AGREEMENT SIGNATURES. The parties agree to the terms and conditions of this Service Agreement. Signature of Participant’s representative Name of Participant’s representative Date Signature of authorised person from provider: Name of authorised person from provider: Date Appendix A - Schedule of Supports
Appears in 3 contracts
Samples: Service Agreement, Service Agreement, Service Agreement
AGREEMENT SIGNATURES. The parties agree to the terms and conditions of this Service Agreement. Signature of Participant’s representative Name of Participant’s representative Date Signature of authorised person from provider: Name of authorised person from provider: Date Appendix A - Schedule of SupportsDate
Appears in 3 contracts
Samples: Service Agreement, Service Agreement, Service Agreement
AGREEMENT SIGNATURES. The parties agree to the terms and conditions of this Service Agreement. Signature of Participantparticipant/participant’s representative Name of Participantparticipant/participant’s representative Representative Date Signature of authorised person from provider: provider Name of authorised person from provider: Provider Date Appendix A - Schedule of SupportsSupports Participant Name:
Appears in 1 contract
Samples: Service Agreement
AGREEMENT SIGNATURES. The parties agree to the terms and conditions of this Service Agreement. This agreement has been explained verbally. Yes No Signature of Participantparticipant/participant’s representative Name of Participantparticipant/participant’s representative Date Signature of authorised person from provider: provider Name of authorised person from provider: Date Appendix A - Schedule of Supports
Appears in 1 contract
Samples: Service Agreement