AUTHORIZATION AND ACKNOWLEDGEMENT. I authorize Xxxxx Management to obtain reports from any consumer or criminal record reporting agencies before, during, and after tenancy on matters relating to my Application and Lease with Xxxxx Management and to verify, by all available means, the information in this Application, including criminal background information, income and housing history, and other information reported by any state or federal agency (ex: Social Security Administration). I understand that this authorization cannot be used to obtain any information about me that is not pertinent to my eligibility and continued participation as a qualified applicant or resident.
AUTHORIZATION AND ACKNOWLEDGEMENT. I understand that I cannot revoke or change this election during the year unless there is a qualifying "Status Change". The requested election change must be consistent and in line with the qualifying event (QLE). I may then revoke my prior election and sign a new Agreement if such a change occurs. QLEs include a change in your legal marital status, birth of a child, date you adopt a child, death of spouse or dependent, loss of employment, or your child reaches the age 13 or change in childcare services. Changes must be submitted within 30 days of the qualifying life event (QLE).
AUTHORIZATION AND ACKNOWLEDGEMENT. Each of the Lenders party hereto hereby (a) authorizes the Administrative Agent to execute and deliver the New Borrower Mortgage Amendments in its capacity as Administrative Agent by and on behalf of such Lender and (b) acknowledges and authorizes the agreement of the Administrative Agent and the Canadian Administrative Agent, as applicable, set forth in Section 13 of this Agreement with respect to the Credit Insurance Policy and Section 14 of this Agreement with respect to the New Borrower Mortgage Amendments.
AUTHORIZATION AND ACKNOWLEDGEMENT. Each of the Lenders party hereto hereby (a) authorizes the U.S. Administrative Agent to execute and deliver the New U.S. Borrower Mortgage Amendments in its capacity as U.S. Administrative Agent by and on behalf of such Lender and (b) acknowledges and authorizes the agreement of the Administrative Agent and the U.S. Administrative Agent, as applicable, set forth in Section 13 of this Agreement with respect to the Credit Insurance Policy and Section 14 of this Agreement with respect to the New U.S. Borrower Mortgage Amendments.
AUTHORIZATION AND ACKNOWLEDGEMENT. For the purpose of reimbursement of fees for services rendered by you during my treatment, I authorize you to release any necessary information to third party payers, insurance companies, attorneys or other relevant parties to secure payment for such services. I also acknowledge and affirmatively represent that the information provided by me regarding my health care coverage is true, accurate and complete to the best of my knowledge.
AUTHORIZATION AND ACKNOWLEDGEMENT. I acknowledge that this agreement is for a pet preventive care plan and is NOT AN INSURANCE CONTRACT and that the plan payment confers only the benefits described in this agreement. I understand that this agreement will automatically renew for successive 12-month terms unless I inform you at least 30 days before the end of my initial or renewal term that I do not want to renew this agreement. If I do not want to automatically extend this Preventative Care Plan for another 12-month term, I must notify you either by phone at (000) 000-0000 or email at xxxxxxx@xxxxxxxxxxxx.xxx. Automatic renewals for successive 12-month terms will continue until I inform you of my intent to not renew this agreement. I agree to these terms and conditions and elect to purchase the Preventative Care Plan described on page 1 of this agreement. I further authorize Heartfelt Veterinary Hospital to charge all monthly plan fees (including the initial enrollment fee) using the credit account information provided.
AUTHORIZATION AND ACKNOWLEDGEMENT. I hereby authorize the Columbus Metropolitan Housing Authority (CMHA) and its agents, including financial institutions, to deposit payments by electronic funds transfer (ACH).
AUTHORIZATION AND ACKNOWLEDGEMENT. I/we authorize the brokerage to obtain a credit for the purposes of my/our mortgage application and I/we authorize the brokerage to exchange such credit information with potential mortgage lenders, mortgage insurers of service providers for the purpose of securing mortgage financing. Pursuant to the Real Estate Act, the brokerage is required to maintain the application and credit information for a minimum period of 3 years. I/we hereby consent to the brokerage to collect, use, and disclose my/our personal information for the purposes of securing a mortgage on my/our behalf. In addition, I/we authorize the Brokerage to verify any information pursuant to my/our application from any source. I/we further authorize the brokerage/broker/associate to contact us via email from time to time related to our mortgage. You agree we may advise about the progress of your application. Mortgage Brokerage: Axiom Mortgage Solutions Mortgage Broker/Associate’s Name: Mortgage Broker/Associate’s Signature: Borrower Name(s): Borrower Signature(s): Date: Email Address(es): Text Number(s): Despite the end date listed at the beginning of this agreement, the agreement ends immediately if any of these things happen: we both agree in writing to an earlier end date. our licence to deal in mortgages is suspended or cancelled. we are bankrupt, insolvent, or we are in receivership. you materially breach this agreement and we give you written notice to end it, or we materially breach this agreement and you give us written notice to end it. If the agreement ends for any of these reasons, there will be no effect on our rights and your rights under this agreement. The laws of the Province of Alberta govern this agreement. Words in the singular meaning may be read as plural when required by the context. The clause numbers will change as necessary, if there are changes in this agreement. Any future changes to this agreement must be in writing and signed by both of us to be effective. You agree the information provided to us and the financing application is true and correct. You acknowledge this agreement accurately sets out what both of us agree to You acknowledge that you have read and received a copy of this Agreement.
AUTHORIZATION AND ACKNOWLEDGEMENT. IMPORTANT INFORMATION ABOUT HEALTHCARE PROVIDER RELATIONSHIPS AND HEALTHCARE PROVIDER LISTS
AUTHORIZATION AND ACKNOWLEDGEMENT. Important Information about Provider Relationships and Lists In connection with using the Site and the Services to locate and schedule appointments with medical professionals, you understand that: • YOU ARE ULTIMATELY RESPONSIBLE FOR CHOOSING YOUR OWN PROVIDER. • LyfPlus selects and lists licensed Providers on the Site pursuant to a contractual agreement with the Providers. • Providers also list their healthcare professionals or doctors on the Site whom practice in their hospitals, clinics or health facilities. The Providers verify these healthcare professionals before they work with them. • You pay an appointment fee to reserve a specific time slot to go see a provider, healthcare professional or doctor of your choice for medical consultation, for convenience. • LyfPlus will provide you with lists and/or profile previews of Providers who may be suitable to deliver the healthcare that you are seeking based on information that you provide to LyfPlus (such as insurance information, proximity to your geographical location, and specialty of the Provider). In an effort to aid in the discovery of Providers and enable the maximum choice and diversity of Providers who participate in the Services, these lists and/or profile previews may also be based on other criteria (including, for example, Provider availability, past selections by and/or ratings of Providers by you or by other LyfPlus users, and past experience of LyfPlus users with Providers); but LyfPlus (i) does not recommend, endorse or promote other Providers more than others and we do not determine the quality of medical services provided by these providers so long as they are licensed by appropriate regulatory bodies. (ii) does not make any representations or warranties with respect to these Providers or the quality of the healthcare services they may provide, and (iii) does not receive any additional fees from Providers for featuring them through the Services. • LyfPlus uses reasonable efforts to ensure that Providers only participate in the Services if they hold active medical licenses and all certifications necessary to practice any specialty of the services offered by them to patients, and who remain qualified to participate in the Medicare and Medicaid programs. LyfPlus may also exclude Providers who, in LyfPlus’s discretion, have engaged in inappropriate or unprofessional conduct. LyfPlus may send you email and/or text notifications about any medical appointment you make on any web service offered, ...
