Examples of Claim Application in a sentence
This individually randomized trial will compare IV PM101, lidocaine and placebo in nontraumatic out-of-hospital cardiac arrest due to VF or pulseless VT (or deemed shockable by an automated external defibrillator (AED)) (Figure 1).
I/We, as Claimant(s), has/have read the foregoing Exemption Claim Application, and affirm that my/our statements and information are true and correct to the best of my/our knowledge.
Death Claim Application (DCA) Form Application for DDR Benefit Under the Portability Law, if applying under Portability Law2.
All Claim Applications are registered in a chronological sequence and are executed according to procedures of Claim Application execution applicable at the given moment on the Platform.
At any point, any Lot Purchaser with an approved Claim Application and rights to a New Sanctuary Lot, or that owns a New Sanctuary Lot, may exchange his or her rights to the New Sanctuary Lot with another Lot Purchaser, or assign them to another Lot Purchaser, pursuant to written terms to which both Lot Purchasers agree.
Within 30 calendar days of collateral liquidation, the lender will submit a Collateral Support Claim Application, history of the account payments, a short narrative of the loan collection history, and information about the sale of proceeds or justification for failed attempts to liquidate.
By submitting a Claim Application, the User authorizes Tech Consultancy Management Partners to perform a transfer of funds stated on the Claim Application from the User’s Virtual Account to the relevant Creditor, in compliance with the provisions of the Agreement and the Assignment Agreement.
Telephone: 0-000-000-0000 e-mail: xxxxxxxxxxx@xxxxxx.xx Fax: 0-000-000-0000 If you require assistance or advice regarding completion of the Claim Application Package or have any questions related to your claim, you may seek assistance from the Administrator or retain legal counsel at your own expense.
Please make sure to send in copies of these additional supporting document with your completed Claim Application Package, as they are required to establish your eligibility.
It is also acknowledged that the applicant is obligated to report any changes in the information provided herein that occur after the date of signature but prior to the effective date of coverage.Insurance Agents and Brokers Errors and Omissions InsuranceUtica National Insurance Group ▪ New Hartford, New York 13413 ▪ USA ▪ www.uticanational.com ▪ 1-800-274-1914 Supplemental Claim Application Agency/named insured: Policy number: Complete a separate page for each claim.