Expiration of Authorization. Immediately upon the expiration of the User’s authorization to use the Premises, User shall forthwith and without further notice or demand redeliver possession of the Premises to the Town. With the exception of ordinary wear and tear, possession of the Premises shall be redelivered to the Town in good and clean condition and repair as before User’s use thereof. User shall be responsible for any damage occurring to or about the Premises, or any of the Town’s property located within the Premises, which arises from or during use of the Premises. In the event that any such damage is not covered by insurance User shall pay the Town for such damages within ten (10) days after the receipt of the Town’s invoice itemizing the damage. The Town reserves the right to deduct any damage claims resulting from the User’s occupancy/event from the User’s Damage Deposit. User may not reserve or use the Silverthorne Pavilion for any future event until all damage claims have been paid. Rental and caterer items, including – but not limited to - linens, chair covers, kitchen equipment, service items, sound equipment and decorations cannot be stored at the Pavilion overnight. All items are to be evacuated from the Premises at the direct conclusion of the event unless otherwise agreed to by the Coordinator in advance. Failure to comply will result in forfeiture of the Damage Deposit.
Expiration of Authorization. This authorization shall remain valid until one (1) year after the date of my death. If state law limits the amount of time in which this authorization shall remain valid then this authorization is valid from to , or for as long as is permitted by state law.
Expiration of Authorization. Immediately upon the expiration of the Client’s authorization to use the Venue, Client shall forthwith and without further notice or demand redeliver possession of the premises to Company. With the exception of ordinary wear and tear, possession of the Venue shall be redelivered in good and clean condition and repair as before Client’s use thereof. Client shall be responsible for any damage occurring to or about the Venue, or any property of Company located within the Venue, which arises from or during the use of the Venue. In the event such damage is not covered by the damage deposit and/or insurance, Client shall pay for such damages within 14 days after the receipt of the invoice itemizing the damage.
Expiration of Authorization. This Authorization does not have an expiration date but can be canceled sooner if you decide to withdraw your permission.
Expiration of Authorization. My authorization to permit the use or disclosure of my health information will be effective on the date of signature, below and will expire one year from the date of my last receipt of services from Pharmacy, unless an earlier termination is required by law. • I understand that signing this form is voluntary and I have the right to revoke this authorization, except to the extent Pharmacy has already used or disclosed by health information in reliance of this authorization. I understand that I may revoke my authorization at any time by giving written notice of my revocation to the Pharmacy at ATTN: Privacy Officer, 000 XX 00xx Xxx, #X000; Xxxxxxxxxx, XX 00000. • I understand that my treatment, payment, enrollment, or eligibility for benefits will not be conditioned on whether or not I sign this authorization. • I understand that the health information used or disclosed pursuant to this authorization may be subject to redisclosure by the recipient of my health information and may no longer be protected by state or federal privacy regulations. • I will be provided with a copy of this authorization upon request. I may request a copy of this authorization by [insert process (e.g., submitting the request in writing to the Pharmacy ATTN; Privacy Officer, 000 XX 00xx Xxx, #X000; Xxxxxxxxxx, XX 00000. Signature of Patient (if over 18 years of age) or Legal Representative* Date Print Patient or Legal Representative Name Legal Authority: Select one parent legal guardian next of kin/executor of deceased activated POA for Health Care
