Opt-Out Agreement Sample Contracts

Opt‐Out Agreement
Opt-Out Agreement • July 19th, 2020

The undersigned hereby elects to Opt‐Out of the CheckXchange program of electronic check re‐presentment offered by Bank SkyNet to its business customers. This agreement shall cover the account identified as Bank SkyNet

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NOTICE/ACKNOWLEDGMENT OPT OUT AGREEMENT
Opt Out Agreement • April 6th, 2021

The City of Lavonia has enacted a Water Leak Protection Program. A copy of that Water Leak Protection Program is available at the City Hall. The purpose of that Water Leak Protection Program is to minimize the extraordinary costs associated with a water leak from pipes located on property belonging to the water customer.

Contract
Opt Out Agreement • June 7th, 2024
Attention Girl Scout Junior, Cadette, Senior and Ambassador Troops!
Opt-Out Agreement • June 19th, 2020

For the 2020 Girl Scout Fall Product Program, Girl Scouts of Southern Nevada is offering Girl Scout Junior, Cadette, Senior and Ambassador troops the option to earn $0.10 more for each item sold instead of receiving cumulative individual recognitions. Each girl will still receive patches after 25+ units, including the 2020 sloth patch, Bravely Be You Patch, the 100+ patch, Care to Share, Trust Your Strengths Patch, Online Magazine patch, the Super Seller Magazine patch, and the Personalized Patches.

APPENDIX 2 INDIVIDUAL AGREEMENT TO OPT OUT OF THE 48 HOURS AVERAGE WEEKLY LIMIT
Opt-Out Agreement • November 5th, 2020

In completing this form, I am choosing to opt out of the 48 hour working limit. Please note that rest periods and breaks still apply.

Girl Scout Product Programs Opt-Out Agreement
Opt-Out Agreement • August 27th, 2019

For the Girl Scout Product Programs, Girl Scouts of Southern Nevada is offering Girl Scout Junior, Cadette, Senior and Ambassador troops the option to earn

Contract
Opt Out Agreement • February 5th, 2022 • England
Contract
Opt Out Agreement • September 4th, 2023
Contract
Opt Out Agreement • October 18th, 2022
Attention Girl Scout Junior, Cadette, Senior and Ambassador Troops!
Opt-Out Agreement • August 27th, 2019

For the 2021 Girl Scout Cookie Program, Girl Scouts of Southern Nevada is offering Girl Scout Junior, Cadette, Senior and Ambassador troops the option to earn $0.10 more

Authorization Agreement
Opt Out Agreement • October 14th, 2020
Opt-out agreement template
Opt-Out Agreement • September 18th, 2020
Agreement to opt out of maximum weekly working time
Opt-Out Agreement • December 18th, 2020

Under regulation 4(1) of the Working Time Regulations 1998 the average working time of a worker, including overtime, must not exceed 48 hours a week unless the worker has previously agreed otherwise in writing.

Contract
Opt Out Agreement • December 2nd, 2020
Contract
Opt Out Agreement • October 9th, 2018 • England
Girl Scout Product Programs Opt-Out Agreement
Opt-Out Agreement • August 27th, 2019

$0.10 more for each product sold instead of receiving cumulative individual recognitions. Each girl will only receive product program patches if opting-out.

OPT-OUT OF 48 HOUR WORKING WEEK AGREEMENT.
Opt-Out Agreement • May 7th, 2021
Contract
Opt Out Agreement • April 7th, 2020 • England
Voluntary agreement to Opt-out of the 48 hour maximum working week
Opt-Out Agreement • December 1st, 2015

Under regulation 4(1) of the Working Time Regulations 1998 a colleague’s average working time, including overtime, must not exceed 48 hours a week (we measure this over a 52 week reference period) unless the colleague has previously agreed otherwise in writing.

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Terms and conditions1:
Opt-Out Agreement • May 7th, 2020
OPT OUT AGREEMENT
Opt Out Agreement • September 15th, 2020 • Rhode Island

WHEREAS, Developer has been granted a license to develop, construct and operate a combined-cycle natural gas fired thermal energy facility in Burrillville, Rhode Island (the “Project”);

Optional Opt-Out Agreement
Opt-Out Agreement • March 23rd, 2021

The Akron-AAUP filed Grievance 2020-08 on behalf of all current bargaining unit members claiming that the University did not comply with Article 16, Section 10 and Article 20, Sections 2 and 3 of the 2015-2020 Collective Bargaining Agreement. The Akron-AAUP and the University settled Grievance 2020-08. Under the settlement, each bargaining unit faculty member is eligible for a one-time $3,000 lump sum payment. This document notifies you of the Grievance 2020-08 settlement and that you have a twenty-one (21) day consideration period to make a final decision on whether to opt out.

Contract
Opt-Out Agreement • September 29th, 2014

This agreement is between Dr. Lily Hargrove, M.D. and ­­_________________________ , who is Medicare Part B beneficiary seeking services covered under Medicare Part B pursuant to Section 4507 of the Balanced Budget Act of 1997. The Physician has informed Beneficiary or his/her legal representative that Physician has opted out of the Medicare program effective on October 1, 2014 for a period of at least two years, to expire on September 30, 2016. The physician is not excluded from participating in Medicare Part B under [1128] 1128, [1156] 1156, or [1892] 1892 of the Social Security Act.

Randi Cohen, MD, PhD 1698 Post Road East Suite 2A
Opt-Out Agreement • August 8th, 2024

This agreement is between Dr. Randi Cohen (Physician”), whose principal place of business is 1698 Post Road East Suite 2A, Westport, CT, 06880, and patient (“Patient”), who resides at

Opt-out agreement - Working Time Regulations
Opt-Out Agreement • April 28th, 2003
Contract
Opt Out Agreement • February 24th, 2020 • England
Opt Out Agreement
Opt Out Agreement • January 3rd, 2023
Opt-Out Agreement Form Working Time Regulations Declaration:
Opt-Out Agreement • November 18th, 2021
Opt Out Agreement
Opt Out Agreement • November 22nd, 2020
OPT-OUT Agreement
Opt-Out Agreement • November 3rd, 2015

Grand Mound Cooperative Telephone Association and its affiliates wants to use your CPNI to more effectively market communications-related products and services that you do not currently subscribe to—unless you tell the company not to do so. By completing the section below, you will be “opting out” of this agreement and denying use of your CPNI. If you do not respond within 33 days of our mailing date, it will be understood that you have given us approval to use your CPNI. You need only respond if you DO NOT want Grand Mound Cooperative Telephone Association and its affiliates to use your CPNI. If you choose to respond, please mail the completed section below back to Grand Mound Cooperative Telephone Association in the self-addressed, stamped envelope.

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