Referral form definition

Referral form means the overpayment/recovery information input (Form 470-0464) completed by DHS. The form tells the program, the amount, the dates, and the reason for the overpayment. It also lists information on the debtor for identification purposes.

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Referral form means the referral form by which the Purchaser requests the Services from NHSBT to which these Terms and Conditions are annexed;

Referral form means the form you to refer Leads to BT, which is available on request via 0800 085 7000 or via ▇▇▇▇▇▇▇.▇▇▇▇▇▇@▇▇.▇▇▇.

Examples of Referral form in a sentence

• During preplanning or prior to any student contact, each teacher shall be provided with an online copy of the Orange County Code of Student Conduct and current Student Referral form and any additional disciplinary plan and forms referenced in the plan which may have been developed for his/her school.

• The determination of high school credit must be identified on the Bellingham Technical College Running Start Referral form.

• Within the first ten duty days of each school year, each teacher shall be provided with an online copy of the Orange County Code of Student Conduct and current Student Referral form and any additional disciplinary plan which may have been developed for his/her school.

• A Referral can be transmitted electronically or by Your Provider completing a paper Referral form.

• Drivers will complete a Misconduct Referral form to document all incidents.

• Referral information provided via index client • Referral form included in information materials when HIVST is handed to sexual partner.

• Linkage Strategy • Referral form included in information materials when HIVST is handed to sexual partner.

• To refer a lead, MTI will complete a Lead Referral form and remit it to ev3.

• If the EN originally referred the beneficiary to the DOR using a DR 343A VR Agency Referral form, the DOR will refer the beneficiary back to the same EN by using a DR 343B Referral to EN form (Attachment 1-B).

• Either party may from time to time refer potential customers (“Prospects”) to the other party, by completing and delivering - or by directing a Prospect to complete and deliver - a Prospect Referral form in the form attached hereto as Exhibit A either (a) online (b) via email or (c) by facsimile to Company or Referral Partner at the applicable notification provided in this Agreement or agreed to by Company or Referral Partner.

More Definitions of Referral form

Referral form means the referral form overleaf to be completed by each of the following: (i) the Referrer; (ii) the Referred; and (iii) the Store Manager;

Referral form. “Regulations” means the referral form by which the Purchaser requests the Services from NHSBT to which these Terms and Conditions are annexed; means ISO 15189 laying down the principles and guidelines of good manufacturing practice in respect of medicinal products for human use and investigational medicinal products for human use regulations;

Referral form means the separate form accompanying this Agreement executed by both Referrer and InterPayments which engages individual as a Referrer for InterPayments.

Referral form means the Partner Referral Authorisation Form from the Partner to BCMS to which these Conditions are appended.