Undersigned definition
Examples of Undersigned in a sentence
The Undersigned swears or affirms under the penalties of perjury that the undersigned has not altered, modified or changed the clauses 1-25 of the Commissioners form contract in any way except for the following clauses which are named below: IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement.
The Undersigned understands that non-compliance with Federal and State health care program requirements, and failing to report any such violations, could result in termination of the Agreement and/or any other penalties as permitted by law.
The Undersigned will report to the SMMC Compliance Officer any suspected violation of any Federal health care program requirements within fifteen (15) days of discovery of the violation.
The Undersigned has the right to use the SMMC Disclosure Program by calling the Compliance Hotline at (▇▇▇) ▇▇▇-▇▇▇▇ or reporting incidents directly to the Compliance Officer.
The Undersigned will comply with all Federal, State or other governmental health care program requirements.