Common Contracts

4 similar Financial Agreement contracts

UROLOGY CENTER FINANCIAL AGREEMENT (2021)
Financial Agreement • December 17th, 2020

Charges for completion of work forms (charge per form): $40.00 per form. e.g., disability, FMLA, leave of absence from work. Our simple office form letter / work excuses will be given as a courtesy.

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UROLOGY CENTER FINANCIAL AGREEMENT (2020)
Financial Agreement • December 17th, 2019

Charges for completion of work forms (charge per form): $40.00 per form. e.g., disability, FMLA, leave of absence from work. Our simple office form letter / work excuses will be given as a courtesy.

UROLOGY CENTER FINANCIAL AGREEMENT (2018)
Financial Agreement • December 19th, 2017

Charges for completion of work forms (charge per form): $40.00 per form. e.g., disability, FMLA, leave of absence from work. Our simple office form letter / work excuses will be given as a courtesy.

UROLOGY CENTER FINANCIAL AGREEMENT (2017)
Financial Agreement • May 1st, 2017

Charges for completion of work forms (charge per form): $40.00 per form. e.g., disability, FMLA, leave of absence from work. Our simple office form letter / work excuses will be given as a courtesy.

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