Common Contracts

INTERNAL USE ONLY

Electronic Signature Agreement • February 1st, 2019 • Kansas

• Contract Type
  Electronic Signature Agreement
• Filed
  February 1st, 2019
• Jurisdiction
  Kansas

This Signature Agreement is for authorization to electronically sign reports via the designated application for submittal to the Kansas Department of Health and Environment (“KDHE”) in electronic format. In order to complete this agreement, both the applicant and authorizing authority from each business/organization entity must agree to the terms herein and provide the respective wet-inked signatures.