Electronic Signature Acknowledgement. The signatories may sign this document electronically by using an approved electronic signature process. Each signatory electronically signing this document agrees that his/her electronic signature has the same legal validity and effect as his/her handwritten signature on the document, and that it has the same meaning as his/her handwritten signature. Xxxxxxx Xxxxxxx, Director Division of Administrative Operations Office of Workers’ Compensation Programs Date Data Integrity Board Certification As Chair of the Data Integrity Board of the source agency named above, I certify that:
Electronic Signature Acknowledgement. The signatories may sign this document electronically using an approved electronic signature process. Each signatory electronically signing this document agrees that his/her electronic signature has the same legal validity and effect as his/her handwritten signature on the document, and that it has the same meaning as his/her handwritten signature. Xxxxxxxx Xxxxxx Acting Deputy Executive Director Office of Privacy and Disclosure Office of the General Counsel Data Integrity Board Certification: Xxxxxxx Xxxxxx Xxxxxxx X. Xxxxxx Chair Data Integrity Board Digitally signed by Xxxxxxx Xxxxxx Date: 2023.01.10 11:19:22 -05'00' Date
Electronic Signature Acknowledgement. The signatories may sign this document electronically by using an approved electronic signature process. Each signatory electronically signing this document agrees that his/her electronic signature has the same legal validity and effect as his/her handwritten signature on the document, and that it has the same meaning as his/her handwritten signature. XXXX XXXXXXXXX XXXXXXXXX Digitally signed by XXXX Date: 2020.09.01 10:08:50 -04'00' Xxxx Xxx Xxxxxxxxx Deputy Executive Director Office of Privacy and Disclosure Office of the General Counsel Date Data Integrity Board Certification: Xxxxxxx Xxxxxx Digitally signed by Xxxxxxx Xxxxxx Date: 2020.09.14 07:48:30 -04'00' Xxxxxxx X. Xxxxxx Chair SSA Data Integrity Board Date
Examples of Electronic Signature Acknowledgement in a sentence
Source and Recipient Agency Certification and Electronic Signature Acknowledgement: The signatories may sign this document electronically using an approved electronic signature process.
CHILDREN’S SERVICES COUNCIL OF PALM BEACH COUNTY By: Xxxx Xxxxxxxx-Xxxxxx, Ph.D. Chief Executive Officer By: * By signing this Electronic Signature Acknowledgement Form, I agree that my electronic signature is the legally binding equivalent to my handwritten signature.
Attachment 3: Acknowledgement, Certification and Signature Form VALDEZ POLICE DEPARTMENT X.X. XXX 000 XXXXXX, XXXXXX 00000 000-000-0000 (PHONE) 000-000-0000 (FAX) Officer’s Electronic Signature Acknowledgement and Certification Form I, ____________________________, certify that I understand that affixing my electronic signature to a citation is the legally binding equivalent of signing the citation by hand, and that I will be bound by that electronic signature.
More Definitions of Electronic Signature Acknowledgement
Electronic Signature Acknowledgement. The signatories may sign this document electronically by using an approved electronic signature process. By signing this document electronically, the signatory agrees that the signature they provide has the same meaning and legal validity and effect as a handwritten signature. THE SOCIAL SECURITY ADMINISTRATION Xxxxxxxx Xxxxxx Digitally signed by Xxxxxxxx Xxxxxx Date: 2023.01.09 14:03:51 -05'00' Xxxxxxxx X. Xxxxxx Acting Deputy Executive Director Office of Privacy and Disclosure Office of the General Counsel Date Xxxxxxx Xxxxxx Digitally signed by Xxxxxxx Xxxxxx Date: 2023.01.30 19:52:52 -05'00' Xxxxxxx X. Xxxxxx Chair, Data Integrity Board Social Security Administration Date THE RAILROAD RETIREMENT BOARD XXXXXXXX XXXXXX Xxxxxxxx Xxxxxx Director of Policy and Systems Date Digitally signed by XXXXXXXX XXXXXX Date: 2023.01.09 13:43:23 -06'00' XXXXXXX XXXXXX Digitally signed by XXXXXXX XXXXXX Date: 2023.02.01 06:41:28 -07'00' Xxxxxxx X. Xxxxxx, Chairman Data Integrity Board Railroad Retirement Board Date Attachments:
Electronic Signature Acknowledgement. The signatories may sign this document electronically using an approved electronic signature process. Each signatory electronically signing this document agrees that his/her electronic signature has the same legal validity and effect as his/her handwritten signature on the document, and that it has the same meaning as his/her handwritten signature. Date Xxxx Xxxxxx Executive Director Compensation Service Department of Veterans Affairs Date Dr. Xxxxxxx X. Carter Executive Director Pension and Fiduciary Department of Veterans Affairs Data Integrity Board Certification: Date Xxxx X. Xxxxxx Chair Data Integrity Board Department of Veterans Affairs Attachment: Cost Benefit Analysis CBA CMA 1050 Cost
Electronic Signature Acknowledgement. The signatories may sign this document electronically by using an approved electronic signature process. Each signatory electronically signing this document agrees that his/her electronic signature has the same legal validity and effect as his/her handwritten signature on the document, and that it has the same meaning as his/her handwritten signature. Social Security Administration [Name] Regional Commissioner [Region] Date [Name of Source Jurisdiction/Law Enforcement Agency] [Name of Signatory] [Title] Date Attachments: Attachment A – Enumeration System Verification Record Layout Attachment B – Cost Benefit Analysis Attachment A Enumeration System Verification Record Layout INPUT FORMAT FOR REPORTING FLEEING FUGITIVE FELON/PAROLE-PROBATION VIOLATORS TO SSA Dataset Name: EVSFUFEL INPUT FIELD LOCATION FIELD NAME FIELD SIZE FIELD TYPE (A=alpha N=numeric) ENTRY REQUIREMENT (M=mandatory C=conditional Opt=optional) 1-9 SOCIAL SECURITY NUMBER 9 N M 10-12 ENTRY CODE “TPV” 3 A M 13-15 PROCESSING CODE “417” 3 N M 16-28 LAST NAME 13 A/N M 29-38 FIRST NAME 10 A/N M 39-45 MIDDLE NAME/INITIAL 7 A/N Opt 46-53 DATE OF BIRTH (MMDDCCYY) 8 N Opt 54 SEX CODE (M=MALE, F=FEMALE ) 1 A Opt 55-62 DATE REPORT PREPARED (MMDDCCYY) 8 N M 63-82 SUBJECT’S DRIVER’S LICENSE NUMBER 20 A/N Opt 83-84 SUBJECT’S DRIVER’S LICENSE STATE 2 A Opt 85-92 DATE WARRANT ISSUED (MMDDCCYY) 8 N M 93-95 BLANKS 3 96-105 NCIC NUMBER 10 A/N C 106-108 BLANKS 3 109-117 ORIGINATING AGENCY IDENTIFICATION NUMBER (ORI#) OR SSA ISSUED AGENCY IDENTIFICATION NUMBER 9 A/N M 118-119 WARRANT ISSUING STATE 2 A M 120-122 BLANKS 3 123-142 ORIGINATING AGENCY CASE NUMBER (OCA#) 20 A/N C 143-146 OFFENSE CODE (NCIC STANDARD) 4 A/N M 147-150 REPORTER ID CODE (as assigned by SSA) 4 X/X X 000-000 XXXXXXX XXXXXXX AGENCY NAME 30 A/N M 181-200 WARRANT NUMBER 20 A/N C 201 SUBJECT’S RACE 1 A Opt 202-211 WARRANT ISSUING AGENCY TELEPHONE NUMBER 10 N Opt 212-241 BLANKS 30 A 242-253 FBI NUMBER 12 N Opt 254-273 OFFENSE TYPE (BURGLARY, MURDER, ETC.) 20 A C 274 OFFENSE CHARGE SYMBOL (F OR P) 1 A C 275-300 BLANKS 26 FIELD SIZE TOTAL: 300
Electronic Signature Acknowledgement. The signatories may sign this document electronically by using an approved electronic signature process. By signing this document electronically, the signatory agrees that the signature they provide has the same meaning and legal validity and effect as a handwritten signature. THE SOCIAL SECURITY ADMINISTRATION Xxxxxxxx Xxxxxx Digitally signed by Xxxxxxxx Xxxxxx Date: 2022.11.16 11:40:09 -05'00' Xxxxxxxx X. Xxxxxx Acting Deputy Executive Director Office of Privacy and Disclosure Office of the General Counsel Date Xxxxxxx Xxxxxx Digitally signed by Xxxxxxx Xxxxxx Date: 2022.12.22 08:36:12 -05'00' Xxxxxxx X. Xxxxxx Chair, Data Integrity Board Social Security Administration Date THE RAILROAD RETIREMENT BOARD XXXXX XXXXXXX Digitally signed by XXXXX XXXXXXX Date: 2022.11.10 07:57:59 -06'00' Xxxxx Xxxxxxx Acting Director of Policy and Systems Date 11/10/2022 Digitally signed by XXXXXXX XXXXXXX XXXXXX XXXXXX Date: 2022.12.15 09:52:50 -07'00' Xxxxxxx X. Xxxxxx, Chairman Data Integrity Board Railroad Retirement Board Date Attachments: Appendices A-C – RRB recipient operations Appendix D – SSA recipient operations Exhibits 1-13 – Data Elements APPENDIX A
Electronic Signature Acknowledgement. The signatories may sign this document electronically by using an approved electronic signature process. By signing this document electronically, the signatory agrees that the signature they provide has the same meaning and legal validity and effect as a handwritten signature. As the authorized representative of the agency named above, I certify that the subject matching program was conducted in compliance with the existing computer matching agreement between the parties, and I have reviewed and approve of the subject matching program continuing without any changes for an additional 12 months, subject to the approval of the respective Data Integrity Boards of the parties. Director, Division of Administrative Operations Digitally signed by XXXXXXX XXXXXXX Date: 2023.10.02 11:44:52 -04'00' ______________ Xxxxxxx Xxxxxxx, Director Division of Administrative Operations Office of Workers’ Compensation Programs Date Data Integrity Board Approval As Chair of the Data Integrity Board of the agency named above, I certify that: (1) the subject matching program was conducted in compliance with the existing computer matching agreement between the parties; and (2) the subject matching program will continue without any changes for an additional 12 months. Xxxxx X. Su, Chairperson, Data Integrity Board Deputy Secretary of Labor Date 9/29/2023
Electronic Signature Acknowledgement. The signatories may sign this document electronically by using an approved electronic signature process. Each signatory electronically signing this document agrees that his/her electronic signature has the same legal validity and effect as his/her handwritten signature on the document and that it has the same meaning as his/her handwritten signature. FOR THE RAILROAD RETIREMENT BOARD: Director of Policy and Systems Railroad Retirement Board Date: Xxxxxxx Xxxxxx Chair, Data Integrity Board Chief Information Officer Railroad Retirement Board Date: FOR THE OFFICE OF PERSONNEL MANAGEMENT: Xxxxxxxx Xxxxxxxx (Acting) Associate Director Retirement Services Office of Personnel Management Date: Xxxxxx Xxxxxxxx Xxxxx Chair Data Integrity Board Office of Personnel Management Date: APPENDIX A This appendix describes the use of the U.S. Office of Personnel Management (OPM) information by the U.S. Railroad Retirement Board (RRB) to administer both the Public Service Pension Offset provision and the Public Disability Benefit Offset provision.
Electronic Signature Acknowledgement. The signatories may sign this document electronically. Each signatory electronically signing this document agrees that his/her electronic signature has the same legal validity and effect as his/her handwritten signature on the document, and that it has the same meaning as his/her handwritten signature. As the authorized representative of the source agency named above, I certify that: (1) the subject matching program was conducted in compliance with the existing computer matching agreement between the parties; and (2) the subject matching program will continue without any change for an additional 12 months, subject to the approval of the respective Data Integrity Boards of the parties. • • Digitally signed by Xxxxxxx X.