Advance payment agreement for planned healthcare for an uninsured patientAdvance Payment Agreement • March 20th, 2024
You have received this agreement because you are not insured by a Dutch health insurance company and are not in possession of a valid European Healthcare Insurance Card (EHIC).
ADVANCE PAYMENT AGREEMENTAdvance Payment Agreement • April 9th, 2020
On March, 30th CGIL CISL UIL, Government and ABI signed an agreement which gives the chance to receive in advance the amount related to CIGO CIGD and FIS* only in case the amount should have been payed directly from INPS to workers.
Advance Payment Agreement – All Payments are FinalAdvance Payment Agreement • November 13th, 2019
Institute of RheumatologyAdvance Payment Agreement • February 11th, 2020
The above-mentioned patient and his/her attending doctor have agreed that the patient shall make an advance payment to the cashier of the Institute of Rheumatology for health care that he/she has requested and agreed to in the scope recommended by the attending doctor.
All prior authorizations for advance pay- ments under Contract No. lll are super- seded.)Advance Payment Agreement • August 26th, 2014
This agreement is entered into this ll day of llllll, 20ll, between the United States of America (the Government), represented by the Contracting Officer exe- cuting this agreement, llll [Insert the name of the Contractor], a llll [Insert the name of the State of incorporation] corporation (the Contractor), and llll, a financial in- stitution operating under the laws of llll, located at llll (the financial in- stitution).
ROCKINGHAM COOPERATIVE IS UNABLE TO OFFER TAX ADVICE. CONSULT WITH YOUR TAX ADVISOR TO DETERMINE QUALIFYINGAdvance Payment Agreement • October 9th, 2018
Rockingham Cooperative Farm Bureau, Inc., hereinafter called “Cooperative,” and its undersigned Patron, mutually agree and covenant as follows:
S017.08.02 AMENDED AND RESTATED ADVANCE PAYMENT AGREEMENT AREAS MARKED "***" REPRESENT SECTIONS FOR WHICH CONFIDENTIAL TREATMENT HAS BEEN REQUESTED. THESE OMITTED SECTIONS HAVE BEEN FILED SEPARATELY WITH THE COMMISSION. THIS AMENDED AND RESTATED...Advance Payment Agreement • February 5th, 1998 • Xilinx Inc • Semiconductors & related devices
AGREEMENT FOR ADVANCE OF PAYMENT BETWEENAdvance Payment Agreement • June 5th, 2018 • Ohio
This Agreement for Advance of Payment (“Agreement”) is entered into between the Medicaid Managed Care Plan listed above (hereafter referred to as the “Plan”) and the Behavioral Health Provider listed above (“Provider”). The Plan and Provider may be collectively referred to as the “Parties.”
AGREEMENT FOR ADVANCE OF PAYMENT BETWEEN THE OHIO DEPARTMENT OF MEDICAID ANDAdvance Payment Agreement • December 21st, 2017 • Ohio
This Agreement is entered into between the Ohio Department of Medicaid (ODM) and the Behavioral Health Provider listed above (PROVIDER).
Federal Acquisition Regulation 32.412Advance Payment Agreement • October 31st, 2014
the Contracting Officer executing this agree- ment, llll [Insert the name of the Con- tractor], a llll [Insert the name of the State of incorporation] corporation (the Con- tractor), and llll, a financial institution operating under the laws of llll, located at llll (the financial institution).
ADVANCE PAYMENTAdvance Payment Agreement • February 14th, 2022
Advance Payment Agreement – All Payments are FinalAdvance Payment Agreement • November 13th, 2019
North CarolinaAdvance Payment Agreement • July 21st, 2008 • North Carolina
This advance payment agreement will be effective with respect to meals served during the period commencing the 1st day of , 20 , and ending the 30th day of September, 2009.
EXHIBIT 10.1 ADVANCE PAYMENT AGREEMENT This Advance Payment Agreement ("Agreement"), dated as of January 15, 2001, is entered into by and between MEDTRONIC AVE, INC., a Delaware corporation with a business office located at 3576 Unocal Place, Santa...Advance Payment Agreement • May 14th, 2002 • Memry Corp • Machine tools, metal cutting types • Minnesota
ADVANCE PRODUCTION PAYMENT AGREEMENTAdvance Payment Agreement • March 16th, 2005 • Lattice Semiconductor Corp • Semiconductors & related devices • California
THIS ADVANCE PAYMENT AGREEMENT (“this Agreement”), is entered into this March 17, 1997, by and among SEIKO EPSON CORPORATION, a Japanese corporation having its principal place of business at 3-5, Owa 3-chome, Suwa-shi, Nagano-ken 392, Japan (“Epson”), S MOS Systems Inc., a California corporation, having a place of business at 150 River Oaks Parkway, San Jose, California 95134-1951, U.S.A. (“SMOS”) and Lattice Semiconductor Corporation, a Delaware corporation, having a place of business at 5555 N.E. Moore Ct., Hillsboro, Oregon 97124-6421, U.S.A. (“Lattice”).
REVISED AGREEMENT FOR ADVANCE OF PAYMENT BETWEEN THE OHIO DEPARTMENT OF MEDICAID ANDAdvance Payment Agreement • February 8th, 2018 • Ohio
This Agreement is entered into between the Ohio Department of Medicaid (ODM) and the Behavioral Health Provider listed above (PROVIDER).
AGREEMENT FOR ADVANCE OF PAYMENT BETWEEN THE OHIO DEPARTMENT OF MEDICAID ANDAdvance Payment Agreement • December 14th, 2017 • Ohio
This Agreement is entered into between the Ohio Department of Medicaid (ODM) and the Behavioral Health Provider listed above (PROVIDER).
ADVANCE PAYMENTAdvance Payment Agreement • September 2nd, 2013
ADVANCE PAY AGREEMENTAdvance Payment Agreement • December 27th, 2019
*If you would like to request advance payment for more than one source, please complete a separate form for each depositing agency.
Advance payment agreement for unplanned healthcareAdvance Payment Agreement • February 13th, 2021
You will make an advance payment of € 250. By signing this form, you agree to the advance payment for the expenses of the healthcare we will provide.
