SEI CASH ACCESS TOTALCASH MANAGER™ ACCESS AUTHORIZATION AGREEMENTAccess Authorization Agreement • January 3rd, 2020 • Delaware
Completion of this TotalCash Manager™ Access Authorization Agreement (the “Agreement”) grants a financial professional firm access to obtain information on client accounts at The Bancorp Bank opened through SEI Cash Access. Financial professionals are granted access to client accounts through the account application. Only those accounts that have client authorization will be added to the financial professional TCM profile.
TOTALCASH® MANAGER ACCESS AUTHORIZATION AGREEMENTAccess Authorization Agreement • April 21st, 2011 • Delaware
Disease Outbreak Control Division – Computer and Work/IT Equipment Form DOH Computer System Request for Access Authorization FormAccess Authorization Agreement • October 17th, 2016
The purpose of this agreement is to authorize ________________________to access the applications belonging to the Disease Outbreak Control Division, Hawaii Department of Health, for the purpose of fulfilling their job duties. The employee mentioned above acknowledges and agrees that all information gathered as a result thereof is confidential and shall remain the sole property of the Hawaii Department of Health. The employee agrees not to use such confidential information for any purpose other than the determination necessary while in the course of performing duties under the terms of the Agreement. If the employee leaves the current position or is assigned duties not requiring access below, please notify the Chief, Disease Investigation Branch at (808) 586-4586.
New West Physicians On-Line Access Authorization FormAccess Authorization Agreement • September 22nd, 2016
This Agreement contains the terms and conditions that govern use of the New West Physicians for Medical Care Web portal site applications by a provider (as defined below) for access to information on New West Physicians for Medical Care member eligibility, claims payments and prior authorizations. This agreement is required for all providers and non-providers (provider representatives) who intend to use the New West Physicians for Medical Care Web site applications at aerial.carecoordination.medecision. com.
Key Medical Group / Foundation On-Line Access Authorization FormAccess Authorization Agreement • March 13th, 2013
This Agreement contains the terms and conditions that govern use of the Key Medical Group / Foundation for Medical Care Web portal site applications by a provider (as defined below) for access to information on Key Medical Group / Foundation for Medical Care member eligibility, claims payments and prior authorizations. This agreement is required for all providers and non-providers (provider representatives) who intend to use the Key Medical Group / Foundation for Medical Care Web site applications at www.cerecons.com.
