Authorized Representative Agreement Sample Contracts

Agreement between an organization representing multiple legal manufacturers within a single company and an authorized representative
Authorized Representative Agreement • August 25th, 2021

For the purpose of this agreement, the manufacturer shall be the natural or legal person responsible for the medical devices he intends to place on the KSA market under his name and for which he already has the necessary authorization to legally place these devices on the market in one of the GHTF Founding Member jurisdiction.

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Agreement between a single legal manufacturer and an authorized representative
Authorized Representative Agreement • February 15th, 2023

The name and position of the authorized person to open the overseas manufacturer account and submit applications for medical device marketing authorization………………………….

STANDARD AUTHORIZED REPRESENTATIVE AGREEMENT
Authorized Representative Agreement • October 1st, 2013 • Iowa

A1. Appoints the Authorized Representative to market and promote Culture and Intensive English Program (CIEP) in COUNTRY and to provide assistance to students from COUNTRY seeking admission to CIEP;

Authorized Representative Agreement/Signatory Authority Form Instructions
Authorized Representative Agreement • January 8th, 2020

This form lets you authorize other people to help you with your responsibilities as the Employer of Record (EOR). You may choose someone to assist with approving service shifts or allow others to speak to VA CCC Plus, through Public Partnerships LLC (PPL) on behalf of the consumer.

This agreement is made between
Authorized Representative Agreement • June 8th, 2021

• ProductIP (UK) Limited has its registered place of business at 8 Northumberland Avenue, London WC2N 5BY, United Kingdom and is a wholly owned subsidiary of ProductIP BV

AUTHORIZED REPRESENTATIVE AGREEMENT
Authorized Representative Agreement • June 17th, 2020

Instructions: The Employer of Record (EOR) may choose to have someone help with their duties in the Virginia Consumer‐Directed Services Program. The EOR role will not change if an Authorized Representative is used. A family member or friend can be in this role. Only submit this form if you are choosing someone to help you with Employer duties.

This agreement is made between
Authorized Representative Agreement • February 9th, 2021

• ProductIP (UK) Limited has its registered place of business at 8 Northumberland Avenue, London WC2N 5BY, United Kingdom and is a wholly owned subsidiary of ProductIP BV

NC INNOVATIONS AUTHORIZED REPRESENTATIVE AGREEMENT
Authorized Representative Agreement • August 10th, 2021

• Have been advised of the requirements of the NC Innovations Individual and Family Directed Supports Option and have attended the NC Innovations Individual and Family Directed Supports Training. I have had an opportunity to have my questions answered.

Contract
Authorized Representative Agreement • June 12th, 2024
AUTHORIZED REPRESENTATIVE AGREEMENT
Authorized Representative Agreement • February 8th, 2022

THIS AUTHORIZED REPRESENTATIVE AGREEMENT (the “Agreement”) is dated as of this day of , (the “Effective Date”) and is entered into between

Authorized representative agreement
Authorized Representative Agreement • November 14th, 2022

Pruma.ru is authorized as our official trade representative in the Russian market and also has the right to proceed the installation and commissioning works for Saifan machines at customer's production site

AUTHORIZED REPRESENTATIVE AGREEMENT AND SIGNATORY AUTHORITY
Authorized Representative Agreement • December 3rd, 2018

Instructions: The Employer of Record may choose to have someone help with their duties in the Virginia Consumer‐Directed Services Program. The Employer of Record role will not change if a Signatory Authority is used. A family member or friend can be in this role. CDCN cannot release information to anyone, unless they are listed on this form, due to Health Insurance Portability and Accountability Act (HIPAA) requirements. Only submit this form if you are choosing someone to help you with Employer duties.

Clear Form
Authorized Representative Agreement • December 7th, 2018

Instructions: The Employer of Record may choose to have someone help with their duties in the Virginia Consumer‐Directed Services Program. The Employer of Record role will not change if a Signatory Authority is used. A family member or friend can be in this role. CDCN cannot release information to anyone, unless they are listed on this form, due to Health Insurance Portability and Accountability Act (HIPAA) requirements. Only submit this form if you are choosing someone to help you with Employer duties.

AUTHORIZED REPRESENTATIVE AGREEMENT
Authorized Representative Agreement • August 1st, 2020 • Utah

international students continue their education in the United States. This Agreement is intended to enhan the relationship between the parties to identify international student candidates for enrollment at SM partn universities.

AGREEMENT BETWEEN
Authorized Representative Agreement • January 29th, 2009

A1. Appoints the Authorized Representative to market and promote The University’s Culture and Intensive English Program in and to provide assistance to students from

Contract
Authorized Representative Agreement • May 11th, 2020

This standard agreement must be completed by the person or persons who will act for the organization that the Medi-Cal Dental Program member has appointed as an authorized representative.

Contract
Authorized Representative Agreement • January 6th, 2023
ADULT PATIENT PORTAL AUTHORIZED REPRESENTATIVE AGREEMENT
Authorized Representative Agreement • April 10th, 2023

You have chosen to have an Authorized Representative access your patient portal account at CNY Family Care. An Authorized Representative has the same level of access as a patient and will provide them with the ability to access different parts of your medical record on our patient portal. As a user of an Authorized Representative portal account, you both must agree to the following terms and conditions.

Authorized Representative Agreement/Signatory Authority Form Instructions
Authorized Representative Agreement • July 12th, 2022

This form lets you authorize other people to help you with your responsibilities as the Employer of Record (EOR). You may choose someone to assist with approving service shifts or allow others to speak to VA Cardinal Care, through Public Partnerships LLC (PPL) on behalf of the consumer.

Contract
Authorized Representative Agreement • April 2nd, 2010 • Nephros Inc • Surgical & medical instruments & apparatus
AUTHORIZED REPRESENTATIVE (AR) AGREEMENT
Authorized Representative Agreement • April 14th, 2003
Authorized Representative Agreement Execution Resolution
Authorized Representative Agreement • March 29th, 2021

A RESOLUTION by the City Council of the City of Bay City (the “City”) authorizing Mayor Robert K. Nelson, the Designated Representative of the City, to execute an agreement with the Texas Water Development Board for funding in the amount of $88,740.

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Contract
Authorized Representative Agreement • July 12th, 2019
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