Medical Questionnaire definition

Medical Questionnaire means, with respect to a Referenced Settlement Recipient, the questionnaire concerning medical information, duly completed by or for such Referenced Settlement Recipient and in such form as provided by the Purchaser.
Sample 1Sample 2
Medical Questionnaire means a series of questions designed to indicate the existence of a medical condition.
Sample 1Sample 2
Medical Questionnaire means, with respect to a Claimant, the questionnaire concerning medical information, duly completed by or for such Claimant and in such form as the Originator may use from time to time in accordance with the Credit Policy Manual.
Sample 1

Examples of Medical Questionnaire in a sentence

  • If you answer “Yes” to any questions on the Medical Questionnaire, you are not permitted to participate in candidate testing without medical clearance.

  • You are required to see a physician and present your Medical Questionnaire, along with the Physician Information Booklet (http://www.ofai.ca/registration-information/forms) and Medical Clearance Form for the physician’s review and completion.

  • The Medical Questionnaire and Medical Clearance Form remain valid for six months from date of completion.

  • The Medical Questionnaire will tell you whether it is necessary for you to consult your physician before participating further in the Ontario Fire Administration Candidate Testing Program.

  • After this time, a new insurance application must be submitted.If you must complete a medical questionnaire (see section H) Required Medical Questionnaire of this insurance application), you will be temporarily covered for the period during which we analyze your application, up to 90 days.

  • If you medical status changes prior to the six month expiry, you will be required to complete new a Medical Questionnaire and/or Medical Clearance Form.

  • This Policy is based on the Proposal made by the within named Policyholder and submitted to the Company along with the required documents, declarations, statements, any response given to Short Medical Questionnaire (SMQ) by the Life Assured, applicable medical evidence and other information received by the Company from the Policyholder, Life Assured or on behalf of the Policyholder.

  • In case of adoption and for children born as a result of infertility treatment and/or born by a surrogate, the customer must submit a Medical Questionnaire for such children.

  • These materials include, but are not limited to: Medical Questionnaire, Emergency Information, and Consent Form; passport quality photos (for international programs); a copy of my signed passport (for international programs), any applicable course approval forms, and a visa if required for my specific program.

  • Included within Section Three of this Health and Safety Policy is a Medical Questionnaire specifically relating to the use of Hand Held Tools.


More Definitions of Medical Questionnaire

Medical Questionnaire means questionnaires provided by us for you to record your Medical History and preferences;
Sample 1
Medical Questionnaire means, with respect to any Claimant, a duly completed questionnaire in substantially the form attached as Exhibit G, provided, however, that during the Selling Period, the Purchaser may from time to time modify such questionnaire as it may determine in its reasonable judgment and such modified questionnaire shall become effective immediately upon delivery to the Seller and the Originator.
Sample 1

Related to Medical Questionnaire

  • Collateral Questionnaire means a certificate in form satisfactory to Collateral Agent that provides information with respect to the personal or mixed property of each Loan Party.

  • Questionnaire means the Documentation Information Questionnaire and the responses thereto provided by Borrowers and delivered to Agent.

  • Investor Questionnaire has the meaning set forth in Section 5.8.

  • Notice and Questionnaire means a Notice of Registration Statement and Selling Securityholder Questionnaire substantially in the form of Exhibit A hereto.

  • Selling Stockholder Questionnaire shall have the meaning set forth in Section 3(a).

  • Selling Shareholder Questionnaire shall have the meaning set forth in Section 3(a).

  • Accredited Investor Questionnaire means the Accredited Investor Questionnaire set forth as Exhibit C-1 hereto.

  • Administrative Questionnaire means an Administrative Questionnaire in a form supplied by the Administrative Agent.

  • Exhibit F The awarded category pricing from the Contractor’s submitted Price Sheet from 3rd Bid RFP 15-80101507-SA-D

  • Exhibit D means Exhibit D to the Judgment;

  • Exhibit E means Exhibit E to the Judgment;

  • Exhibit C attached hereto is a graphic representation of the Permanent Easement. In the event of an ambiguity in Exhibit B, Exhibit C may be used to resolve said ambiguity.

  • Exhibit means any item labeled as an Exhibit in the Solicitation or placed in the Exhibits section of the solicitation.

  • Disclosure Certificate means this Continuing Disclosure Certificate.

  • Exhibit IIB Standard File Codes - Delinquency Reporting The Loss Mit Type field should show the approved Loss Mitigation Code as follows: o ASUM- Approved Assumption o BAP- Borrower Assistance Program o CO- Charge Off o DIL- Deed-in-Lieu o FFA- Formal Forbearance Agreement o MOD- Loan Modification o PRE- Pre-Sale o SS- Short Sale o MISC- Anything else approved by the PMI or Pool Insurer NOTE: Wells Fargo Bank will accept alternative Loss Mitigation Types tx xxxse above, provided that they are consistent with industry standards. If Loss Mitigation Types other than those above are used, the Servicer must supply Wells Fargo Bank with a description of each of the Loss Mitigatixx Xxpes prior to sending the file.

  • Disclosure Notice means a notice issued by or on behalf of the Company requiring disclosure of interests in shares pursuant to section 212 of the Act;

  • Exhibit 2 Standard File Codes – Delinquency Reporting

  • Exhibit B means [Vendor]’s Response.

  • Letter of Transmittal and Election Form means the letter of transmittal and election form for use by the Corporation Shareholders with respect to the Arrangement;

  • Form of Notice of Conversion means the “Form of Notice of Conversion” attached as Attachment 1 to the Form of Note attached hereto as Exhibit A.

  • UCC Filing Authorization Letter means a letter duly executed by each Loan Party authorizing the Collateral Agent to file appropriate financing statements on Form UCC-1 without the signature of such Loan Party in such office or offices as may be necessary or, in the opinion of the Collateral Agent, desirable to perfect the security interests purported to be created by each Security Agreement and each Mortgage.

  • Data Tape Information The information provided by the Originators as of the Cut-off Date to the Depositor or the Purchaser setting forth the following information with respect to each Mortgage Loan: (1) the Mortgagor's name; (2) as to each Mortgage Loan, the Scheduled Principal Balance as of the Cut-off Date; (3) the Mortgage Rate Cap; (4) the Index; (5) a code indicating whether the Mortgaged Property is owner occupied; (6) the type of Mortgaged Property; (7) the first date on which the Scheduled Payment was due on the Mortgage Loan and, if such date is not consistent with the Due Date currently in effect, such Due Date; (8) the "paid through date" based on payments received from the related Mortgagor;

  • list of accredited prospective providers means the list of accredited prospective providers which the municipality must keep in terms of paragraph 14 of this policy;

  • Information Package means the most recent compilation of financial and other data with respect to the Failed Bank, including any amendments or supplements thereto, provided to the Assuming Institution by the Corporation on the web site used by the Corporation to market the Failed Bank to potential acquirers.

  • Disclosure Counsel means the Special Counsel designated by the Corporation to be responsible for the drafting and delivery of the Corporation’s disclosure documents such as preliminary official statements, official statements, re-offering memorandums or private placement memorandums and continuing disclosure agreements.

  • Informed Financial Consent means the medical provider advises you of any out-of-pocket costs before your admission. This is called Informed Financial Consent.