Common use of Check if Required Clause in Contracts

Check if Required. 🞎If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �✔ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. 🞎If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in🞎 🞎 If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. ��If checked, the Supplemental State Terms and attached hereto as Exhibit "“G”" are hereby incorporated by reference into this DPA in their entirety. If checked, XXXLEA and Provider agree to the additional terms or modifications set forth inExhibit "H". (Optional) If Checked, the Provider, has signed Exhibit "“E”" to the Standard Clauses, otherwise known as General Offer of Privacy Term.s

Check if Required. �✔ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth inExhibit “H”. (Optional) ✔ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. ��If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �□ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.□ If checked, XXX and Provider agree to the additional terms or modifications set forth in□ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �  �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXXLEA and Provider agree to the additional terms or modifications set forth inExhibit X  If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �✔ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in🞎 🞎 If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �ϒ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth inϒ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �✔ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth inExhibit “H”. (Optional) If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. 🞎If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in🞎 If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. ��If checked, the Supplemental State Terms and attached hereto as Exhibit “G”G are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. ��If checked, the Supplemental State Terms and attached hereto as Exhibit "“G”" are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth inExhibit "H". (Optional) If Checked, the Provider, has signed Exhibit "“E”" to the Standard Clauses, otherwise known as General Offer of Privacy Term.s

Check if Required. �□ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checkeNo□t appIfliccahblee ckedd, XXX and Provider agree to the additional terms or modifications set forth inY□es If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. ��If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth inExhibit “H”. (Optional) If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �✔ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXXLEA and Provider agree to the additional terms or modifications set forth in ✔ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. 🞎IfIf checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXXLEA and Provider agree to the additional terms or modifications set forth in If If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. � �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXXLEA and Provider agree to the additional terms or modifications set forth in ✔ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �✔ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in🞎 If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �☒ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.☒ If checked, XXX and Provider agree to the additional terms orof modifications set forth inExhibit "H" ☒ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �✔�If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in🞎 🞎✔ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �✔ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXXLEA and Provider agree to the additional terms or modifications set forth in  If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. 🞎If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXXLEA and Provider agree to the additional terms or modifications set forth in If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �□ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checkeYe□s (SeIefpcaghee2c2)kedd, XXX and Provider agree to the additional terms or modifications set forth inY□es If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. ��If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.✔ If checked, XXX and Provider agree to the additional terms or modifications set forth inExhibit “H”. (Optional) If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. ��If checked, the Supplemental State Terms and attached hereto as Exhibit "“G”" are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth inExhibit "H". (Optional) If Checked, the Provider, has signed Exhibit "“E”" to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �✔ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms orof modifications set forth in✔ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �□ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checkeNot□appIfliccahbeleckedd, XXX and Provider agree to the additional terms or modifications set forth inYes□ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. ��If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth inExhibit “H”. (Optional) ✔ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. � �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXXLEA and Provider agree to the additional terms or modifications set forth in  If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �✔�If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in🞎✔ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �ϒ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in✔ ϒ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. ��If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXXLEA and Provider agree to the additional terms or modifications set forth in If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. � �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXXLEA and Provider agree to the additional terms or modifications set forth in✔ ✔ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. 🞎If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.🞎 🞎X If checked, XXX and Provider agree to the additional terms or modifications set forth in If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. 🞎IfIf checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXXLEA and Provider agree to the additional terms or modifications set forth in✔ ✔ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �□�If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXXLEA and Provider agree to the additional terms or modifications set forth in□ □ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �□ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checkeNo□t appIfliccahblee ckedd, XXX and Provider agree to the additional terms or modifications set forth in If CheckeN□ot aIfpCplhiceacbkleedd, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �□ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.□ If checked, XXX and Provider agree to the additional terms or modifications set forth inExhibit “H”. (Optional) If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. 🞎If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXXLEA and Provider agree to the additional terms or modifications set forth in🞎 🞎 If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. ��If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in✔ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �□ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.□ If checked, XXX and Provider agree to the additional terms or modifications set forth in If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Termins

Check if Required. �□ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.✔□ If checked, XXX and Provider agree to the additional terms or modifications set forth in✔□ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �✔ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.• If checked, XXX and Provider agree to the additional terms or modifications set forth in• ✔ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. 🞎If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.🞎✔ If checked, XXX and Provider agree to the additional terms or modifications set forth in🞎✔ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. ��If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth inX If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �✔□ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.□ If checked, XXX and Provider agree to the additional terms or modifications set forth in□ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �☐�If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.☐ If checked, XXX and Provider agree to the additional terms or modifications set forth in☐ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �® �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �✔�If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.🞎✔ If checked, XXX and Provider agree to the additional terms or modifications set forth in🞎✔ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. ��If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.✔ If checked, XXX and Provider agree to the additional terms or modifications set forth inExhibit “H”. (Optional) ✔ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �□ X X �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.□ If checked, XXX and Provider agree to the additional terms or modifications set forth in□ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. 🞎If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.🞎 🞎x If checked, XXX and Provider agree to the additional terms or modifications set forth in If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. ��If checked, the Supplemental State Terms and attached hereto as Exhibit “G”G are hereby incorporated by reference into this DPA in their entirety. If checked, XXXLEA and Provider agree to the additional terms or modifications set forth inExhibit If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �X 🞎 🞎X �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. 🞎If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in🞎 🞎✔ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. ��If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby✔ incorporated by reference into this DPA in their entirety.X If checked, XXXLEA and Provider agree to the additional terms or modifications set forth inX If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �ϒ ✔ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth inϒ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �X �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.X If checked, XXXLEA and Provider agree to the additional terms or modifications set forth inExhibit “H”. (Optional) X If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. � �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXXLEA and Provider agree to the additional terms or modifications set forth inExhibit X  If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �⌧�If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in🞎 If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. 🞎If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth inExhibit “H”. (Optional) If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. 🞎If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.🞎 If checked, XXX and Provider agree to the additional terms or modifications set forth in If Checke🞎✔ICheckedd, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �□ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.□ If checked, XXX and Provider agree to the additional terms or modifications set forth inx If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. 🞎If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.🞎🞎✔ 🞎✔ If checked, XXX and Provider agree to the additional terms or modifications set forth in If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. 🞎If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.🞎xXx If checked, XXX and Provider agree to the additional terms or modifications set forth in If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �f checked, XXX and Provider agree to the additional terms or modifications set forth in �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in IfI f Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �□ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.□ X If checked, XXX and Provider agree to the additional terms or modifications set forth inExhibit “H”. (Optional) If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. 🞎If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in✔ 🞎 🞎 If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. ��If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms orof modifications set forth in If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �ϒ ✔ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.ϒ If checked, XXX and Provider agree to the additional terms orof modifications set forth in✔ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. ��If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.ϒ If checked, XXX and Provider agree to the additional terms or modifications set forth inϒ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �ϒ ϒ ✔ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth inϒ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �🞏 X �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth inX If Checkecheckedd, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. ��If checked, the Supplemental State Terms and attached hereto as Exhibit “G”G are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �🞎 �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.🞎 ⌧ If checked, XXX and Provider agree to the additional terms or modifications set forth in⌧ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. 🞎If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in🞎 X 🞎 If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �□ X �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXXLEA and Provider agree to the additional terms or modifications set forth inExhibit If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �✔□ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.□ If checked, XXX and Provider agree to the additional terms orof modifications set forth in✔□ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. ��If checked, the Supplemental State Terms and attached hereto as Exhibit “G”G are hereby incorporated by reference into this DPA in their entirety. If checked, XXXLEA and Provider agree to the additional terms or modifications set forth inExhibit X If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. 🞎If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in🞎 🗹 If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �☒ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.☒ If checked, XXX and Provider agree to the additional terms orof modifications set forth inExhibit "H" ☒ If Checked, the Provider,Provider has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �🞎 �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.X If checked, XXX and Provider agree to the additional terms or modifications set forth inX If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �☐�If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.☒ If checked, XXX and Provider agree to the additional terms or modifications set forth in☐ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �🞎 �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.🞎 If checked, XXX and Provider agree to the additional terms or modifications set forth in🞎 If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �🞏�If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.🞏 If checked, XXX and Provider agree to the additional terms or modifications set forth in🞏 If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �Δ ✔ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.Δ If checked, XXX and Provider agree to the additional terms or modifications set forth inΔ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. � �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXXLEA and Provider agree to the additional terms or modifications set forth in If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �ם �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.• If checked, XXX and Provider agree to the additional terms or modifications set forth inExhibit “H”. (Optional) • If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �🞎 �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �D �If checked, the Supplemental State Terms and attached hereto as Exhibit "“G”" are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth inx If Checked, the Provider, has signed Exhibit "“E”" to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �X �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �□ Ξ X �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXXLEA and Provider agree to the additional terms or modifications set forth inExhibit □ If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. 🞎IfIf checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. IfIf checked, XXXLEA and Provider agree to the additional terms or modifications set forth in IfExhibit If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �✓ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety.• If checked, XXX and Provider agree to the additional terms or modifications set forth inExhibit “H”. (Optional) • If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �✔ 🞎 🞎✔ �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. ��If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby! incorporated by reference into this DPA in their entirety.X If checked, XXXLEA and Provider agree to the additional terms or modifications set forth inX If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. �x �If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXXLEA and Provider agree to the additional terms or modifications set forth in If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms

Check if Required. ��If checked, the Supplemental State Terms and attached hereto as Exhibit “G” are hereby incorporated by reference into this DPA in their entirety. If checked, XXX and Provider agree to the additional terms or modifications set forth in® If Checked, the Provider, has signed Exhibit “E” to the Standard Clauses, otherwise known as General Offer of Privacy Terms