Supplier Information Form Sample Clauses

Supplier Information Form. The information provided will be used to evaluate the Company before contracting with the Mercy Corps. Please complete all fields.
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Supplier Information Form. 7. 7. Claim of Business Confidentiality Form Required Questions
Supplier Information Form. If applicable, Consultant shall complete accurate information on the Supplier Information Form/W-9 which was submitted electronically via email. Payment cannot be processed unless the Supplier Information Form/W-9 is complete.

Related to Supplier Information Form

  • Member Information a. ODM, or its designee, will provide membership notices, informational materials, and instructional materials to members and eligible individuals in a manner and format that may be easily understood. At least annually, ODM or its designee will provide current MCP members with an open enrollment notice which describes the managed care program and includes information on the MCP options in the service area and other information regarding the managed care program as specified in 42 CFR 438.10. b. ODM will notify members or ask the MCP to notify members about significant changes affecting contractual requirements, member services or access to providers. c. If the MCP elects not to provide, reimburse, or cover a counseling service or referral service due to an objection to the service on moral or religious grounds, ODM will provide coverage and reimbursement for these services for the MCP’s members. d. As applicable, ODM will provide information to MCP members on what services the MCP will not cover and how and where the MCP’s members may obtain these services.

  • Your Information You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you no longer are tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account; for example, if the grantor of a grantor trust dies.

  • Contractor Information The Contractor will provide up to date information for each of the following in the form and manner specified by OGS:

  • Customer Information CPNI of a Customer and any other non-public, individually identifiable information about a Customer or the purchase by a Customer of the services or products of a Party.

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