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 AGREEMENTIndividual Service Agreement • March 22nd, 2022
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 two weeks’ written notice.
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.
Agreement BetweenIndividual Service Agreement • December 8th, 2011 • California
This agreement (“Agreement”) replaces the Memorandum of Understanding dated September 2010 and the Interagency Agreement from July 1, 2009 – June 30, 2012, by and between the same parties. This Agreement is made and entered into between the County of Mendocino Health and Human Services Agency, acting by and through its Mental Health Branch (“MHB”) and the Mendocino County SELPA, on behalf of Mendocino County Local Education Agencies (“LEAs”) (collectively, the “Parties”).
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.
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 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.
LANCASHIRE COUNTY COUNCIL ("the Authority") andIndividual Service Agreement • October 15th, 2020
This Agreement is subject to the terms and conditions of the Contract between the Care Home and the Authority in relation to the provision of residential and/or nursing home care.
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.
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.
MAXWELL SPECIAL UTILITY DISTRICT SERVICE APPLICATION AND SERVICE AGREEMENTIndividual Service Agreement • October 11th, 2023
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
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
INDIVIDUAL SERVICE AGREEMENT UNDER THE SONOMA COUNTY SPECIAL EDUCATIONIndividual Service Agreement • May 28th, 2021
Nonpublic School/Agency: Local Education Agency: Pupil’s Name: Sex: M F Birthdate: Grade: Primary Disability: Residential Setting: HOME FOSTER LCI Parent/Guardian’s Name: Pupil’s Address: LCI/FFH Lic. Number:
INDIVIDUAL SERVICE AGREEMENT FOR RELATED SERVICES NONPUBLIC, NONSECTARIANSCHOOL/AGENCY SERVICESIndividual Service Agreement • July 22nd, 2014
NAME OF LOCAL EDUCATION AGENCY: NAME OF NONPUBLIC SCHOOL/AGENCY: PUPIL NAME: SEX: M F (Last) (First) (Middle) PUPIL I.D./S.S. #: BIRTHDATE: GRADE: RESIDENTIAL SETTING: HOME FOSTER LCI LCI PHONE # PARENT/GUARDIAN: PHONE:
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.
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 Magali Chavez Alvarez (“Intern”).
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 Rosalinda Camacho Oviedo (“Intern”).
