PDF template
A form for documenting property details, purchase information, and valuation for insurance claim purposes
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PROPERTY INVENTORY FORM
PDF template
A comprehensive form for documenting credit cards, vehicles, and theft-prone items for personal record-keeping and potential insurance purposes.
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Property Inventory Record
PDF template
A comprehensive form for documenting personal belongings, their details, and values to assist in potential theft or loss scenarios.
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Property OwnerS Authorization Form
PDF template
A form allowing property owners to grant permission for specific uses of their property by another party.
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Property Owner Consent Form
PDF template
A form authorizing a legal representative to act on behalf of a property owner for various environmental health permit applications in Buncombe County, North Carolina.
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Proposal Form
PDF template
A construction proposal form for a project with the Tulalip Tribes Housing Department, including bid details and contract terms.
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PROPOSAL FORM QUICK QUOTE FORM
PDF template
Insurance proposal form for taxi businesses covering 1-4 vehicles, detailing duty of disclosure and personal information handling.
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Proposal Form 00300
PDF template
A standardized form for submitting construction project proposals to Mississippi State University's Office of Procurement and Contracts.
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PolicyholderS Change And Service Request
PDF template
A form for making changes to a life insurance policy, including coverage modifications, beneficiary updates, and contact information changes.
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Patient Referral Form
PDF template
A referral form for dental patients seeking prosthodontic or general dentistry services at a dental practice or clinic.
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Provider Doctor Claim Inquiry
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Provider ContractAmendment Inquiry Form
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Form for healthcare providers to join AmeriHealth Caritas Florida's network across multiple health plan options
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Provider Inquiry Form
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SE 2020 PRISM Format
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Group Disability Insurance Disability Claim Instructions
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Personal Services Agreement Honorarium Request Form
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A form for requesting and documenting personal services at Eastern Connecticut State University for payments of $5,000 or less.
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Personal Service Contract Invoice Form
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A standardized invoice form for personal service contracts within the Kentucky government, requiring detailed documentation of services and expenses.
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PERSONAL SERVICE CONTRACT INVOICE FORM
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A standardized invoice form for personal service contracts requiring submission to the Government Contract Review Committee under Kentucky law.
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Personal Service Contract Invoice Form
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Official form for submitting invoices for personal service contracts to the Government Contract Review Committee, as required by Kentucky state law.
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PERSONAL SERVICE CONTRACT INVOICE FORM
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Official form for submitting invoices for personal service contracts with government agencies, requiring detailed documentation of services and expenses.
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Environment, Health Safety Compliance Form
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A comprehensive safety training and compliance document for personnel working with potentially hazardous chemicals in laboratory settings at MIT.
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RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT
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Legal document waiving rights and releasing organizations from liability for participation in military community recreation activities.
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RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT PSP Recreation Programs
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Legal document waiving rights and releasing Canadian Forces Morale and Welfare Services from liability for recreational program participation
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PSUUSNH Procurement Contract Cover Sheet
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A contract cover sheet for tracking and processing procurement contracts at Plymouth State University
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Vehicle Registration And Parking Permit Form
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Form for registering vehicles and obtaining parking permits for Rider University campuses.
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PATIENT INTAKE FORM
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Paul Tickner Safaris Booking Form
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A comprehensive booking form for travelers registering for a safari expedition, collecting personal and travel details.
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Understanding Our Mutual Obligations For Dental Insurance
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A document explaining dental insurance benefits, patient obligations, and the relationship between dental practice and insurance providers.
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NEW FACULTYSTAFF VEHICLE REGISTRATION FORM
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CPL Public Waters Project Form
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Real Estate Purchase Contract
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Medical Service Authorization Request Form
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Short Term Disability Claim Form
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Velodrome Authorized Motor Vehicle Registration
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A registration form for motor-pacers seeking authorization to enter the velodrome with specific vehicle and insurance requirements.
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Request For Proposals Mass Media Buying Agency
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Formal request for proposals from media buying agencies by Harper College for professional services and contract Q01097.
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4 QA 1617 06 RFQ General Contractor
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Questions And Answers Regarding Parental Consent And Notification Requirements For Access To Public
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Guidance document explaining parental consent requirements for accessing public benefits and insurance programs for students with disabilities.
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DBPR EL 4504 Employee Leasing Company Quarterly Report Form
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Quarterly reporting form for employee leasing companies in Florida, detailing financial and insurance compliance requirements.
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Accident Waiver And Release Of Liability Form
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Legal document releasing Luvin Arms Animal Sanctuary from liability during volunteer activities and sanctuary visits.
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Artist Waiver Form For Alumni Art Exhibit
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Waiver form for artists submitting artwork to an alumni art exhibit, outlining submission requirements and liability terms.
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Disability Form
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5K Race Waiver For Runners, Walkers And Mixed Teams
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Legal waiver for participants in a 5K run/walk event, releasing organizers from liability and acknowledging physical risks.
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PATIENT INTAKE FORM
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A comprehensive patient intake form collecting personal, contact, insurance, and medical authorization details for healthcare services.
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ARCHITECTS AND ENGINEERS PROFESSIONAL LIABILITY INSURANCE APPLICATION
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An insurance application form for architects and engineers to obtain professional liability coverage through a claims made and reported policy.
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RBC Proposal Form
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A proposal form for submitting changes to risk-based capital methodology and documentation for insurance regulators.
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RBC Proposal Form
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Proposal form for submitting changes to Risk-Based Capital (RBC) regulations and instructions across different insurance sectors.
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Maintenance And Repair Services Contract Template User Guide
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A comprehensive guide for Local Housing Authorities on preparing and procuring maintenance and repair service contracts for specific trades.
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A RESOLUTION OF THE TOWNSHIP OF NORTH BRUNSWICK ACCEPTING AND ADOPTING THE CENTRAL JERSEY MUNICIPAL
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A township resolution adopting the Central Jersey Municipal Joint Insurance Fund's 2024 Safety Incentive Program to ensure workplace safety and compliance.
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Rawls College Of Business Incident Report Template Guidelines
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RC SERVICE AGREEMENT FORM
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Form for submitting emergency vehicle repair claims under a service agreement warranty.
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Form 6 Coefficient Price Proposal Form
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Form 6 Coefficient Price Proposal Form
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Real Estate Agreement Form
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Release Of Liability, Assumption Of Risk, And Indemnity Agreement
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Legal document releasing liability for participation in an event, assuming risks, and indemnifying the event organizers.
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REFERRAL CONTRACT FORM REALTOR
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A contract between real estate brokers/agents for referring clients and managing referral fees for real estate transactions.
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Electronic Commerce Agreement
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A United Nations recommendation providing guidelines and framework for electronic commerce agreements and legal considerations.
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Recreation Contractor Service Agreement
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A service agreement between Bainbridge Island Metropolitan Park & Recreation District and a recreational service contractor for providing instructional services.
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Recommended County Sponsored Legislative Proposal Form
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A form for proposing and documenting state legislative proposals sponsored by a county government.
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Record Of Employment
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STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION LOCAL AGENCY PROGRAM (LAP) RECORD OF FINAL PLANS AND D
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Volunteer Registration Form
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Registration form for volunteers with Carroll County Department of Recreation & Parks, including liability waiver and background check requirements.
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Recreation Insurance Form
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Insurance form for participants in the Hammonton Recreation Program, covering medical liability and insurance information.
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Frenchtown Charter Township Parks Pavilion Permit
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Permit and regulations for renting park pavilions in Frenchtown Charter Township, detailing usage rules and requirements.
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Automatic Recurring Payment Agreement
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A contract detailing terms and conditions for automatic recurring payments to the State Bar of Wisconsin.
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20 Basic Contract Provisions And Disclosures In A Residential Real Estate Transaction
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A comprehensive overview of the key steps and forms involved in a typical residential real estate sale transaction in California.
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SCAN Referral Authorization Request Form
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A medical service referral and authorization form for SCAN Health Plan to request prior approval for medical services or procedures
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Aetna Better Health Of Florida Referral Form
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A referral form for healthcare providers to refer patients to specialists or diagnostic services within the Aetna Better Health of Florida network.
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Referral Form
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A form used by healthcare providers to refer a patient to another medical professional or service for specialized care or consultation.
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COMMUNITYCARE REFERRALAUTHORIZATION FORM
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A medical referral and authorization form for Medicaid patients seeking healthcare services through the CommunityCARE program
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Referral Form CT Endoscopy
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A comprehensive referral form for veterinary diagnostic procedures including CT scan, endoscopy, and internal medicine consultation.
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Client Referral Form
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A comprehensive form for collecting client personal, contact, insurance, and referral information for healthcare or social services.
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Referral Form
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A comprehensive patient referral form for healthcare services with sections for patient information, insurance details, referral source, and service needs.
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Sutter Specialty Services Referral Form
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A referral form for patients seeking specialty medical services through Sutter Health network with detailed patient, physician, and insurance information.
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EDRC 253 REFERRAL FORM
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Comprehensive medical referral form used to collect patient demographics, insurance information, and clinical details for healthcare services.
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JUDICIAL COUNCIL OF CALIFORNIA STANDARD AGREEMENT COVERSHEET
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Standard agreement between Judicial Council of California and ABC Consulting Company for environmental consulting services with work orders.
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RCM Contractor Input Form
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A form for collecting detailed information about contractors, including company details, contact information, and technician certification levels.
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HSD Property Control Contractor Form C 063 IT
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Form for tracking and managing transfer, donation, destruction, or recycling of IT equipment valued under $5,000
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Parking Ticket Fee Refund Procedure
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Guidelines for obtaining refunds on parking permits and fees for university parking services, detailing full and prorated refund conditions.
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Refund Request Form
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A form for requesting a refund for permit-related payments from the City of Port Orchard's Permit Center.
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Refund Request Form
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A form for requesting a refund for public works permit and application fees with specific refund policy guidelines.
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Refund Request Form State Employees
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A form for state employees to request refunds of insurance premium overpayments with W-2 tax adjustment provisions.
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PARKING PERMIT REFUND REQUEST FORM
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A form for university students and employees to request a refund for a parking permit under specific terms and conditions.
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Procedures For Refunds Cancellations
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Official document outlining procedures and conditions for obtaining refunds and cancelling permits for building and construction permits.
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REFUSE Insurance Form INTERNATIONAL
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Form for international students to waive mandatory student insurance by providing alternative coverage documentation.
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REFUSE Insurance Form (Montana Medicaid)
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A form for students to waive student health insurance coverage and acknowledge non-coverage by Montana Medicaid at the Curry Health Center.
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REFUSE Insurance Form (U.S. Citizens)
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A form for students to declare existing private health insurance coverage and waive university-provided insurance requirements.
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Regence BlueShield Incident Report
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A form for reporting medical incidents or injuries that may affect insurance claims processing for Regence BlueShield in Washington State.
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MEMBER REIMBURSEMENT FORM
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A comprehensive form for members to submit healthcare service reimbursement claims, including details about patient, services, and insurance coverage.
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Member Reimbursement Form
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A comprehensive form for members to submit healthcare service reimbursement claims, including details about patient, services, and coverage.
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REGISTRATION FORM
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A comprehensive registration form for recreational activities that collects participant and emergency contact information, including liability waivers and medical consent.
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LSA LSC Adult Soccer Medical Release Form And Waiver Hold Harmless Agreement
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Medical release form and liability waiver for adult soccer players detailing personal and emergency contact information and medical consent.
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LSA LSC Youth Soccer Medical Release Form And Waiver Hold Harmless Agreement
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Medical release and consent form for youth soccer players, including emergency contact and medical information
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Recreation Program Registration Form
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Registration form for participating in recreation programs, collecting participant and emergency contact information and including a liability release.
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Insurance Referral And Financial Responsibility Form
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A document outlining patient insurance participation, referral requirements, and financial responsibilities for medical services at Eye Associates of Utica.
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Guidelines For Reimbursement Of NAIC Travel Expenses
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Detailed policy outlining travel expense reimbursement procedures for NAIC-related travel and eligible participants.
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Reimbursement Of Orthodontic Expenses
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Guidelines for reimbursing orthodontic expenses based on IRS rules and service agreements, detailing monthly reimbursement processes.
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Release And Indemnification Agreement For Minors
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A legal document granting parental permission for minor's participation in Bay View activities and waiving liability for potential injuries or damages.
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Release And Indemnification Agreement For Minors
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A legal document granting parental permission for minor participation in Bay View activities and waiving liability for potential injuries or damages.
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RELEASE AND INDEMNIFICATION AGREEMENT FORM UTRGV CELLO FESTIVAL
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A legal document releasing the institution from liability for potential injuries or damages during participation in the Cello Festival event.
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Salk Institute Volunteer Waiver
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Legal document waiving liability for volunteers participating in Salk Science and Music Series event, assuming all risks of participation.
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Participant Liability Release And Waiver Form
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A comprehensive liability release form for participants in cheer and dance events, covering personal and minor participant involvement.
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Volunteer Signup
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A legal document outlining liability release and waiver for volunteers participating in Next Step STORM activities.
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Show Me Acro LLC Release Form
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Registration and liability release form for students participating in gymnastics and performing arts programs at Show-Me Acro LLC.
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Agreement And Release Of Liability Form
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A legal document that releases Ohio University from liability for potential injuries during a university-sponsored program or camp.
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North Shore Winter Club Release Agreement
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Legal document waiving claims and assuming risks for participation in club activities, specifically hockey-related events.
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North Shore Winter Club Release Agreement
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Legal document waiving rights to sue or claim compensation for potential injuries or damages during club activities.
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Release Of Liability, Waiver Of Claims, Assumption Of Risks And Indemnity Agreement
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Legal document waiving rights and assuming risks for participation in gymnastics activities with Gymnastics BC.
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Off Campus Event Policy Form 2
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A legal document releasing California State University, Fresno from liability for potential risks during off-campus academic events.
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Release Of Liability And Accident Waiver Form
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Legal document releasing liability for participants in log construction training activities, covering potential risks and injuries.
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RELEASE OF LIABILITY, PROMISE NOT TO SUE, ASSUMPTION OF RISK AND AGREEMENT TO PAY CLAIMS
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Legal document releasing California State University, Fullerton from liability for potential injuries or damages during an activity or related travel.
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HCC Risk Management Student Waiver Form
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A comprehensive liability waiver and release form for students participating in domestic travel programs through Houston Community College.
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Contract Of Release And Waiver Of Liability
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A legal document releasing liability for participants in military-style training activities with acknowledgment of inherent risks.
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Permit Renewal Request
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A form for renewing building permits in Palm Beach County, used by property owners or contractors to extend an existing permit's validity.
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PROP LEASERENTAL AGREEMENT TERMS CONDITIONS
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Rental Agreement
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A rental agreement for municipal facilities in Norwood Young America, covering event space rental, fees, and policies
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Rental Agreement Form
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A rental agreement form for skiing and snowboarding equipment rental, including personal information and liability waiver.
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Pavilion Rental Agreement
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Comprehensive rental agreement for pavilion facilities in Norwood Young America, covering fees, deposits, event details, and alcohol regulations.
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Rental Agreement Form
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A rental form for equipment rental from Cirrus Research plc, covering terms of equipment usage and insurance responsibilities.
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Rental Agreement
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Legal document outlining rental terms, responsibilities, and liability waivers for equipment rental from Above All Party Rentals.
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Wellesley Public Schools Rental Agreement
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Comprehensive terms and conditions for renting school facilities in Wellesley, including payment, permit, and insurance requirements.
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HSNC Facility Usage Form And Contract
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Facility rental policy and usage contract for a non-profit organization's main hall and temple facilities
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UUMAN Building Rental Contract
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A contract for renting building spaces and facilities at the Unitarian Universalist Metro Atlanta North (UUMAN) church location in Roswell, GA.
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Rental Declaration Form
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City of Vancouver form for declaring existing rental housing status during property development or demolition permit applications.
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Mountain High Online Rental Form
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A liability release and rental agreement form for ski and snowboard equipment rental at Mountain High resort.
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Equipment Rental Agreement
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A rental agreement for leasing equipment between Filmmatt Cinema LLC and a client, detailing terms, payments, and conditions.
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Chikaming Township Rental Program Permit Application Packet
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Application packet for registering rental properties in Chikaming Township, outlining requirements and documentation needed for rental permits.
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Town House School Guidelines Rental Agreement Form
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Rental guidelines and agreement for the Town House School facility managed by Kennebunkport Historical Society, detailing usage rules and responsibilities.
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Rent To Own Contract Purchase Option Contract
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A contract providing an option to purchase a property through a rent-to-own arrangement with specific terms and conditions.
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Waiver Report PUBLISH
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Report seeking approval to waive contract procedure rules for maintenance and upgrade of library RFID self-service equipment.
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Reporting Accidents
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Procedure for reporting and documenting accidents that occur on school property or at school-sponsored events.
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Request For Mexican Automobile Insurance
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Form for obtaining Mexican automobile insurance for UC Santa Barbara vehicles traveling to Mexico, as required by Mexican law.
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PolicyCertificate Information Updates
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A form for updating policy details, mailing address, and beneficiary information with Washington National Insurance Company.
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Request For Copy Of Military Discharge Form
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A county-level form for requesting a copy of a military discharge document with personal identification requirements.
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Request For Certificate Of General Liability Insurance
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A form for Boy Scouts of America units to request a general liability insurance certificate for authorized activities.
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REQUEST FOR POLICY CHANGE FORM
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A form for requesting changes to an existing insurance policy with Pacific Life Assurance Co., Ltd.
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Request For Reimbursement From FSA Or HRA Form
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A form used to request reimbursement for eligible healthcare and dependent care expenses through a Flexible Spending Account (FSA) or Health Reimbursement Arrangement (HRA)
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Aflac Benefit Services Request For Reimbursement Form
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A form for requesting reimbursement from a Flexible Spending Account (FSA) for medical care expenses.
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Request For Reinstatement Of Policy Contract
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A form for requesting reinstatement of an insurance policy, requiring detailed personal and medical information.
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Refund Request Form
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A form for requesting refunds for film production permit-related expenses from FilmLA.
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Request For UC Certificate Of Insurance
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A form used by University of California departments to obtain a certificate of insurance for agreements, contracts, or permits.
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RequisitionPre Authorization Form
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A form for requesting additional medical testing at Regional Medical Laboratory, including patient and insurance information verification.
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Imbak Canyon Conservation Area Research Application Flow Chart
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Detailed step-by-step procedural guide for researchers seeking to conduct studies in the Imbak Canyon Conservation Area in Sabah, Malaysia.
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Maliau Basin Conservation Area Research Application Flow Chart
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Comprehensive flow chart detailing research application and approval steps for conducting scientific research in the Maliau Basin Conservation Area.
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Request For Research Contract Review
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A form for submitting research contract review requests, including details about the study, ethics status, and contract type.
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Residence Hall Contract Cancellation Form
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A form for students to formally cancel their residence hall contract with detailed personal and contact information
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Residential Development Permit
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A permit application for residential development and construction projects within the City of Pendleton, Oregon.
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AireBeam 1 RES Year Agreement
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A 12-month legally binding internet service agreement detailing terms, equipment usage, and account management for AireBeam customers.
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AireBeam 1 RES Year Agreement
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A 12-month legally binding internet service agreement between AireBeam and the customer, outlining service terms, equipment usage, and account management policies.
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AGREEMENT OF LEASE OF RESIDENCE
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A legal document outlining the terms and conditions of a residential lease between a lessor and lessee.
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Residential MLS Committee Minimum Requirements For Submitting Listings
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Comprehensive guidelines for real estate agents submitting property listings to a Multiple Listing Service (MLS) with detailed contract requirements.
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ResidentResponsible Party Agreement
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Comprehensive agreement for billing, payment, and medication authorization for a senior living resident
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Resolution 2015 01 Confidentiality Of Benefits And Insurance Information
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A resolution establishing guidelines for accessing and protecting confidential benefits and insurance information in compliance with federal privacy laws.
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Resolution No. 2066
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A city resolution authorizing a contract with BacGen Technologies for energy efficiency upgrades at the Wilsonville Wastewater Treatment Plant.
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UNHCE County Advisory Council Program Feedback Form
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A form for collecting feedback on UNH Cooperative Extension county programs and their effectiveness in meeting local needs.
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RESPITE INVOICE
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Invoice form for independent contract providers of respite care services, used to document and bill for care services provided.
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PRIME CONTRACTOR RESPONSE RESPONSIBLE CONTRACTOR VERIFICATION AND CERTIFICATION OF COMPLIANCE
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Official form for verifying contractor eligibility and compliance with Minnesota state regulations for construction contracts.
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Restitution Inquiry Form
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Official form for victims to provide details about a case for potential restitution processing by the Jefferson County Attorney's Office.
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Retail Prescription Drug Claim Form
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Claim form for federal employees and retirees to submit prescription drug expenses for reimbursement.
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Retainer Agreement Example
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A contract where a client prepays a professional for services to be rendered over a specified time period, providing guaranteed income and service assurance.
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AIA Contract Documents Retired Documents
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Comprehensive list of retired AIA construction contract agreement documents and their historical editions
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Dental AndOr Vision Option Election Form
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Form for electing optional dental and vision insurance coverage for retired laborers.
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Enrollment Form
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Insurance enrollment form for University of California employees and retirees seeking accidental death and dismemberment coverage through Prudential Insurance
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RETIREE HEALTH COVERAGE CONTACT FORM
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A form for collecting updated contact and personal information for retirees to maintain health coverage communication.
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Retiree Death Benefit Program Highlights
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A death benefit program offering $1,000 to $10,000 in coverage for retirees and spouses with guaranteed issue and fixed rates.
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RETIREE DENTAL VISION ENROLLMENT FORM
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Form for retirees to enroll in dental and vision insurance coverage through Emory Benefit Plans.
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Reimbursement Form
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A form for requesting reimbursement for medical care, supplies, and healthcare expenses from an insurance provider.
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Faculty And Staff Retirement Checklist
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A comprehensive guide for faculty and staff retirement preparation at Seminole State College, outlining key steps for retiring employees.
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Faculty And Staff Retirement Checklist
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Comprehensive retirement checklist for Seminole State College faculty and staff, providing step-by-step instructions for retirement planning and documentation.
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Retirement Plan And Disability Waiver Form
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Form for waiving waiting period for retirement and disability coverage when transferring employment to Northeastern
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Retirements And Retiree Benefits
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Comprehensive guide for Pittsburg State University employees detailing retirement eligibility, benefits, and process for retiring staff and faculty.
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Direct Reimbursement Claim Form
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A form for submitting vision care service reimbursement claims for out-of-network providers through Davis Vision.
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Accessible Parking Form
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Application form for students with disabilities seeking a parking permit that allows accessible parking on campus.
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Parking Permit Vehicle Registration Form
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Official form for registering vehicles and obtaining parking permits at Benedictine University, outlining parking regulations and requirements.
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Sales Agreement For Services
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A standard services agreement between a purchaser and the Research Corporation of the University of Hawaii for professional services.
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SALES AGREEMENT
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A sales agreement between a purchaser and the Research Corporation of the University of Hawaii, outlining services, compensation, and performance terms.
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Physical Activity Participation Waiver
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A liability waiver and consent form for participants in an online physical activity program, addressing risks and electronic communication consent.
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Tree Removal Stump GrindingRemoval Bid Tabulation Sheet
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Bid document comparing multiple vendors for tree removal and stump grinding services
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DESIGN PROFESSIONAL SERVICES CONTRACT
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A contract between Siskiyou County Flood Control and Water District and an unnamed contractor for professional design services.
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REQUEST FOR PROPOSAL Installation Contractor Partner Refrigeration (RFP 22 203)
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Request for proposals from contractors to partner with Redwood Coast Energy Authority for refrigeration installation services.
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Application For Licensed Roofing Contractor
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Official application form for obtaining a roofing contractor license in Illinois, with options for limited and unlimited roofing licenses.
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Owner Controlled Insurance Program (OCIP) Manual
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A comprehensive manual detailing insurance program requirements and responsibilities for the New Ukiah Courthouse construction project.
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Managed Service Provider Request For Proposal
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Request for Proposal for selecting a Managed IT Services Provider for a school district serving approximately 520 students.
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Request For Proposals Management Contract For Oversight Of Aviation And Related Activities At Cape C
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Request for proposals seeking qualified individuals or management companies to manage aviation activities at Cape Cod Airfield in Marston's Mills, Massachusetts.
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ConsultantContractor Services Agreement
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A service agreement between Golden Sierra Job Training Agency and a contractor defining terms of professional services, compensation, and contract duration.
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GRAIN WAREHOUSE CERTIFICATE OF INSURANCE FORM NO. RGW 302
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Instructions for completing a certificate of insurance for public grain warehouses in Texas, required for licensing and compliance.
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Multi Unit Purchase And Sales Agreement
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A legal agreement outlining the terms and conditions for purchasing a multi-unit property in Rhode Island.
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VantageCare RHS Plan Claim Form
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Form for submitting medical expense reimbursement claims to the VantageCare RHS Plan administered by Meritain Health.
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Volunteer Agreement Form
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Legal document outlining volunteer responsibilities and liability waivers for Rimrock Humane Society volunteers.
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PARENTAL CONSENT FORM (RIDERS)
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Application And Permit To Construct, Operate, Use AndOr Maintain Within The City Of Tawas City Right
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Permit application for construction, operation, use, or maintenance of improvements within city right-of-way or public easement in Tawas City, Michigan.
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Right Of Way Permit Request Form
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RINGETTE BC MEDICAL FORM
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Liability Waiver And Release Form (Minor Child)
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Retiree Health Care Cancellation Form
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Texas AM University San Antonio Risk Assessment Matrix
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Texas AM International University Risk Management And Insurance Matrix
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A comprehensive matrix for identifying, assessing, and managing potential risks associated with university activities.
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Unconditional And Full General Release And Covenant Not To Sue
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A legal release form for participants of a university-sponsored trip, waiving liability and acknowledging risks.
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Risk Management Policy
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A policy to protect the interests of Associated Students, Inc. by providing a safe environment and managing organizational risks.
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Accident Claim Form
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A claim form for submitting accident-related insurance claims with specific filing instructions and requirements.
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4 H Risk Management Checklist For Meetings And Events
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A comprehensive checklist for identifying and managing potential risks in 4-H meetings and events to ensure participant safety.
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IncidentAccident Report Form
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NAIC Uniform Risk Retention Group Registration Form
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Official registration form for Risk Retention Groups operating under the Federal Liability Risk Retention Act of 1986
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Protection Declaration Form
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Insurance declaration form for policy underwriting with specific provisions for cancer survivors applying for mortgage protection insurance.
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Insurance Bill Requisition Form
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Insurance Bill Requisition Form
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RM 41 Risk Management Property Insurance Claim Form
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Activity Liability Waiver And Release Agreement
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Legal document for students to acknowledge risks and release liability for participating in college-sponsored activities or events.
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West Virginia Records Management And Preservation Board Grant Guidelines
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Guidelines for county offices to apply for grants to manage and preserve county records in West Virginia for fiscal year 2023-24.
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Faulkner County Road Inspection Form
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Greenville CountyS Road Inventory Form
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Court Opinion Pichey V. Ameritech Interactive Media Services, Inc.
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Legal document detailing a breach of contract lawsuit filed by Robert and Patricia Pichey against Ameritech Interactive Media Services regarding internet advertising services.
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RoboCamp RIT Medical And Health Insurance Form
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Comprehensive medical history and health information form for students attending RoboCamp at RIT
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Consulting Agreement
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A template agreement defining consulting services, responsibilities, and engagement terms between a company and a consultant.
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Rock Wall Waiver Form
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Liability waiver and rules of conduct for participants using the rock climbing wall at Hulsey Wellness Center.
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PERMITFACILITY USE AGREEMENT WEED COMMUNITY CENTER
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Community Room Rental Agreement Form And Payment
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Release Of Liability, Waiver Of Claims, Assumption Of Risks And Indemnity Agreement
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ROUTE SURVEY FORM PF 16A
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Physical Route Survey Form For Oversize Loads
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Berkeley Unified School District Routing Form For Contract, MOU And Amendment Approval
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Right Of Way Contractor Account Information
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ROW And FOP Contractor Requirements
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Detailed requirements for contractors seeking to work on right-of-way and fiber optic projects in the City of Lincoln.
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Patient Intake Form
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Confidential form for collecting comprehensive patient personal, medical, work, and insurance information for physical therapy services.
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EXHIBIT B MANAGEMENT PROPOSAL FORM
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DEPARTMENTAL INPUT CONTRACTPROJECT MEASURE ANALYSIS AND RECOMMENDATION
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Solicitation for a contractor to ensure operational performance of Miami International Airport's public safety infrastructure and operational needs.
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Hospice Referral Form
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A comprehensive form for initiating hospice care referral, collecting patient medical, personal, and insurance information.
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NEW PATIENT REGISTRATION FORM
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Comprehensive medical intake form for new patients, including personal information, insurance details, and arbitration agreement.
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Motor Vehicle Procedure Manual Registration Commercial Motor Vehicle Insurance
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Official procedure manual for collecting and managing commercial motor vehicle insurance requirements in Florida.
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Group LTD Insurance Cancellation Form
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Form for employees to cancel voluntary long-term disability insurance coverage at the University of Tennessee
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Application For Benefits Fraud Warning
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Legal document providing state-specific warnings about insurance claim fraud and potential criminal penalties for false claims.
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Individual Travel RegistrationWaiver Form
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Buy Sell Agreement
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Legal contract for the purchase and sale of real property in Montana, detailing terms of sale and property transfer.
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Participant And Volunteer Accident Waiver And Release Of Liability
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A legal document releasing liability for participants and volunteers in a bicycle riding event, outlining risks and assumption of responsibility.
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Insurance Form Number One
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Administrative rules governing insurance forms used by the State Fire Marshal for fire loss reporting and information requests.
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Kosciusko County 4 H Proposed Rule Change Submission Form
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A form for submitting proposed changes to existing 4-H rules in Kosciusko County, allowing members to suggest modifications, deletions, or new rules.
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Rules Of Communications Service Provision By PJSC Rostelecom To Individuals
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Comprehensive rules governing communications service provision for individuals by PJSC Rostelecom, detailing service terms and regulatory compliance.
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Huerfano County Community Center Rental Agreement
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Official document outlining rental rules, fees, and responsibilities for using the Huerfano County Community Center in Walsenburg, Colorado.
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Rules And Regulations Governing Right Of Entry To City Park Properties
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Regulations for accessing and using City park properties in Honolulu for construction, repair, and utility work.
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Accident Waiver And Release Of Liability Form
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Legal document releasing liability for participants in a 5K run/walk event organized by the Wisconsin Section of the American Water Works Association.
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RV Rental Insurance Application
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Insurance application for RV rental businesses covering liability and physical damage for recreational vehicles
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Allergy Reimbursement Claim Form
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A form for submitting claims for allergy treatments and medications for reimbursement by an insurance provider.
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Prescription Drug Reimbursement Coordination Of Benets Claim Form
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A form for submitting prescription drug reimbursement claims and coordinating medical benefits for pharmacy services.
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Accidental Injury Claim Form
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Insurance claim form for reporting and processing an accidental injury claim with Aflac
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Initial Disability Checklist
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A comprehensive form for filing a disability insurance claim, collecting details about the nature of disability, patient, and policyholder information.
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Long Term Care Continuing Claim Form
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A claim form for submitting long-term care insurance claims through Aflac, requiring detailed policyholder and patient information.
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Continuing Disability Claim Form
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A claim form for filing a continuing disability insurance claim with Aflac, requiring policyholder and patient information.
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Work Order Permits Submittal Review Guidelines
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Guidelines for submitting and obtaining Work Order Permits for work proposed within public rights-of-way in Tacoma, Washington.
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STUDENT VEHICLE REGISTRATION FORM
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Form for students to register their vehicles and parking permits at Bethel University in Tennessee.
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Sag Aftra New Media Agreement
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A comprehensive agreement governing talent contracts and compensation in new media productions and digital content.
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Sagewell Healthcare Benefits Trust FAQ
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Detailed FAQ document explaining the structure, administration, and key details of the Sagewell Healthcare Benefits Trust group insurance arrangement.
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SALES AGREEMENT
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A legally binding contract for the sale of real estate between a buyer and seller in Queens, Nassau, and Suffolk regions.
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SODIUM CHLORIDE BID 273638
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Bid document for sodium chloride (rock salt) procurement by Wisconsin Department of Transportation covering specifications, delivery requirements, and contract terms.
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Liability Waiver Form
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A legal document that releases Polk County Public Libraries and related parties from liability for participation in an activity and grants photo usage rights.
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Same Day Delivery Form
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Form allowing patients to receive medical devices on the day of evaluation, with information about potential insurance authorization and financial responsibilities.
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Auto Accident Report Form
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A comprehensive form for documenting details and steps to take following an automobile accident.
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SAMPLE AGENT AUTHORIZATION FORM
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SAMPLE ASSUMPTION OF RISK RELEASE
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A legal document that releases event sponsors from liability and acknowledges participant's voluntary assumption of risks during an event.
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Ohio Cancellation Form
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Form documenting termination of insurance agents for various reasons including lack of production and retirement.
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Sample Certificate Of Insurance
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Insurance certification document outlining minimum coverage requirements for a grant agreement with details on liability and insurance provisions.
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Contract For Grantwriting Services
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A contract outlining the scope of services, compensation, and terms between a client and a grantwriting consultant.
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Residential Rental Contract
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Standard residential lease agreement form for rental property in North Carolina, outlining terms and conditions for tenancy.
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Employment Contract
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A contractual agreement between an employer and a sports turf manager defining employment terms, responsibilities, and contract duration.
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Health Care Benefits Renewal
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A renewal form for health care benefits from the Texas Health and Human Services Commission for individuals to update their personal and financial information.
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Sample Incident Investigation Form
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Guidelines for investigating and documenting incidents involving guests or employees, focusing on professional response and thorough documentation.
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Sample Incident Reporting Audit Form
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A comprehensive form for documenting and tracking incidents, their internal reporting contacts, policy references, insurance details, and external regulatory reporting requirements.
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Letter Of Intent For Business Asset Acquisition
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Parental Consent Form
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A legal document granting consent for a minor to volunteer with TreePeople, including liability release and media usage permissions.
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Aircraft PurchaseSales Agreement
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A legal agreement for the purchase and sale of an aircraft, detailing specifications, warranties, and transaction terms.
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Purchasing Agreement
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A standard purchasing agreement between Midwestern State University and a contractor, outlining terms of service, compensation, and payment conditions.
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Rental Agreement, Release And Assumption Of Risks
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A comprehensive rental agreement that includes risk assumption, liability release, and insurance acknowledgment for renting an interactive inflatable unit.
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SB0357 Viatical Disclosure Form Act
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Legislative act requiring disclosure forms and defining terms related to viatical settlement purchases in Montana.
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Massachusetts Workers Compensation Assigned Risk Pool Special Bulletin No. 09 03
PDF template
Bulletin detailing new procedures for requesting and obtaining workers' compensation insurance certificates in the Massachusetts Assigned Risk Pool.
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SB1338 Handgun Permit Military Training Exception
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A legislative act amending Tennessee Code to modify handgun permit verification procedures for military personnel's training credentials.
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SB205 Stormwater Discharge Compliance Form
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A form for businesses to demonstrate enrollment in the NPDES permit program as required by Senate Bill 205 for regulated industries.
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SB 551 Member Enrollment
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Enrollment form for members to provide personal and medical insurance information for the Oregon Educators Benefit Board (OEBB)
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Survivor Benefit Application Form
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An application form for survivors to claim pension benefits for a deceased account holder
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San Benito County Attendance Form
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A monthly attendance reporting form for CalWORKs participants to document work and activity hours at Gavilan College.
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Notice Of Intent To Award Contract
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Notice of intent to award a construction services contract to Harik Construction for the San Bernardino Community College District Boardroom Remodel Project.
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Parental Consent Form To Receive Health Care Services
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A comprehensive form for parents to provide consent and medical information for student health care services at school-based clinics.
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REPORT OF ACCIDENT
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A comprehensive form documenting details of an accident, including personal information, injury specifics, and medical treatment
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Claim Form For Expat Insurance Packages
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School District Student AccidentIncident Report Form
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Pupil Personal Accident Report Form
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A comprehensive form for reporting and claiming medical expenses for student accidents at school
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School Waiver Form Extracurricular Activities
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A school waiver form for students participating in sports and extracurricular activities, outlining liability and insurance requirements.
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Scientific Or Educational Project Proposal Form
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Form for researchers to request scientific collection permits for wildlife research activities in Kentucky.
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VSU Participation Agreement And Waiver Form (Minor Participant)
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A comprehensive waiver and release form for minors participating in university programs, covering liability and medical protocols.
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Scoring Social Value Guidance For Public Bodies
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A practical guide for public bodies on incorporating social value into procurement processes and tender evaluations.
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Boston Scientific Spinal Cord Stimulation Pre Authorization Form
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A medical form for pre-authorization of spinal cord stimulation procedures, used to document patient, physician, and procedure details for insurance approval.
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Commercial Automobile Application
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An insurance application form for commercial automobile coverage detailing business operations and vehicle information.
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Dock Rental Form
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Guidelines and process for renting dock slips within the Sorrento community, including required documentation and administrative procedures.
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Release Of Liability, Waiver Of Claims, Assumption Of Risks And Indemnity Agreement
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Legal document waiving liability for risks associated with skiing and snowboarding activities at Optimist Hill ski resort in Saskatchewan.
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Wateree Hounds Waiver And Indemnity Release Season 2020.2021
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Legal document releasing Wateree Hounds from liability during equestrian activities and trail rides.
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Certificate Of Insurance Hold Harmless Tracking Form
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Form for event organizers to provide liability insurance documentation and hold harmless agreement for City of Bellevue special events.
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Construction Procedures Handbook Processing Consultant Inspection Invoices
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Detailed procedures for submitting, reviewing, and approving consultant inspection invoices in construction operations.
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BPA Solicitation Number 113A 23 XXXX
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Government document outlining administrative requirements for vendor invoicing, record keeping, and financial reporting.
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Volunteer Assumption Of Risk Release Of Liability And Indemnity Agreement
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Legal document for volunteers at Second Harvest Food Bank of Orange County, outlining risk assumption and liability release for volunteer participation.
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Group Insurance Disability Claim Form
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A comprehensive form for submitting a disability insurance claim by an employee, physician, and employer or plan administrator.
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Medical Claim Form
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A comprehensive medical claim form for reimbursement of medical expenses through Seib Insurance & Reinsurance Company in Qatar.
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DEMLR Monitoring Form
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A comprehensive form for documenting stormwater permit compliance, rainfall data, and site inspection details for land disturbing activities.
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Self Service Storage Producer Limited Lines Initial License Application (Business Entity)
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Application for obtaining a limited lines insurance license for self-service storage producers in Maryland.
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PBCI SENIOR MEDICAL TRAVEL FORM
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Comprehensive medical screening form for senior travel participants detailing health status, medical history, and emergency contact information.
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SEPA ENVIRONMENTAL CHECKLIST APPLICATION FORM
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A form for submitting environmental impact assessment documentation for city permit applications in Port Orchard, Washington.
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Confined Space Entry Permit
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A comprehensive safety form for documenting and managing risks associated with entering confined spaces in industrial or construction environments.
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Westchester County Sewer District Septic Service Reimbursement Form
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A county form for property owners to request reimbursement for septic tank pump-outs and inspections in Westchester County sewer districts.
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Childcare Liability Waiver Form
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A comprehensive document outlining childcare policies, procedures, and a legal liability waiver for a fitness center's childcare services.
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Service Agreement And Financial Policy
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A comprehensive service and financial policy document outlining service rates, insurance expectations, and patient financial responsibilities for mental health services.
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Service Agreement Checklist
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Internal document for departments to complete when engaging in service agreements over $5,001, including no-cost and revenue agreements.
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Diventures Service Agreement
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A service agreement for equipment repair and maintenance at Diventures dive centers, including liability release and service terms.
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Diventures Service Agreement
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A service agreement for scuba and diving equipment repair, including liability release and service details.
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Community Resources For Corrections Service Agreement Form A05
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A service agreement form for external associates working with the Georgia Department of Corrections, detailing service terms and liability assurances.
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ConsultantContractor Services Agreement
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A service agreement between Golden Sierra Job Training Agency and a contractor defining terms of professional services, payment, and contractual obligations.
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MARSHALL UNIVERSITY RESEARCH CORPORATION SERVICE AGREEMENT
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A service agreement form for independent contractors performing work for Marshall University Research Corporation with compensation and tax details.
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Service Request Form
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A form for making changes to an insurance policy, including beneficiary, name, address, ownership, and coverage modifications.
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Service Request Form
PDF template
A form for members to request changes to their insurance contract, including address updates, name changes, and lost contract replacement.
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Master Services Agreement
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A comprehensive service agreement defining the terms of engagement between Traeger Pellet Grills LLC and a service provider company.
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SAG AFTRA Series Test Option Performer Agreement
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A performer agreement for a child performer participating in Sesame Street Season 50, governed by SAG-AFTRA guidelines.
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Minor Project Form Soil Erosion Sedimentation Control
PDF template
Form for documenting soil erosion and sedimentation control procedures for minor projects at the University of Michigan.
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Supervision Of Normal Pregnancy And Delivery Form
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A healthcare form for documenting pregnancy details, medical information, and patient consent for medical services related to pregnancy and delivery.
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Lifetime Limited Warranty HV Battery
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A lifetime limited warranty document for a high-voltage battery, covering replacement and repair under specific conditions.
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Parental Consent To Attend Setsucon
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Legal consent form for parents or guardians to allow minors under 18 to attend Setsucon convention with specified terms and responsibilities.
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Settlement Proposal
PDF template
A document used to propose financial settlement for a terminated contract, detailing costs, expenses, and credits.
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Severe Incident Response And Notification TIMELINE
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A comprehensive guideline for responding to and managing severe incidents with prioritized notification and action steps.
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Santa Fe Conservation Trust Medical Form
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A comprehensive medical form for participants of Santa Fe Conservation Trust trips, collecting health history and emergency contact details.
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SFSU Incident Report Form
PDF template
A form for reporting information security incidents at San Francisco State University that potentially compromise IT asset confidentiality, integrity, or availability.
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MIT Student Health Insurance Plan Enrollment Form
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Comprehensive health insurance enrollment form for MIT students covering individual and family coverage options
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Short Environmental Assessment Form
PDF template
A form for conducting a preliminary environmental assessment of a proposed project, detailing project information and potential environmental impacts.
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Short Form Lease Agreement Florida
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A legal document outlining rental terms and conditions for residential property in Florida, covering essential lease provisions and tenant-landlord obligations.
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Liberty University Short Form Service Agreement For Guest Speakers Performers
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A service agreement template for guest speakers and performers engaging with Liberty University for events and presentations.
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Granite School District Short Term Disability Claim Form
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A form for Granite School District employees to file a claim for short-term disability benefits, documenting medical condition and work absence details.
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Granite School District Short Term Disability Claim Form
PDF template
A form for employees of Granite School District to file a claim for short-term disability benefits, detailing medical condition and leave requirements.
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Disability Claim For Accident Sickness (AS)Short Term Disability (STD)Salary Continuance
PDF template
A comprehensive form for filing a disability claim, including employer and employee information for accident, sickness, or short-term disability
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Short Term Disability Income Claim Form
PDF template
A document used to file a claim for short-term disability benefits, requiring details from the employee, employer, and attending physician.
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Short Term Disability Benefits Claim Form
PDF template
A claim form for supplemental short-term disability benefits for hospital staff, providing coverage for up to 26 weeks at 70% of basic weekly salary.
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SHORT TERM DISABILITY BENEFITS CLAIM FORM
PDF template
Claim form for supplemental short-term disability benefits for hospital staff, providing up to 70% of weekly salary for up to 26 weeks.
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Vacation Home Rental Permit Application
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Guidelines and application requirements for operating a vacation home rental in residential zones of McMinnville, Oregon.
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Township Of Andover Short Term Rental Application Form
PDF template
Application form for obtaining a permit to operate a short-term rental property in the Township of Andover
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Short Term Rental Permit
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Application and requirements for obtaining a permit to operate a short-term rental property in the City of Beacon, New York.
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Short Term Service Agreement
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A standardized contract document for temporary employment at Bethlehem University, outlining employment terms and conditions.
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Shot Clock Waiver Form
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A form allowing applicants to waive statutory deadlines for various city planning and development permits under Local Government Code Chapter 212.
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School Based Supplemental Health Services Consent Form
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A comprehensive health information and consent form for students at Saint Martin de Porres High School, collecting medical history and insurance details.
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School Based Supplemental Health Services Consent Form
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A comprehensive health information and consent form for students at Saint Martin de Porres High School, collecting medical history and insurance details.
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Greenville County Sidewalk Inventory Form
PDF template
A form for engineers to document and certify sidewalk construction details in Greenville County subdivision projects.
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Self Insurance Fund Rules And Regulations
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Comprehensive document outlining rules, regulations, and definitions for the Anne Arundel County Self-Insurance Fund.
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Signature Authorization Form
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A form to authorize or remove individuals who can sign and pull permits on behalf of a license holder with the City of Gainesville Building Division.
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Sign Erector License Requirements
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Comprehensive guide for obtaining a sign erector license in the Town of North Hempstead, detailing application requirements and fees.
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STREET IMPROVEMENT PERMIT (SIP) CONSTRUCTION CONTACT FORM
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A form for capturing contact information for owners, billing parties, and general contractors for street improvement projects in Seattle.
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District Employee Benefits Enrollment Form
PDF template
A comprehensive form for employees to enroll in medical, dental, vision, and life insurance benefits with detailed personal and dependent information.
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SELF INSURED SERVICES COMPANY REIMBURSEMENT FORM
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A form for employees to submit medical expense claims for reimbursement through a self-insured employer benefit program.
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Township Of Uxbridge Site Alteration Permit Application
PDF template
A municipal permit application for site alteration, fill placement, and land modification within the Township of Uxbridge.
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Site Connection Proposal Form
PDF template
A form for proposing site connections for water and sewer infrastructure, detailing project and connection specifications.
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Permit Variance Approval Form
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A comprehensive permit application form for various land use, development, and construction-related approvals and permits.
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Site Plan Agreement Performance Deposit Tracking
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A municipal document for tracking site plan performance deposits, including deposit receipt and release details.
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Supplementary Statement By Employer
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A form for employers to report outstanding death or disability claims related to workplace accidents.
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Skate Park Acknowledgement, Waiver And Release Of Liability
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Legal document releasing the Town of River Bend from liability for risks associated with skateboarding at their skate park.
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Conference Registration, Personal And Liability Release Form
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A comprehensive registration form for SkillsUSA conference participants, including personal details, emergency contact information, and liability release.
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CONFERENCE REGISTRATION, PERSONAL AND LIABILITY RELEASE FORM
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Registration form for SkillsUSA conference participants, including personal information, division selection, and liability release.
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SkillZone DIY Workshop Release And Liability Waiver Form
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A liability release form for participants in a DIY workshop, covering consent, safety acknowledgment, and media usage rights.
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Perreard Professional Billing Insurance Form
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A medical billing form for collecting patient and insurance information for professional healthcare services.
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Utah Surplus Line Submission Form
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Official form for filing insurance policies written by non-admitted insurers in Utah, including premium tax and regulatory compliance documentation.
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MISSISSIPPI DEPARTMENT OF INSURANCE ELIGIBLE NONADMITTED INSURANCE FORM
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A form for Mississippi licensed surplus lines insurance producers to document placement of insurance coverage with nonadmitted insurers and certify diligent effort.
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VendorIndependent Contractor Request Form
PDF template
Form for student groups to request vendor or independent contractor payments at Johns Hopkins University
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SLTD Premium Waiver Form
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Form to terminate a Supplemental Long Term Disability premium waiver when an employee returns to work.
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Comprehensive checklist for submitting small wireless facility permit applications to the City of Pleasanton Community Development Department.
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Standard construction contract terms and conditions for projects under $200,000 in Ada County, Idaho.
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ADA COUNTY FIXED PRICE CONSTRUCTION CONTRACT FOR PROJECTS LESS THAN 200,000 TERMS AND CONDITIONS
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Standard construction contract for Ada County projects valued under $200,000, outlining contractor representations and warranty conditions.
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Management Benefits Fund Superimposed Major Medical Plan (SMMP) Claim Form
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Annual Financial Report Of Expenditures
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Annual financial report detailing expenditures and budget allocation for the Scaling Up Nutrition Movement Secretariat for the year 2019.
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Request For Reinstatement Of Policy Contract
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VISION CLAIM FORM
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Speaker Service Agreement
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Special Use Permit Application
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Retiree Special EnrollmentWaiver Form
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Specifications For Consulting Services
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Inspector Quantlist Report 201707114
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Inspection report documenting contractor's quality control procedures and compliance with specifications for construction materials and testing.
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Arkansas Motor Vehicle Accident Report (SR 1)
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Standard Construction Agreement
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AIGA Standard Form Of Agreement For Design Services
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Request for proposals from qualified firms and individuals to provide professional services with specified submission and selection criteria.
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Standard Notice And Consent Documents Under The No Surprises Act
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Official documents for providing notice and consent requirements for nonparticipating healthcare providers and facilities under the No Surprises Act.
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Standard form for requesting healthcare service authorization in Texas, used by various healthcare plans and issuers.
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Arizona Prior Authorization Form
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Texas Southern University Standard Purchasing Agreement For Goods And Services Under 5,000
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STATE OF OHIO STANDARD TERMS AND CONDITIONS
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Standard contractual terms and conditions for state procurement and service agreements in Ohio.
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Master service agreement defining terms of service, acceptance, and customer obligations for telecommunications services.
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Marymount University Student Medical Form
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Suburban Municipal Joint Insurance Fund Policies Procedures Manual
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Agreement authorizing subrecipients to electronically sign contracts and submit invoices through San Diego Workforce Partnership's systems.
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Insurance claim form for submitting medical service bills to Blue Cross Blue Shield of Massachusetts for reimbursement.
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Subscriber Claim Form
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Franchise Agreement
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A draft franchise agreement between the City of Sugar Hill, Georgia and Comcast Cable Communications, LLC for cable system operations.
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A comprehensive healthcare plan offering flexible enrollment and holistic health coverage options with traditional and alternative treatment approaches.
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Legal waiver for parents/guardians consenting to children's field trips to Chicago Dogs Baseball Game and Wheeling Aquatic Center.
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Parental consent form for children participating in the Lorado Taft Day Camp, including medical authorization and camp guidelines.
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Comprehensive guidelines for summer camps and conferences hosted at Clark Atlanta University, covering legal compliance, conduct, and administrative requirements.
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Medical authorization form for minors participating in county recreation programs, allowing emergency medical treatment and releasing liability.
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Legal document waiving liability and authorizing medical treatment for participants in Taylor University Summer Camp.
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Employment agreement for Jorge Alberto Aguilar as Superintendent of Sacramento City Unified School District, detailing contract terms and compensation.
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PROVIDER NOMINATION FORM
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Form for recommending healthcare providers to be considered for the Superior Vision Plan Preferred Provider Panel.
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Form 310 Permit Conservation DistrictS Decision
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Rental agreement for stand up paddleboards and kayaks, outlining rental terms, equipment responsibility, and safety requirements.
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Planning Zoning Commission Hearing Request Special Use Permit
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City of Pharr application for requesting a special use permit for property zoning and land use changes through the Planning and Zoning Commission.
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ILWU PMA Welfare Plan Supplemental CSDI Disability Claim Form
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Legal agreement defining data processing responsibilities between VEM Sistemi S.p.A. and a supplier/contractor under EU Regulation 2016/679.
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A comprehensive liability release form for participants in SURGE event activities involving boat and maritime-related experiences.
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Policy governing the disposal, reuse, reallocation, sale, or donation of surplus personal property owned by Santa Clara County.
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Surrey Hill Condominium Vehicle Registration
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Detailed guidelines for construction activities at high-risk environmental sites in Ventura County, focusing on stormwater protection and environmental preservation.
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Texas AM University System Risk Management And Insurance Matrix
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A comprehensive tool for identifying, assessing, and managing potential risks associated with university activities and events.
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Texas AM University System Risk Management And Insurance Matrix
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A comprehensive matrix for identifying, evaluating, and managing potential risks associated with university activities and events.
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Travel Release Form
PDF template
A legal document releasing Texas State University from liability for potential injuries or damages during university-sponsored travel.
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TELLURIDE ACADEMY ACKNOWLEDGMENT AND ASSUMPTION OF RISKS RELEASE AND INDEMNITY AGREEMENT
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Comprehensive risk acknowledgment and liability release document for adult and minor participants in Telluride Academy activities
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Structural Observation Special Inspections Form
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Form for documenting required structural observations and special inspections for construction projects in Tacoma under IBC Chapter 17.
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Rental Agreement
PDF template
Contract detailing rental terms and conditions for the Tibetan American Foundation of Minnesota's rental hall space.
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Team America Insurance Form
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Insurance coverage form for Team America rocket team participants to provide evidence of insurance for launch site owners and sponsors.
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WAIVER, INDEMNIFICATION, AND MEDICAL TREATMENT AUTHORIZATION FORM
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Legal document releasing TAMIU Rec Sports Department from liability during recreational activities and authorizing potential medical treatment.
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WAIVER, INDEMNIFICATION, AND MEDICAL TREATMENT AUTHORIZATION FORM
PDF template
Legal document releasing liability for participation in recreational activities at Texas A&M International University.
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Transient Merchants, Peddlers, And Solicitors
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Application form for obtaining a temporary merchant license in the City of Freeport for various time periods and sales activities.
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United States Fire Insurance Company Notice
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Insurance claim form for reporting accidents or injuries involving sports officials, with fraud warning and reporting requirements.
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Form For Changing Mailing Address
PDF template
A form used to request a change of mailing address with the Potter County Assessment Office in Pennsylvania.
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TAX COMPLIANCE INSTRUCTIONS TO SUPPLIERS
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A form for suppliers to provide tax-related information for potential contract eligibility in the State of Georgia.
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Current Report TRANSILVANIA BROKER DE ASIGURARE S.A.
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Official report documenting an Extraordinary General Meeting of Shareholders for TRANSILVANIA BROKER DE ASIGURARE S.A. on October 23, 2024.
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Tournament Safety Plan Form
PDF template
A comprehensive form for tournament safety directors to document safety and risk management plans for an AYSO tournament.
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Accident Waiver And Release Of Liability Form
PDF template
A legal document releasing liability for participants in an outdoor service event, acknowledging risks and waiving potential claims.
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Accident Report Form
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Comprehensive form for documenting details of a vehicle accident, including driver, vehicle, and incident information.
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INVOICE
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A standard invoice template for contractors working with the City of Tacoma's Tacoma Creates program in the Office of Arts & Cultural Vitality.
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Form TDI 22
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Instructions for filing annual reports for temporary disability insurance plans in Hawaii, detailing reporting responsibilities for different types of employers and insurance carriers.
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TechNET IT Timesheet Portal Guide
PDF template
A comprehensive guide for using TechNET's online timesheet submission and tracking portal for employees.
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Young Technology Scholar Award Application
PDF template
Scholarship award for high school seniors in Utah demonstrating technology skills and leadership in computer information technology courses.
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Work Order Request Form (WORF)
PDF template
A form for requesting and documenting technical staffing work orders with details about position, project, rates, and assignment terms.
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Liability Release, Waiver, And Indemnity Agreement For Personal Computer Support Services
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A legal agreement outlining terms and conditions for computer support services provided by American University's Office of Information Technology.
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Fourth Judicial District Contract Technology Training Services
PDF template
Independent contracting position for providing technology training and consulting services to Judicial Officers and Court staff at all organizational levels.
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Liability Release, Waiver, Indemnity, And Service Level Agreement For Personal Computer Support Serv
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A legal document outlining the terms and conditions for Southern Oregon University's IT support services for personal computers
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Registration Form
PDF template
Comprehensive form for collecting patient and guardian information, emergency contacts, and insurance details for pediatric patients
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Telephone Change Request Form
PDF template
Form for modifying existing telephone settings or requesting changes to phone services at Bergen Community College.
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Short Term Temporary Disability Benefits
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Policy describing temporary disability benefits for non-union employees of the Diocese of Camden, outlining eligibility requirements and benefit calculations.
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Employment Agreement
PDF template
Legal document outlining employment terms and conditions between a company and an employee.
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Proposal And Field Contract
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A contract between Mt. San Antonio Community College District and a contractor for specified work, detailing project scope, payment, and terms.
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Consent Form Template For Field Trip (If Participant Is Under 18 Years Old)
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A comprehensive consent and liability waiver form for minors participating in a field trip, covering medical consent, liability release, and promotional rights.
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Design Services Agreement
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A contract between West County Wastewater District and a consultant for design services, outlining the scope of work and terms of engagement.
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Application For A Temporary Food Facility (TFF) Permit At A Temporary Event
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Official form for obtaining a permit to operate a temporary food facility at an event in Santa Clara County, California.
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Inbuilt Temporary Incapacity Benefits For Defined Benefit Division Members
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Detailed guide explaining temporary incapacity benefits for Defined Benefit Division members, including eligibility requirements and claim process.
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Temporary Permanent Disability Claim Form
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A comprehensive insurance claim form for temporary and permanent disability claims, to be completed by the policyholder and employer.
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LOCAL AUTHORIZATION FOR TEMPORARY BEER WINE PERMIT APPLICATION
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Official form for obtaining a local authorization permit for serving beer and wine at a temporary event in Indiana.
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Temporary Promotion Request Form
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A human resources form for requesting temporary employee promotions within the County of Marin government.
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Temporary Under Ground (TUG) Program Agreement Form
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An agreement form for participating in Palm Beach County's Temporary Under Ground (TUG) electrical program for contractors.
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Tenant Welcome Package
PDF template
A comprehensive welcome document for new tenants with contact information, emergency instructions, and insurance requirements.
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TENANT WELCOME PACKAGE
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Comprehensive guide for new tenants with property management contact information, emergency procedures, and insurance requirements.
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Tennis Purchase Form
PDF template
Application form for purchasing tennis permits and additional play options at Central Park and Prospect Park tennis facilities.
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Application For An Event Tent Permit
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A municipal permit application for temporary event tent placement in the Town of Shelter Island, New York.
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Termination Agreement
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A legal document allowing buyers and sellers to mutually terminate a residential real estate purchase and sale agreement with specific terms and conditions.
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Term Owner And Policy Change Form
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A form used to change policy ownership, address, or legal name for insurance policies issued by Fidelity Investments Life Insurance Company.
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Terms And Conditions Of Residence (Housing Contract)
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Comprehensive housing agreement detailing residence terms, policies, and conditions for students living on campus during Fall 2010 and Spring 2011.
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Standard Term And Conditions Of Rental
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Comprehensive legal document outlining definitions, conditions, and responsibilities for vehicle rental agreements.
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Accessible Taxi Application (Individual Only) Supplement A
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Application form for individual taxi drivers in New Orleans, Louisiana, assessing transportation experience and driving history.
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DentalOptical Benefit Application Form
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Application form for claiming dental and optical benefits through the Transport Friendly Society, requiring detailed expense and payment information.
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REGISTRATION FOR TEMPORARY FOODSERVICE OPERATION (TFSO) REGISTRATION FORM
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A registration form for temporary food service operations requiring comprehensive facility and permit holder information.
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Osteopathic Benefit Application Form
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Application form for claiming osteopathic treatment benefits, specifically for members of the Transport Friendly Society who joined prior to 1996.
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Tent Construction Approval Form
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Formal document for obtaining approval to construct and occupy temporary tents at New York State Parks and Historic Sites
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ENROLLMENT FORM
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Comprehensive enrollment form for employees to select insurance and benefits options through The Hartford.
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Generator Rental Agreement Terms And Conditions
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Comprehensive rental agreement outlining terms, conditions, and payment provisions for generator equipment rental between Lessor and Lessee.
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The Role Of A Surety In The Context Of A Construction Project
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A webinar discussing surety bonds, their role in construction projects, and differences from traditional insurance.
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Pre Authorization Form For Bundled ART Services For Thiqa
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Insurance pre-authorization form for assisted reproductive technology (ART) services for Thiqa members.
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Third Party Vendor Agreement Form
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A form for documenting third-party vendor details and agreements for university events, including liability and contact information.
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Order Form
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Legal document for purchasing products and services from Thomson Reuters, involving West Publishing Corporation and Thomson Reuters Enterprise Centre GmbH.
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Public Plans Provider Manual Claim Requirements, Coordination Of Benefits And Dispute Guidelines
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Comprehensive manual detailing claim submission methods, coordination of benefits, and dispute resolution processes for healthcare providers.
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Senior Products Provider Manual
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A manual detailing claim submission guidelines, processing procedures, and coordination of benefits for healthcare providers working with Tufts Health Plan Senior Products.
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Insurance Form Thrive
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Form authorizing Personal Touch Medical Claims to submit medical insurance claims on behalf of a patient and outlining payment terms for claim processing.
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Calculator Lease Agreement
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A student agreement for leasing a calculator from Arizona Western College with specific terms of use, fees, and return conditions.
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MRS Title 24 A, Chapter 27. THE INSURANCE CONTRACT
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Legal document defining scope, policies, premiums, and insurable interest in insurance contracts.
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MRS Title 32, 6195. CANCELLATION
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Legal document detailing cancellation rights for homeowners in foreclosure sale contracts under Maine law.
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Order Request Form
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A comprehensive form for requesting title services and property-related documentation for real estate transactions.
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Annual Compliance Certification
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A form for certifying annual compliance with permit terms and conditions for air quality regulations.
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Master Services Agreement Americas EMEA Customers
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Master service agreement defining terms and conditions for service provision between Trajectory America, Inc. and its customers.
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Trail Life USA ADULT Weekend Health And Medical Record
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Comprehensive medical and health information form for adult participants in Trail Life USA weekend activities
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Accident Waiver And Release Of Liability Form
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A legal document releasing Trail Design Specialists, LLC from liability for potential risks and injuries during a crew leader training event.
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Train Mountain Railroad Museum Participant Release
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Legal release form for participants entering Train Mountain railroad property, waiving liability for potential injuries or damages.
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Transcranial Magnetic Stimulation (TMS) Pre Authorization Form
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Medical pre-authorization form for requesting Transcranial Magnetic Stimulation (TMS) treatment, requiring patient and medical coding details.
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Customer Service Representative Awards Competition Entry Form
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A nomination form for customer service representatives in the insurance industry to compete for state and national awards by submitting an essay and professional references.
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APSC FORM TNC 1
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Official application form for transportation network companies seeking a permit from the Alabama Public Service Commission.
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APSC FORM TNC 2
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Official form for renewing a Transportation Network Company permit with the Alabama Public Service Commission
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Assumption Of Risk And Indemnity Agreement (Tour Of District Facilities)
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Legal document outlining risk assumption and indemnification for participants in Santa Clara Valley Water District facility tours.
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Tournament Liability, Photo Release And Emergency Medical Form
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Legal release form for student participation in South Carolina Department of Natural Resources program, covering liability, medical consent, and photo permissions.
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Property Damage Report Form
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Comprehensive insurance claim form for documenting property damage incidents, including details about the insured, incident, witnesses, and claim specifics.
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Town Center Rental Application
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Application for renting the Town Center facility in Berwyn Heights, Maryland, with details about event requirements and fees.
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Facility Rental Agreement Form
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A rental agreement form for using the Asphodel-Norwood Town Hall facility, detailing rental terms, conditions, and insurance requirements.
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Town Of Babylon Handicapped Parking Permit Renewal
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Document outlining requirements and procedures for renewing handicapped parking permits in the Town of Babylon.
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Annual Report Third Party Administrators
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Mandatory annual reporting form for third-party administrators operating in Nevada, requiring financial statements and contract details.
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Third Party Administrator Annual Report Filing Information
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Instructions for Nevada third-party administrators to submit annual reports to the Division of Insurance within 90 days of fiscal year end.
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Third Party Administrators Licensing, Renewal And Annual Report Instructions
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Comprehensive instructions for obtaining and renewing third party administrator licenses in Kansas for non-resident administrators.
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TRINITY PROFESSIONAL GROUP REGISTRATIONCONSENT TO TREAT FORM AND HIPAA
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A comprehensive medical registration form for patient intake, consent to treatment, and insurance information collection.
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Declaration Of Tobacco Use Or Non Tobacco Use Form
PDF template
A form for University of Texas System medical plan members to declare their tobacco use status and understand potential premium surcharges.
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Declaration Of Tobacco Use Or Non Tobacco Use Form
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Form documenting tobacco use status for University of Texas System medical plan members with potential premium surcharges based on tobacco usage.
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Third Party Supplier Service Agreement
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Agreement between New Jersey Natural Gas Company and a third-party supplier for natural gas transportation services.
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Temporary Permit Order Form
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Form for vehicle dealers to order 15-day and 72-hour temporary permits from the Kansas Department of Revenue Division of Vehicles.
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Track Tractor Undercarriage Inspection Form
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A detailed form for inspecting tractor track undercarriage components with visual assessment checklist.
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Trade And Food Vender Booking Form
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Application form for trade and food vendors to participate in the Wentworth Show, including booking requirements and regulations.
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TRAFFIC ACCIDENT REPORT FORM
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A comprehensive form for documenting details of a traffic accident for insurance and police purposes.
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Waiver, Release Of All Claims And Hold Harmless Agreement
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Legal document releasing Barrington Park District from liability for potential injuries during park district programs and activities
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PWC Transfer Request Form
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A form for transferring vehicle service contract ownership from an original owner to a new owner, including important transfer conditions and acknowledgments.
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Transfer Request (For Permanent Travel Permit)
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Official document for transferring ownership of a horse within the state of Utah, including details of seller and buyer.
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Louisiana Office Of Risk Management Client Instructions For The Transportation Unit
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Detailed instructions for third-party administrators handling transportation-related claims for the Louisiana Office of Risk Management.
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Statutory Declaration
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A legal document declaring full contract performance and payment obligations for a government contract in Alberta, Canada.
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What To Do After An Accident
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A comprehensive guide outlining nine critical steps to take immediately following a car or bus accident, focusing on safety, documentation, and legal protection.
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Travel AcknowledgementWaiver Form For Stetson Field Trip, Event, Function Or Course Related Travel
PDF template
A waiver form for students participating in university-sponsored field trips, events, or course-related travel, acknowledging risks and liability.
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Travel And Expense Reimbursement Policy
PDF template
Policy governing travel, meetings, and expense reimbursement for county employees and officials.
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Request For Authorization To Travel Form
PDF template
A form for requesting and documenting authorization for travel, including a liability release section for university-related activities.
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Travel Authorization Reimbursement
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Comprehensive guide for SUU employees and students on travel authorization, reimbursement procedures, and best practices for travel documentation.
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Sumner County Government Travel Form (Attachment A)
PDF template
Official form for tracking and reimbursing employee travel expenses and related costs for Sumner County Government.
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Sumner County Government Travel Form (Attachment A)
PDF template
Official form for documenting employee travel expenses and seeking reimbursement from Sumner County Government.
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Travel Medical History Questionnaire
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Comprehensive questionnaire for documenting medical and travel details for international travelers from Saint Xavier University Health Center.
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UAF Vehicle Accident Reporting Procedure
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Comprehensive guidelines for reporting and handling vehicle accidents involving University of Alaska Fairbanks (UAF) vehicles and personnel.
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Travel Expenses Policy
PDF template
Policy governing travel expense reimbursement for county employees, including mileage and meal allowances.
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Beckman Laser Travel Pre Authorization Form
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A form for documenting and pre-authorizing travel details for reimbursement purposes, including traveler information and trip specifics.
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TRAVEL PROCEDURES
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Guidelines for employee travel requests, approvals, advances, and reimbursements for Columbus County, NC.
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Release Of Liability And Assumption Of Risks
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Legal document waiving liability for a student's voluntary international trip participation, acknowledging potential risks and dangers.
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Registered Student Organization (RSO) Travel Form
PDF template
A form for Lansing Community College student organizations to request and document travel arrangements and obtain necessary approvals.
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Travel Risk Assessment Form
PDF template
Comprehensive form for collecting traveler medical history and trip details prior to travel
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Travel Risk Assessment Form
PDF template
A comprehensive form for evaluating health risks and medical history for travelers before an international trip.
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Travel Service Agreement
PDF template
A legal agreement defining terms and conditions for a participant's enrollment in a travel program, including responsibilities, reservation process, and participation requirements.
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Certificate Of Cancellation And Application For Withdrawal Trust Funded Prepaid Funeral Contract
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A document allowing the cancellation and withdrawal of funds from a prepaid funeral contract with specific refund terms and conditions.
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Trust Funded Prepaid Funeral Benefits Contract
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A contract allowing advance payment and cost freezing for funeral goods and services selected by the purchaser.
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Tree Removal Information Guide
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A comprehensive guide for measuring and understanding tree removal regulations in the City of Kirkland, including tree size classifications and permit requirements.
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Short Term Disability Claim Form
PDF template
Insurance claim form for documenting a short-term disability, including personal information, medical details, and potential compensation sources.
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County Realignment Provider Service Request Form
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A form for healthcare providers to request service alignment with Trillium Health Resources across Bladen and Halifax Counties.
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Trinity Lutheran Church Youth Group Permission, Liability, Travel Form
PDF template
A comprehensive form for parental consent, medical authorization, and liability release for youth group events and activities.
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Collective Bargaining Agreement
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Collective bargaining agreement between Trios Health and labor unions representing healthcare employees.
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Trip Transit Insurance Form (Sponsored Owned)
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Insurance form for covering shipments of sponsored-owned property during commercial transit by Georgia Tech.
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Trip Transit Insurance Form
PDF template
A form for documenting and insuring property shipments by Georgia Institute of Technology via commercial carriers.
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Trust Inquiry Form
PDF template
Form used by the Register of Wills to determine if a will creates a trust and collect related trustee information.
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University Of Arkansas Athletic Tryout Medical Documentation
PDF template
Required medical documentation for students attempting to join University of Arkansas intercollegiate athletic teams.
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Parking Regulations St. George Campus
PDF template
Comprehensive guidelines for parking permits, rules, and regulations for the St. George Campus transportation services.
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Parking Regulations St. George Campus
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Comprehensive guide to parking policies, permit types, and regulations for the St. George Campus transportation services.
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Scholarship Eligibility Application University Of North Texas Engineering Students
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Scholarship application form for sophomore and junior engineering students at the University of North Texas seeking financial support.
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MOBILE FOOD SERVICE UNIT SAFETY INSPECTION FORM
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Comprehensive safety inspection document for mobile food service vehicles, covering vehicle, business, and operational details.
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Tuition And Fees
PDF template
Comprehensive document outlining tuition, fees, payment options, and housing contract details for Bentley University students
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Client Confidentiality Agreement Form Template
PDF template
A legal contract between two parties agreeing to keep specific information confidential and prevent sensitive data from being shared.
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Accident Information Form
PDF template
A comprehensive form for documenting details of a vehicle accident, including member, vehicle, and incident information.
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Snowmobile Rental Agreement
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Rental agreement and liability waiver for snowmobile equipment, outlining terms, conditions, and renter responsibilities.
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Request To Cancel Workers Compensation Coverage
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Official form for requesting cancellation of workers' compensation insurance policy in Ohio.
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Incident Report Form
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A comprehensive form for documenting incidents involving U3A members, including injury or property damage details.
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UB 04 Claim Form Instructions
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Comprehensive instructions for completing the UB-04 healthcare claim form with detailed guidance on form locator entries and billing specifications.
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UB 04 CMS 1450
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Official standardized form used by healthcare facilities for medical billing and insurance claims processing.
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UB92 Claim Form
PDF template
A standardized medical billing form used by healthcare facilities to submit patient treatment and billing information.
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UC Medicare PPOHigh Option Supplement Enrollment Form
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Enrollment form for UC retirees and family members to assign and coordinate Medicare prescription drug plan coverage.
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UcampingMyCamping Campsite Service Contract
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Contract between Secure Direct TO and camping establishments for online reservation and marketing services through Ucamping and MyCamping platforms.
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Water Discharge Form
PDF template
A form for documenting and obtaining approval for water discharge activities at the University of California, Berkeley campus.
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Vehicle Accident Report
PDF template
Document used to record details of a vehicle accident involving a University of California vehicle and personnel.
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Waiver Of Liability, Assumption Of Risk, And Indemnity Agreement
PDF template
Legal document releasing University of California San Diego from liability for potential risks during an activity or program participation.
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Participant Consent, Release And Waiver Of Liability
PDF template
Legal document releasing University of Florida from liability for participation in youth events or activities
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Change Of Address Form
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A form for UFCW members to update their contact information with the National Health and Welfare Fund.
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MAE International Travel Checklist Form
PDF template
A checklist and registration form for University of Florida employees traveling internationally for business purposes.
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Waiver Of Liability And Hold Harmless Agreement
PDF template
Legal document releasing University of Florida from liability for potential injuries while using exercise equipment in the UFIT space.
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Volunteer Agreement Insuring Volunteers At UGA
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Comprehensive guidelines for volunteer participation and liability coverage at the University of Georgia, detailing insurance provisions and volunteer program requirements.
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Entertainment Services Agreement
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A legal agreement between the University of Hartford and an artist for providing entertainment services at a specific event.
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PrescriPtion Reimbursement Request Form
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Form for requesting reimbursement for covered medications purchased at retail cost by insurance members.
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UnitedHealthcare Medical Claim Form
PDF template
A form used to request payment for eligible healthcare services that have already been received from an out-of-network provider.
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Employee Enrollment Form
PDF template
A comprehensive enrollment form for employees to sign up for medical, dental, and related insurance benefits.
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Medical Claim Form
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A form for submitting medical expense claims to UnitedHealthcare for reimbursement of eligible healthcare services.
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Waiver Of Premium
PDF template
Instructions for employers and employees on how to process a Waiver of Premium for life insurance during total disability.
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Medical Claim Form
PDF template
A form for submitting out-of-network medical claims and requesting payment for eligible healthcare services
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Pharmacy Student Enrollment Form
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Enrollment form for first-time pharmacy customers at University Health Services for students and their families.
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Yandisa Benefit Application Form
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Application form for patients seeking medical benefits through Umvuzo Health Medical Scheme's Yandisa program, requiring comprehensive personal and medical information.
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Outside Group Facilities Use Indemnity Agreement
PDF template
Agreement outlining terms and conditions for outside groups using church facilities or vehicles, including risk acknowledgment and indemnification.
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Member Medical Claim Submission Form
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A form for submitting medical insurance claims for reimbursement of eligible medical expenses when providers do not file claims directly.
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Groundwater Discharge Permit
PDF template
Permit authorizing the University of Michigan to discharge portable power wash water into Michigan groundwater with specific limitations and conditions.
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UMKC Safety Prescription Eyewear Order Form
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A form for UMKC employees to order prescription safety eyewear with various lens and frame options.
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Medical Claim Form
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A form for submitting medical reimbursement requests for services from non-network providers under Uniform Medical Plans.
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Member Claim Submission Form
PDF template
A form for submitting medical and vision-related insurance claims for reimbursement with required patient and service details.
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Member Claim Submission Form
PDF template
A form for submitting medical and vision service claims to UMR for reimbursement by members.
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VIM Mission Team Form Instructions
PDF template
Comprehensive instructions for mission team leaders detailing required documentation, forms, and submission guidelines for mission trips.
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VIM Mission Team Form Instructions
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Comprehensive guide for mission team leaders to collect and submit required documentation for mission trips, including registration, medical releases, and consent forms.
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MEMBERSHIP FORM
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Membership registration form for the United Nations Association of the USA with various membership levels and pricing options.
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UNIVERSITY OF THE INCARNATE WORD FINANCIAL ASSISTANCE CHECKLIST
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A comprehensive checklist for students outlining financial assistance requirements and steps for the academic term prior to Fall 2020.
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Certificate Of Liability Insurance (COI) Instructions
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Guidelines for vendors providing insurance documentation when working with public school facilities projects in New Mexico.
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Artist ApplicationAgreement
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A document for artists to apply and agree to liability terms when participating in Buttonwood Art Space activities.
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Undiscovered Frontiers Booking Form
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Comprehensive travel registration form for collecting traveler details, emergency contacts, and trip preferences for adventure travel.
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ParentS Or GuardianS Agreement Of Waiver Of Liability, Indemnification, And Medical Release
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A legal document for parents or guardians to acknowledge risks and release liability for a minor's participation in an activity.
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Record Of Employment
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A form for documenting employment status for unemployment insurance claims in New York State.
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Initial Unemployment Insurance Benefits Claim
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Comprehensive guide for filing an initial unemployment insurance claim in New Jersey, detailing required documentation and application process.
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University Of New Hampshire Technology Incident Investigation Form
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A comprehensive form for documenting and investigating technology security incidents at the University of New Hampshire.
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2023 24 PermissionWaiver Emergency Information Form Minor
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A comprehensive permission and emergency contact form for minors participating in church activities, including liability waiver and medical information.
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Maryland Uniform Consultation Referral Form
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A standardized form for healthcare providers to request medical consultations, referrals, and services between healthcare providers and facilities.
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Uniform Consultation Referral Form
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A standardized form for healthcare providers to submit patient referrals and consultation requests through CareFirst insurance plans.
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Union College Contractor Service Agreement
PDF template
A legal agreement between Union College and a contractor defining the scope, terms, and conditions of contracted services.
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Independent Contractor Contract
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A contract defining the terms of an independent contractor's engagement with Union College, including services, compensation, and intellectual property rights.
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Unique Services Reimbursement Program Claim Form
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A claim form for submitting reimbursement requests for unique healthcare services through Presbyterian Health Plan for the City of Albuquerque.
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DENTAL ENROLLMENT FORM
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Form for enrolling in dental insurance coverage, collecting employee and dependent information for group dental insurance.
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Claim Information Form UnitedHealthcare StudentResources
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Insurance claim form for students to submit medical claims and accident information to UnitedHealthcare StudentResources
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Universal Enrollment Form
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Comprehensive enrollment form for medical, dental, and vision insurance covering active employees, retirees, COBRA, and surviving spouse participants.
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Vehicle Accident Reporting Procedure
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Comprehensive instructions for employees on how to handle and report vehicle accidents involving fleet or rental vehicles.
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Vehicle AccidentIncident Procedures
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Vehicle Accident Report
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VREP Waiver
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Voluntary Participation Acknowledgement And Assumption Of Risk
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Voluntary Student Transportation Agreement For Field Trip And Excursions
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Voluntary Waiver Form
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Providence College Voluntary Waiver Form
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A legal document for participants or parents/guardians to acknowledge risks and provide consent for activities at Providence College
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Volunteer Activity Waiver Form
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Volunteer Activity Waiver Form
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GIT Structured Volunteer Form (012021)
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Volunteer Agreement Form
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A volunteer agreement outlining the responsibilities and expectations for volunteers at the Skagit River Bald Eagle Interpretive Center.
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VOLUNTEER AGREEMENT FORM
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GIT Structured Volunteer Form
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Granville County Board Of Commissioners Volunteer Service Award Nomination Form
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Guidelines and nomination process for recognizing exceptional volunteer service in Granville County by the Board of Commissioners.
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Volunteer Consent Form
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A legal consent and liability release form for volunteers participating in activities at KVC Behavioral HealthCare.
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Volunteer Driver Application Form
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BOA Volunteer Firefighter Disability Claim Form
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Official claim form for Alabama volunteer firefighters seeking disability benefits due to service-related injury.
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Agreement For Non Reimbursed Volunteer Services
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City Of Roanoke Volunteer Application Form
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Volunteer Registration Liability Waiver Form
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Volunteer Workers Compensation Form Instructions
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Guidelines for obtaining workers compensation insurance for volunteers at the University of North Dakota based on task risk and frequency.
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VolunteerS Waiver Of Liability And Release Of Claims
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Legal document authorizing criminal history records check and releasing liability for volunteers in school district.
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Oberlin College Volunteer Form And Release
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A comprehensive volunteer agreement outlining responsibilities, risks, and liability waivers for volunteers at Oberlin College.
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PARENTAL CONSENT FORM FOR VOLUNTEERS
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Legal form granting parental permission for minors to volunteer at Towson University and releasing the university from liability.
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California State University Volunteer Release Form For Minors
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Legal form for parent/guardian consent and liability release for minors volunteering at California State University San Marcos.
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VOLUNTEER AGREEMENT MEDICAL RELEASE FORM
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A comprehensive agreement outlining volunteer responsibilities, expectations, and liability release for individuals volunteering with the Westchester Park District.
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Volunteer Release And Waiver Of Liability Form
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Legal document releasing United Food Bank from liability for volunteer activities and potential injuries during service.
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Life University Volunteer Service AgreementRelease Parental Consent Form
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A legal document outlining the terms and conditions for volunteering at Life University, including liability waivers and confidentiality agreements.
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Travel Reimbursement Form
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Official form for submitting travel expenses and per diem reimbursement for county employees or volunteers
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Accident Waiver And Release Of Liability Form
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Legal document releasing liability for participation in activities, with specific focus on Louisiana SPCA event risks and responsibilities.
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Volunteer Waiver And Release Form
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Legal document for registering volunteers and releasing the city from liability for volunteer activities
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Volunteer Waiver Form
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Legal document outlining volunteer responsibilities, rights, and liability waivers for Genesee County volunteer program.
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Volunteer Workers Limited Medical Cost Reimbursement Policy
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Policy outlining medical cost reimbursement for volunteer workers not covered by workers' compensation, with a maximum reimbursement of $5,000 for work-related injuries.
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General Release, Indemnity, And Waiver Of Liability
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Voter Cancellation Form
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Official form for canceling voter registration in Shasta County, California
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Cancellation Form Remove From Pulaski County Voter Registration
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Official form for removing a voter from Pulaski County voter registration rolls due to moving, personal request, or deceased status.
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Visitor, Volunteer, Or Other Non Employee Incident Report Form
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A form for documenting incidents involving visitors, volunteers, or non-employees, including details about the incident, injuries, and witnesses.
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ANPACANG Homeowners And Rental Owners Change Form Revision
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Official communication detailing revisions to the Homeowners/Rental Owners Policy Change Form for ANPAC agency personnel.
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Request For Reimbursement
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A form for submitting out-of-network vision care reimbursement claims to Vision Service Plan (VSP)
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VSP Member Reimbursement Form
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A form for VSP vision care members to request reimbursement for vision-related services and expenses.
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Enrollment Form With Dependent Data
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A form for employees to enroll in health insurance coverage and provide dependent information.
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VSP Volunteer Service Program Application
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A comprehensive program guiding residents through the process of becoming a county volunteer, including application, screening, and placement steps.
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VSP Member Reimbursement Form
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A form for VSP vision care members to request reimbursement for vision-related services and expenses.
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WAIVER FORM
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A form to decline participation in the VSP (Vision Service Plan) vision program offered by an employer.
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Wage Interview Form
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A comprehensive form for documenting employee wage, hours, and employment details for transportation contract workers.
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2021 2022 North Shore Academy Of Gymnastics Registration Form And Waiver
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Registration form and liability waiver for North Shore Academy of Gymnastics programs and activities
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Waiver Form And Acknowledgement Of Receipt Of Policies
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Patient form acknowledging financial responsibility for medical services not covered by insurance and agreeing to office policies.
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ACCIDENT WAIVER, RELEASE OF LIABILITY AND INDEMNIFICATION FORM
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Legal document waiving liability for vendors participating in events at the Canal Street Marketplace Facility.
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Waiver And Release Of Liability, Assumption Of Risk, And Indemnity Agreement
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Legal document releasing liability for participants in glacier diving activities, outlining risks and participant responsibilities.
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Waiver And Release Of Liability, Assumption Of Risk, And Indemnity Agreement
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Legal document waiving liability for diving activities and acknowledging potential risks associated with diving.
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Waiver And Rental Agreement Form
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A comprehensive waiver and rental agreement for clients renting Daybreak Point Bible Camp's island facility, outlining liability, risks, and client responsibilities.
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University Of The Incarnate Word Waiver And Consent To Treat
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Legal document providing parental consent and waiver of liability for a minor's participation in a university or high school camp.
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Liability Release Form
PDF template
Legal document releasing Black Hills Paintball from liability for participants in paintball and related activities, including equipment damage and personal injury risks.
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Release Of Liability, Waiver Of Claims, Assumption Of Risks And Indemnity Agreement
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Legal document waiving rights and assuming risks for participation in drop-in pickleball activities at Springbrook Multi-plex.
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COVID 19 POOL AREAS USE RELEASE AND WAIVER AGREEMENT
PDF template
Legal document outlining COVID-19 safety terms and conditions for pool area usage by community association members.
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ParentGuardian Permission Waiver Form For Minors
PDF template
A waiver form granting permission for minors to participate in volunteer activities at Daily Bread Food Bank, releasing the organization from liability.
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Waiver Of Health, Dental AndOr Vision Coverage
PDF template
A form allowing employees to decline health, dental, and vision insurance coverage offered by their employer.
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McHenry County College Fitness Evaluation Exercise Waiver Form
PDF template
A legal waiver for participants in McHenry County College's Fitness Education Program, releasing the college from liability for potential injuries or damages.
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Release Of Liability, Waiver Of Claims, Assumption Of Risks And Indemnity Agreement
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Legal document releasing liability for participation in a Round Dance Shuttle Bus event with multiple collection points in Alberta, Canada.
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Waiver And Release Of Liability, Assumption Of Risk And Indemnity Agreement
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Legal document outlining liability release and risk acknowledgment for participants in United States Equestrian Federation events and activities.
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WAIVER, INDEMNIFICATION, AND MEDICAL TREATMENT AUTHORIZATION FORM
PDF template
Legal document releasing Prairie View A&M University from liability for participation in university-sponsored activities and acknowledging inherent risks.
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PARTICIPANT ACCIDENT WAIVERRELEASE OF LIABILITY FORM
PDF template
A legal document used to waive liability and obtain participant signatures for an event or activity.
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For Minors) WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK AND PARENTAL CONSENT AND INDEMNIT
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Legal document waiving liability for minor participation in North American Roller Hockey Championships activities, acknowledging risks and parental consent.
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SOUTHWEST TEXAS JUNIOR COLLEGE WAIVER OF LIABILITY MEDIA RELEASE FORM
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A document requiring parental consent for a STEM summer camp, including liability waiver and media release permissions.
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USACC Form COIRWL 1, V. 1.1
PDF template
A liability release form for participants in Army ROTC/JROTC military-style training activities, acknowledging voluntary participation in potentially risky events.
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Research And Academic Areas Use Assumption Of Risk And Release Of Liability For Volunteers And Visit
PDF template
A legal document for non-student and non-employee volunteers to assume risks and release the University of Michigan from liability when using university facilities.
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Waiver Of Medical Coverage Form
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Form for employees to waive State Employee Group Insurance Program (SEGIP) medical coverage when having alternative coverage.
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Waiver Of Pre Tax Insurance Form
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A form allowing employees to opt out of pre-tax deductions for employer-sponsored insurance premiums at UND.
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Accident Waiver And Release Of Liability
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Legal document releasing Habitat for Humanity from liability for volunteer activities and potential risks during participation.
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Parks And Recreation Department Waiver Release Form
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Legal document releasing the City of Miami Beach from liability for injuries or damages during recreational activities.
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GT Waiver Of Liability, Assumption Of Risk And Indemnity Agreement
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A comprehensive legal document outlining risks and liability for participants in athletic, recreational, and adventure programs at Georgia Tech.
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Waiver Authorizing Disclosure Of Information And Releasing Liability
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A legal document required by Wisconsin statute for law enforcement job candidates to authorize disclosure of employment files and release employers from liability during hiring process.
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Securing Waivers Of Liability From Volunteers Of Nonprofit Organizations
PDF template
A comprehensive guide for nonprofit organizations on obtaining and implementing volunteer liability waivers to protect the organization from potential legal claims.
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Assumption Of Risk, Accident Waiver And Release Of Liability
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Legal document that releases liability for participants in adaptive sports activities, acknowledging potential risks and waiving claims against event organizers and sponsors.
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St. Clair County Community CollegeYMCA Of The Bluewater Area Activity Waiver Form
PDF template
A comprehensive waiver form for participants in college and YMCA activities, addressing risks, liability, and emergency treatment consent.
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United States Court Of Appeals For The Eighth Circuit Walmart Inc. V. Cuker Interactive, LLC
PDF template
Appellate court opinion regarding a contract dispute between Walmart and Cuker Interactive involving website development and trade secrets
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WARRANTY CLAIM FORM
PDF template
A comprehensive form for submitting property damage warranty claims, requiring detailed property and damage information.
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Waste Hauler Discharge Form
PDF template
Official form for documenting waste hauler discharge details, customer information, and permit compliance.
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Water Permit Applications
PDF template
Guide to various water permit application forms for different types of wastewater discharge and treatment scenarios for stationary sources.
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Claim Payment Appeal Submission Form
PDF template
A form for healthcare providers to submit appeals regarding claim payment decisions made by Amerigroup Washington, Inc.
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Wayne County Human Resources EmploymentCivil Service Exam Application
PDF template
An employment application for civil service positions in Wayne County that includes personal information, employment history, and background screening questions
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WASHINGTON YOUTH SOCCER PARENTGUARDIAN CONSENT AND PLAYER MEDICAL RELEASE FORM
PDF template
Medical release and consent form for youth soccer players, including emergency contact and medical history information.
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Notice Of Designation As Independent Contractor
PDF template
A form for workers to declare their status as an independent contractor and verify their insurance and business details for workers' compensation purposes
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WCC10 Alabama Assessment Form
PDF template
Annual reporting form for documenting workers' compensation claim expenses and settlements in Alabama.
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Limited Power Of Attorney For Purpose Of Regulatory Filings
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A legal document authorizing Minnesota Workers' Compensation Insurers Association to file rating plans with the Department of Commerce on behalf of multiple insurers.
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Membership Form
PDF template
Comprehensive membership registration form for participation in Parks and Recreation Department programs, including personal and family details and liability waiver.
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Personal Services Agreement Honorarium Request Form
PDF template
University form for engaging service providers for contracts valued at $5,000 or less, outlining payment and service terms.
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WorkerS Compensation Witness Report Form
PDF template
Form for documenting witness details and observations of a workplace incident for workers compensation purposes.
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Web Development Terms And Conditions Template
PDF template
A template document outlining legal terms and conditions for web development projects and services.
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Directions For The Completion Of Student Teaching Application And Student Teacher Permit Application
PDF template
Instructions for prospective teaching candidates to complete student teaching and permit applications at RWU.
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Alameda County Incident Report Form (Non Vehicle Related)
PDF template
A confidential form for documenting non-vehicle related incidents, injuries, and property damage within Alameda County.
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Website Development Hosting Agreement
PDF template
A legal agreement outlining the terms and responsibilities for website development and hosting services between a vendor and client.
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Sales Order Form
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A sales order form for purchasing furniture from Knightsbridge Furniture Productions Limited, requiring detailed product specifications and an official purchase order.
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Prepare Our Island Week 4 Important Documents
PDF template
A comprehensive guide for organizing critical personal documents in preparation for potential disasters like earthquakes.
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Weekly Disability Benefit Claim Form
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A form for filing a weekly disability benefit claim for Teamsters Health and Welfare Fund members seeking disability benefits.
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Weekly Disability Benefit
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A disability insurance program offering partial wage replacement for non-work related injuries or illnesses for eligible employees.
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Weekly Disability Claim Form
PDF template
A comprehensive form for reporting employee disability claims, including sections for employee, employer, and physician statements.
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Certificate Of Liability Insurance Request Form
PDF template
A form for requesting liability insurance coverage for Synodical Women's Organization events under ELCA's insurance policy.
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Certificate Of Liability Insurance Request Form
PDF template
Form for requesting liability insurance coverage for Synodical Women's Organization events under ELCA's insurance policy.
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Joint Welfare Fund LU 164 HRA Reimbursement Form
PDF template
Health Reimbursement Account (HRA) claim form for submitting medical expense reimbursement requests for members and dependents.
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Accident Procedures Form
PDF template
Comprehensive guide for handling vehicle accidents, including reporting procedures and documentation requirements.
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Student Insurance Claim Form
PDF template
A comprehensive insurance claim form for students to report medical examinations, illnesses, injuries, and insurance coverage details.
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WELLNESS BENEFIT CLAIM FORM (Accident Insurance)
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A form for submitting wellness exam and preventive health screening claims under an accident insurance policy.
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Wellness Benefit Claim Form
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A claim form for submitting wellness-related medical tests and screenings for potential insurance benefits.
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RELEASE AND WAIVER OF LIABILITY ASSUMPTION OF RISK AND INDEMNITY AGREEMENT AND DIGITAL, FILM, VIDEO
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Legal document releasing event organizers from liability and assuming risk for participation in an art event involving pets.
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City Of Wilsonville WERK Day Volunteer Form
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A volunteer liability release form for City of Wilsonville community service activities, outlining participant rights and responsibilities.
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Auto LiabilityPersonal Injury Protection Information
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Form for collecting patient information, insurance details, and liability information related to auto accidents and medical claims.
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DISINTERESTED THIRD PARTY CONTINUING EDUCATION AFFIDAVIT
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Instructions for obtaining continuing education credits for insurance agents in West Virginia through proctored examinations.
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Wexford Conservancy Vehicle Registration Form
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A form for registering vehicles to park on Wexford property with specific parking regulations and permit requirements.
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Claim Form
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A form used to request reimbursement for eligible out-of-pocket healthcare and dependent care expenses through a flexible spending account.
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WH 530 Farm Labor Contractor Certificate Of Registration
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Application form for individuals or businesses recruiting, hiring, or transporting migrant or seasonal agricultural workers
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Application For Life AndOr Critical Illness Insurance
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Notice of changes to Equitable Life's insurance application process and form requirements with new version and submission guidelines.
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Residential Hazardous Material Sampling And Debris Removal Right Of Entry Permit Checklist For Prope
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A document outlining the required documentation and process for property owners to authorize debris removal following a burn event in Whitman County.
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Westlake High School 2019 2020 Application For Student Parking Permit
PDF template
A form for high school students to apply for a parking permit at Westlake High School, requiring various documentation and consent.
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Westlake High School 2020 2021 Application For Student Parking Permit
PDF template
A form for high school students to apply for a parking permit to drive and park at Westlake High School during the academic year.
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Hirer Collision Or Damage Report Form
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A comprehensive form for documenting details of a vehicle rental accident, including driver, witness, vehicle, and incident information.
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Sample Cancellation Form
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A form for customers to formally request cancellation of a contract with AXT-electronic GmbH & Co.KG.
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WI Endangered And Threatened Species Permit Annual Report Instructions
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Instructional document for completing and submitting the Wisconsin Endangered and Threatened Species Permit Annual Report form, including renewal options and submission procedures.
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Medical Form
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Comprehensive medical history form for participants in outdoor adventure activities, including health conditions, emergency contacts, and liability acknowledgment.
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Pre Filed Witness Statement Of Michael A. Pedraja
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A detailed document presenting Allstate Insurance Company's proposed restructuring plan submitted to the Illinois Director of Insurance.
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Acord 35 Cancellation Request
PDF template
A document discussing ACORD insurance policy cancellation procedures and related certificate changes.
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Consent To Treat Form
PDF template
A form allowing University of Kentucky Medical Center to provide medical treatment and file insurance claims with patient consent.
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Stormwater Credit Application Form
PDF template
Application form for customers seeking stormwater credits from the Warminster Municipal Authority with various credit categories and eligibility requirements.
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WMCMetLife Employee Benefit Plan Contact Information
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Comprehensive contact information for WMC and MetLife employee benefit plan administrators, claims processing, and customer service.
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Wisconsin Music Teachers Association Contractor Form
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A form for documenting contractor details, payment terms, and expense reimbursement for music teaching events.
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Exhibitor Appointed Contractor Form
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A form for exhibitors to request approval for using an Exhibitor Appointed Contractor at the manufacturing technology show.
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Liability Waiver Form
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A legal waiver releasing the Columbus Police Department from liability during a self-defense class participation, covering potential physical injury or property damage.
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CP 4866 01 01 WOODCOAL BURNING STOVE SUPPLEMENTAL INSPECTION FORM
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A detailed inspection form for assessing the safety and installation of wood or coal burning stoves.
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Workers Compensation Claim Forms Alphabetical Index
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Comprehensive reference guide for workers' compensation claim forms, covering various documents used in the claims process.
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Workers Compensation Online Interview Form
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A detailed form for documenting workplace injury, medical treatment, and compensation claims for employees.
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WORKERS COMPENSATION PATIENT INTAKE FORM
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A form for documenting patient information and details related to a work-related injury for insurance and medical processing purposes.
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Working Spouse Premium Waiver Form
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Form for Purdue employees to certify spouse's medical insurance eligibility and waive working spouse premium
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WorkSpan User Agreement
PDF template
Legal agreement defining terms of service for using WorkSpan's platform and outlining user responsibilities and rights.
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Participant Release Of Liability, Waiver Of Claims, Assumption Of Risks And Indemnity Agreement
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Legal document outlining risks and liability waivers for participants in river rafting activities with World Wide River Expeditions.
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Tax Sharing In Insurance Markets A Useful Parameterization
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An academic research paper examining the economic impacts of taxation on insurance payments and moral hazard using a principal-agent framework.
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My Benefit Plan Booklet
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Group benefits booklet for professional firefighters in the City of Windsor, provided through Green Shield Canada.
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MY BENEFIT PL AN BOOKLET
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A benefit plan booklet for retired firefighters and their surviving spouses from the City of Windsor, providing group benefits through Green Shield Canada.
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Water Quality Trading Plan (WPADform 5002)
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Department of Environmental Quality form for submitting a Water Quality Trading Plan for credit purchases and compliance with LPDES permits.
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WUL Wrap Up Liability Insurance Form
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A certificate of insurance documenting wrap-up liability coverage for a project involving multiple parties and participants.
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Project Funding Agreement
PDF template
A funding agreement between The Water Research Foundation (WRF) and a sub-recipient for a research and development contract.
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Project Funding Agreement
PDF template
A contractual agreement between The Water Research Foundation and a sub-recipient for a research and development project with specific terms and exhibits.
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Residential Construction Contract Template
PDF template
A comprehensive guide for creating a residential construction contract with essential clauses and legal considerations for contractors and clients.
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WV 96
PDF template
A document outlining standard contract terms and conditions for a vendor agreement with New River Community and Technical College.
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Mountaineer Flexible Benefits Enrollment Form
PDF template
A comprehensive form for employees to enroll, modify, or cancel flexible benefits during open enrollment period.
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Summer Camp Accident Waiver And Release Of Liability Form
PDF template
A liability waiver for parents allowing their children to participate in Washington Waldorf School's summer camp program, covering potential risks and medical authorization.
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City Of Sumner Waste Water Discharge Form D
PDF template
A form for businesses to disclose industrial waste discharge details and potential environmental impacts to the City of Sumner's Waste Water Treatment Plant.
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PATIENT AUTHORIZATION FOR XTANDI SUPPORT SOLUTIONS
PDF template
Comprehensive patient information and authorization form for Xtandi patient assistance program and support services.
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Short Term Service Agreement
PDF template
A service agreement document for temporary employment at Bethlehem University, outlining employment terms and conditions.
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Year 12 Work Experience Insurance Form
PDF template
A mandatory form for employers to provide insurance and health & safety details for student work experience placements.
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Guest Waiver Fitness Release
PDF template
Legal document releasing YMCA of the Chesapeake from liability for potential injuries during fitness activities and program participation.
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YOGA CLASS WAIVER FORM
PDF template
Legal waiver form for participants in yoga classes, collecting personal and medical information and releasing liability.
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Your Home Inventory
PDF template
A comprehensive guide for creating and maintaining a detailed inventory of personal property for insurance, tax, and estate planning purposes.
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New Mexico 4 H Youth Medical And Liability Release Code Of Conduct Contract And Media Release Form
PDF template
A comprehensive form for 4-H youth participants covering medical information, liability release, code of conduct, and media release.
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Liability Release Form
PDF template
A comprehensive legal document releasing the church from liability and granting medical treatment authorization for participants in church activities or trips.
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Acknowledgment And Assumption Of Risks Release And Indemnity Agreement
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Legal document outlining risks and liability for youth participants in wilderness activities with Women's Wilderness Institute.
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Medical ReleasePermission Form
PDF template
A comprehensive medical form for participant information, emergency contacts, medical details, and liability waiver for activities.
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YouthSERVE Volunteer Registration Form
PDF template
A consent form for youth volunteers to participate in Volunteer Center of Santa Cruz County programs, including liability release and media permissions.
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Civil Contractor Profile Format
PDF template
A comprehensive template for creating work orders in construction and civil contracting industries, detailing service, labor, and material costs.
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Employee Flexible Spending Account (FSA) Enrollment Form
PDF template
A comprehensive form for employees to enroll in and select flexible spending account options for healthcare and dependent care expenses.
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Group Personal Accident Certificate
PDF template
Insurance certificate providing accident coverage for eligible persons under a group policy issued to the State of Wisconsin Group Insurance Board.
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Utah State University Voluntary Accidental Death Dismemberment Insurance
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Insurance policy providing accidental death and dismemberment coverage for Utah State University employees and their dependents.
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