Financial Assistance Application definition

Financial Assistance Application or “Application” means the information and accompanying documentation that an individual submits for financial assistance under this Financial Assistance Policy.
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Examples of Financial Assistance Application in a sentence

  • The Grantee shall upload a pdf version of the final approved document(s) to the Financial Assistance Application Submittal Tool (FAAST) system.

  • The Business shall provide and pay for the eligible benefits described in Exhibit A, Business’s Financial Assistance Application, with an Average Benefit Value calculated by IDED and shown in Exhibit D.

  • The statements and other information furnished to the IEDA by Business in its Financial Assistance Application and in connection with the negotiation of this Contract do not contain any untrue statements of a material fact or omit a material fact necessary to make the material statements contained herein or therein not misleading.

  • The statements and other information furnished to the IDED by Business in its Financial Assistance Application and in connection with the negotiation of this Master Contract and the Funding Agreements do not contain any untrue statements of a material fact or omit a material fact necessary to make the material statements contained herein or therein not misleading.

  • Upload an electronic copy of the final report in pdf format to the Financial Assistance Application Submittal Tool (FAAST) system.

  • Presents the Financial Assistance Application to the patient or responsible party.

  • Collection agencies and outside debt collections attorneys retained by ▇▇▇▇▇▇▇▇▇ Health and their staff will agree to comply with this Policy and the FAP, including providing information to patients on how to apply for Financial Assistance, suspending any Extraordinary Collection Action (“ECA”) while a Financial Assistance Application is pending, and upholding the confidentiality and individual dignity of each patient.

  • In order to make a final determination regarding eligibility for financial assistance, an applicant is required complete a Financial Assistance Application, provide a single form of income verification per source of income, and must reasonably cooperate with CHI Franciscan.

  • Upload an electronic copy of the final report in pdf format to the Financial Assistance Application Submittal Tool (FAAST) system (available at ▇▇▇▇▇://▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇.▇▇.▇▇▇/).

  • Signature: Date: This agreement is made and entered in to the academic school year as indicated on the Student’s Financial Assistance Application.