INDIVIDUAL SERVICE AGREEMENTIndividual Service Agreement • June 29th, 2022
This Individual Service Agreement (“Agreement”), effective 08-24-22 is made by and between the Oxnard School District and the Hueneme School District (“District of Residence”).
INDIVIDUAL SERVICE AGREEMENTIndividual Service Agreement • August 30th, 2011 • Florida
THIS AGREEMENT sets forth the health services provided by American Care Health Flex Plan (hereinafter referred to as the “Plan”) to the extent herein defined and limited. In consideration of the Application made by
INDIVIDUAL SERVICE AGREEMENT UNDER THE SONOMA COUNTY SPECIAL EDUCATION 2012/2013 MASTER CONTRACT FOR NONPUBLIC, NONSECTARIAN SCHOOL/AGENCY SERVICES - Exhibit A ISAIndividual Service Agreement • August 31st, 2011
All terms and conditions of the current Sonoma County Special Education Local Planning Area Master Contract for Nonpublic, Nonsectarian School/Agency Service (NPS/NPA), hereinafter referred to as the “Contract,” are incorporated herein by this reference. Contractor will implement the pupil’s Individualized Education Program (IEP) in accordance with this Individual Service Agreement (ISA) and the Contract. Invoices shall be submitted based on actual service provided and attendance standards in the Contract.
City of Bradford Metropolitan District CouncilIndividual Service Agreement • July 21st, 2023
Campbell County School District No.1Individual Service Agreement • October 19th, 2012
Individual Complete Given Name ( Last , First) ** No District Employee may be paid** with this Individual Service Agreement **** DBA Information To be completed by District personnel: Complete Mailing Address Purchase Requisition/Order # City - - Contact Phone Number ST Zip A W-9 must be completed in full and attached before any payment will be released to Service Individual. All payments will be paid through normal board processing time lines.
NDIS Core Support Service AgreementIndividual Service Agreement • August 9th, 2021
This is your Individual Service Agreement which details how you will receive your supports and services from the date of approval of your NDIS plan.
INDIVIDUAL SERVICE AGREEMENT AND PAYMENT AUTHORIZATION FOR FOSTER CHILD PLACED OUT OFCOUNTYIndividual Service Agreement • November 8th, 2020
This Agreement is entered into on __________________Agreement date between the County of _____________ hereinafter referred to as “County” and ______________________, hereinafter referred to as “Contractor” for __________________ (hereinafter referred to as ” Foster Child client” for access to Medi-Cal Specialty Mental Health services. Contractor is located in the County of ________________ and is certified by this County to provide Medi-Cal services, as evidenced by a copy of Certification attached. A copy of Professional Liability Insurance is also attached.
INDIVIDUAL SERVICE AGREEMENT UNDER THE SONOMA COUNTY SPECIAL EDUCATION 2012/2013 MASTER CONTRACT FOR NONPUBLIC, NONSECTARIAN SCHOOL/AGENCY SERVICES - Exhibit A ISAIndividual Service Agreement • August 31st, 2011
All terms and conditions of the current Sonoma County Special Education Local Planning Area Master Contract for Nonpublic, Nonsectarian School/Agency Service (NPS/NPA), hereinafter referred to as the “Contract,” are incorporated herein by this reference. Contractor will implement the pupil’s Individualized Education Program (IEP) in accordance with this Individual Service Agreement (ISA) and the Contract. Invoices shall be submitted based on actual service provided and attendance standards in the Contract.
INDIVIDUAL SERVICE AGREEMENT UNDER THE SONOMA COUNTY SPECIAL EDUCATION 2012/2013 MASTER CONTRACT FOR NONPUBLIC, NONSECTARIAN SCHOOL/AGENCY SERVICES - Exhibit A ISAIndividual Service Agreement • August 31st, 2011
All terms and conditions of the current Sonoma County Special Education Local Planning Area Master Contract for Nonpublic, Nonsectarian School/Agency Service (NPS/NPA), hereinafter referred to as the “Contract,” are incorporated herein by this reference. Contractor will implement the pupil’s Individualized Education Program (IEP) in accordance with this Individual Service Agreement (ISA) and the Contract. Invoices shall be submitted based on actual service provided and attendance standards in the Contract.
Service Agreement Template:Individual Service Agreement • May 9th, 2017
Individual Service Agreement / Functional Assessment / Plan of CareIndividual Service Agreement • September 14th, 2022
Ted Hose/Ace Wrap/Velcro Leg Wrap Assistance: Assistance putting on or taking off ted hose, ace wraps, or Velcro Leg Wraps. After removing wash and hang to dry. Do not use metal fasteners on ace bandages.
St. Cloud State University Individual Service Agreement (ISA)Individual Service Agreement • March 30th, 2020
Liability: I agree to indemnify, save, and hold the STATE, its representatives and employees harmless from any and all claims or causes of action, including all attorneys’ fees incurred by the STATE, arising from the performance of this service waiver by the Individual Service Provider or Service Provider’s agents or employees. This clause shall not be construed to bar any legal remedies the Service Provider may have for the STATE’S failure to fulfill its obligations pursuant to this waiver.
INDIVIDUAL SERVICE AGREEMENT UNDER THE SONOMA COUNTY SPECIAL EDUCATION 2012/2013 MASTER CONTRACT FOR NONPUBLIC, NONSECTARIAN SCHOOL/AGENCY SERVICES - Exhibit A ISAIndividual Service Agreement • August 31st, 2011
All terms and conditions of the current Sonoma County Special Education Local Planning Area Master Contract for Nonpublic, Nonsectarian School/Agency Service (NPS/NPA), hereinafter referred to as the “Contract,” are incorporated herein by this reference. Contractor will implement the pupil’s Individualized Education Program (IEP) in accordance with this Individual Service Agreement (ISA) and the Contract. Invoices shall be submitted based on actual service provided and attendance standards in the Contract.
Office of Children’s Services Individual Service Agreements are funding of last resort for OCS CUSTODY OR NON CUSTODY CHILDREN with needs that cannot be met through funding available through OCS RFF’s (Requests for Funds) and will not be paid by...Individual Service Agreement • December 20th, 2012
CHILD AT RISK OF MOVING FROM (check ONE): home; a foster or group home or an in-state facility A N D Experiences an SED or other impairment: AND, Is a resident of the State of Alaska AND, Is under 21 years of age AND Is assessed to meet residential level of care
INDIVIDUAL SERVICE AGREEMENT AND OFFICE POLICIESIndividual Service Agreement • July 27th, 2022
Phone Consultations: I understand and agree that while sessions are not conducted by phone, should I feel the need to speak with my provider in between regularly scheduled visits at The Center, I may request the office staff of The Center to arrange a phone consultation between myself and my provider. I understand that any such consultations will be considered emergency services by The Center, and that any fees associated with these services are not billable to my insurance carrier (company). If an emergency phone consultation is initiated by me (the “Client”), The Center reserves the right to apply a $25.00 fee to my account for each period of up to 15 minutes. I also understand that, as The Center is not equipped to provide emergency services, my provider may not be available for immediate consultation, and that I will be connected with my provider at his or her earliest convenience. I understand that in a true crisis situation, I will be advised by The Center to contact appropriate
INDIVIDUAL SERVICE AGREEMENT UNDER THE SONOMA COUNTY SPECIAL EDUCATION 2013/2014 MASTER CONTRACT FOR NONPUBLIC, NONSECTARIAN SCHOOL/AGENCY SERVICES - Exhibit B ISAIndividual Service Agreement • August 31st, 2011
All terms and conditions of the current Sonoma County Special Education Local Planning Area Master Contract for Nonpublic, Nonsectarian School/Agency Service (NPS/NPA), hereinafter referred to as the “Contract,” are incorporated herein by this reference. Contractor will implement the pupil’s Individualized Education Program (IEP) in accordance with this Individual Service Agreement (ISA) and the Contract. Invoices shall be submitted based on actual service provided and attendance standards in the Contract.
NDIA/NDIS Individual Service Agreement and Support PlanIndividual Service Agreement • December 3rd, 2020
This Service Agreement is made for the purpose of providing supports under the Participants’ National Disability Insurance Scheme (NDIS) plan.
INDIVIDUAL SERVICE AGREEMENTIndividual Service Agreement • May 16th, 2020
You can change or end the Service Agreement at any time. If changes to the support or their delivery are required, the parties of this agreement agree to discuss and review this service agreement. The parties agree that any changes to this Service Agreement will be in writing, signed and dated by the parties. To end the Service Agreement at any time, we ask that you give us 2 weeks’ written notice can be by email.
UNITED NATIONS INDUSTRIAL DEVELOPMENT ORGANIZATIONIndividual Service Agreement • November 22nd, 2018
Title: Cleaner/Messenger Main Duty Station and Location: Monrovia, Liberia Mission/s to: Start of Contract (EOD): End of Contract (COB): UNIDO project ID: 160082 EU grant ID: FED/2018/399430 EU financing instrument: 11th European Development Fund (EDF) / 2014-2020National Indicative Programme (NIP) Type of contract: Individual Service Agreement – Level of SB1 – NationalSupport
RESIDENTS INDIVIDUAL SERVICE AGREEMENTIndividual Service Agreement • August 10th, 2020
FLEXIBLE FRAMEWORK FOR THE PROVISION OF CARE FOR ADULTS IN CARE HOMES INDIVIDUAL SERVICE AGREEMENT between BATH AND NORTH EAST SOMERSET COUNCIL andIndividual Service Agreement • December 5th, 2019 • England and Wales
Individual Service Agreement / Functional Assessment / Plan of CareIndividual Service Agreement • September 25th, 2023
Bathing (1) 1-3 showers or 1 whirlpool -stand by assist only-no hands on assistance): service should not exceed 30 min. Includes set-up of supplies and being present in apartment for safety. (2) 4-5 showers and/or (one person assist): service should not exceed 30 min. Includes trimming of nails only if able to be clipped with a regular nail clipper. Not available for diabetics or those taking blood thinning medications. Includes assist with getting in and out of shower, washing back, hair, feet, difficult to reach areas and drying off. (3) 6+ showers and/or (mechanical lift): service should not exceed 30 min. Includes trimming of nails only if able to be clipped with a regular nail clipper. Not available for diabetics or those taking blood thinning medications. Includes assist with getting in and out of shower, washing back, hair, feet, difficult to reach areas and drying off. Cannot exceed assist of 2. (1) Shampoo Only: for example, in a sink or with a shower cap (independent of sho
INDIVIDUAL SERVICE AGREEMENT UNDER THE SONOMA COUNTY SPECIAL EDUCATION 2013/2014 MASTER CONTRACT FOR NONPUBLIC, NONSECTARIAN SCHOOL/AGENCY SERVICES - Exhibit B ISAIndividual Service Agreement • January 7th, 2014
All terms and conditions of the current Sonoma County Special Education Local Planning Area Master Contract for Nonpublic, Nonsectarian School/Agency Service (NPS/NPA), hereinafter referred to as the “Contract,” are incorporated herein by this reference. Contractor will implement the pupil’s Individualized Education Program (IEP) in accordance with this Individual Service Agreement (ISA) and the Contract. Invoices shall be submitted based on actual service provided and attendance standards in the Contract.
DAY ONEIndividual Service Agreement • July 30th, 2010
⮚ Conference with CPS (In the event a petition for termination of parental rights at the first disposition has been filed) (FOM 722-1)
INDIVIDUAL SERVICE AGREEMENT UNDER THE SONOMA COUNTY SPECIAL EDUCATION 2016/2017 MASTER CONTRACT FOR NONPUBLIC, NONSECTARIAN SCHOOL/AGENCY SERVICES - Exhibit B ISAIndividual Service Agreement • May 24th, 2016
All terms and conditions of the current Sonoma County Special Education Local Planning Area Master Contract for Nonpublic, Nonsectarian School/Agency Service (NPS/NPA), hereinafter referred to as the “Contract,” are incorporated herein by this reference. Contractor will implement the pupil’s Individualized Education Program (IEP) in accordance with this Individual Service Agreement (ISA) and the Contract. Invoices shall be submitted based on actual service provided and attendance standards in the Contract.
INDIVIDUAL SERVICE AGREEMENTIndividual Service Agreement • March 24th, 2016
Service 9. Service name 10. Code Initial Revise 11. Unit of Service 12. Units per Visit 13. Frequency of Service 14. Total Units per Week 15. Authorized Cost per Unit 16. Authorized Cost per Week 17. Authorized Cost per Month (weekly cost X 4.33) Provider:●DHS will pay only for those services authorized and provided pursuant to program rules.●This notice confirms arrangements for services made by the Care Manager. You must submit an invoice at the conclusion of service or end of each month of service.●If there is a change in the participant's condition, contact the Care Manager immediately.●Contact the Care Manager if you note errors in the above information or if you have any questions. 18. Specifications: 19. Stop Services - Reason: 20. Resume Services - Date: 21. Other - Specify:
FIRST AMENDMENT TOIndividual Service Agreement • March 22nd, 2023
dated for convenience March 21, 2023, is made in San Francisco, California, by and between the San Francisco Unified School District (“District”) and Sierra Espinoza (“Intern”).
INDIVIDUAL SERVICE AGREEMENT UNDER THE SONOMA COUNTY SPECIAL EDUCATION 2013/2014 MASTER CONTRACT FOR NONPUBLIC, NONSECTARIAN SCHOOL/AGENCY SERVICES - Exhibit B ISAIndividual Service Agreement • August 31st, 2011
All terms and conditions of the current Sonoma County Special Education Local Planning Area Master Contract for Nonpublic, Nonsectarian School/Agency Service (NPS/NPA), hereinafter referred to as the “Contract,” are incorporated herein by this reference. Contractor will implement the pupil’s Individualized Education Program (IEP) in accordance with this Individual Service Agreement (ISA) and the Contract. Invoices shall be submitted based on actual service provided and attendance standards in the Contract.
INDIVIDUAL SERVICE AGREEMENT UNDER THE SONOMA COUNTY SPECIAL EDUCATION 2012/2013 MASTER CONTRACT FOR NONPUBLIC, NONSECTARIAN SCHOOL/AGENCY SERVICES - Exhibit A ISAIndividual Service Agreement • August 31st, 2011
All terms and conditions of the current Sonoma County Special Education Local Planning Area Master Contract for Nonpublic, Nonsectarian School/Agency Service (NPS/NPA), hereinafter referred to as the “Contract,” are incorporated herein by this reference. Contractor will implement the pupil’s Individualized Education Program (IEP) in accordance with this Individual Service Agreement (ISA) and the Contract. Invoices shall be submitted based on actual service provided and attendance standards in the Contract.
ContractIndividual Service Agreement • May 31st, 2010
UNITED NATIONS INDUSTRIAL DEVELOPMENT ORGANIZATIONIndividual Service Agreement • July 19th, 2021
By Subscribing to Able Digital Wellness via beable.com.au or any other method, you have indicated that you have read and agree and are bound by the terms held within this service agreement.Individual Service Agreement • July 22nd, 2021
NDIA/NDIS Individual Service Agreement and Support PlanIndividual Service Agreement • August 11th, 2020
This Service Agreement is made for the purpose of providing supports under the Participants’ National Disability Insurance Scheme (NDIS) plan.
INDIVIDUAL SERVICE AGREEMENTIndividual Service Agreement • March 24th, 2009
In accordance with the DHS Foster Care Master Contract and Service Agreement the following agreement for the purpose of: Child Placing Agency Services Child Caring Institution Services Has been entered between: Local DHS Office Name and: Name Contract Agency Contract Agency Address (number, street, city, state, zip code) Provider Number
By Subscribing to Able Digital Wellness via beable.com.au or any other method, you have indicated that you have read and agree to the terms held within this service agreement.Individual Service Agreement • September 17th, 2020
