Affidavit of Eligibility Sample Clauses

Affidavit of Eligibility. If You are eligible for a prize, You may be required to execute and return an affidavit of eligibility, a copy of Your driver’s license, Proof of Residence, information regarding payment or deposit accounts to assist with withdrawals, a liability release and, where lawful, a publicity release within seven (7) days of issuance. If such documents are not returned within the specified time period, or if You are not in compliance with these Terms, the prize will be forfeited and may be awarded to another potential winner at Our discretion.
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Related to Affidavit of Eligibility

  • Certification of eligibility a. By entering into this contract, the contractor certifies that neither it (nor he or she) nor any person or firm who has an interest in the contractor's firm is a person or firm ineligible to be awarded Government contracts by virtue of section 3(a) of the Xxxxx-Xxxxx Act or 29 CFR 5.12(a)(1).

  • Loss of Eligibility If a Member no longer meets the eligibility requirements and is not enrolled for continuation coverage as described in Subsection G. below, coverage will terminate at the end of the month during which the loss of eligibility occurs, unless otherwise specified by the Group.

  • Certification of Contractor The Contractor shall certify, over his own signature, that the Work provided for by the Contract Documents has been completed under the terms and conditions thereof, and that the entire balance of the contract is due and payable.

  • Certification of Coverage Engineer shall furnish County with a certification of coverage issued by the insurer. Engineer shall not cause any insurance to be canceled nor permit any insurance to lapse. In addition to any other notification requires set forth hereunder, Engineer shall also notify County, within twenty-four (24) hours of receipt, of any notices of expiration, cancellation, non-renewal, or material change in coverage it receives from its insurer.

  • CERTIFICATE OF SERVICE I certify that I served a true and correct copy of the foregoing Consent Agreement and Final Order, docket number _CAA-05-2021-0037 manner to the following addressees: , which was filed on September 30, 2021 , in the following Copy by E-mail to Respondent: Xxxxx X. Xxxxx xxxxxxxxxxxxxxxxx@xxxxx.xxx Copy by E-mail to Xxxxxxx Xxxx Attorney for Complainant: xxxx.xxxxxxx@xxx.xxx Copy by E-mail to Xxxxxx X. Xxxxx Attorney for Respondent: xxxxx.xxxxx@xxxxx.xxx Copy by E-mail to Xxx Xxxxx Regional Judicial Officer: xxxxx.xxx@xxx.xxx Dated: XXXXXX XXXXXXXXX Digitally signed by XXXXXX XXXXXXXXX Date: 2021.09.30 10:54:02 -05'00' XxXxxx Xxxxxxxxx Regional Hearing Clerk

  • Employee Eligibility Verification The Contractor warrants that it fully complies with all Federal and State statutes and regulations regarding the employment of aliens and others and that all its employees performing work under this Contract meet the citizenship or alien status requirement set forth in Federal statutes and regulations. The Contractor shall obtain, from all employees performing work hereunder, all verification and other documentation of employment eligibility status required by Federal or State statutes and regulations including, but not limited to, the Immigration Reform and Control Act of 1986, 8 U.S.C. §1324 et seq., as they currently exist and as they may be hereafter amended. The Contractor shall retain all such documentation for all covered employees for the period prescribed by the law. The Contractor shall indemnify, defend with counsel approved in writing by County, and hold harmless, the County, its agents, officers, and employees from employer sanctions and any other liability which may be assessed against the Contractor or the County or both in connection with any alleged violation of any Federal or State statutes or regulations pertaining to the eligibility for employment of any persons performing work under this Contract.

  • Eligibility and Enrollment 2.3.1 The State of Georgia has the sole authority for determining eligibility for the Medicaid program and whether Medicaid beneficiaries are eligible for Enrollment in GF. DCH or its Agent will determine eligibility for PeachCare for Kids® and will collect applicable premiums. DCH or its agent will continue responsibility for the electronic eligibility verification system (EVS).

  • Insurance Eligibility Unclassified supervisors who receive an employer contribution to health/dental insurance and whose position/appointment ends for reasons other than work performance shall remain eligible for the same employer contributions for six (6) months from the date the position/appointment ends.

  • Eligibility Verification (a) HHSC will verify Medicaid eligibility for Dual Eligible Members by the fifth business day of the month following the receipt of the MA Dual SNP’s monthly enrollment file, in accordance with Section 3.02(b).

  • ELIGIBILITY and COVERAGE 3.1.0 The following ETFO represented employees are eligible to receive benefits through this Trust:

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