Common Contracts
1 similar Agreement With Business Associate contracts
Appointment Contract & Business Associates Agreement– signed and dated Copies of current individual license(s) for each state you plan to write business in.Agreement With Business Associate • February 13th, 2012 • Arizona
This authorizes Pivot Health Holdings, LLC or Allied National on behalf of Pivot Health Holdings, LLC to send credit entries (and appropriate debit and adjustment entries) electronically, or by any other commercially accepted method, to my (our) account indicated below and to other accounts I (we) identify in the future (the "Account"). This authorizes the financial institution holding the Account to post all such entries.
