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Search results with tag "Waiver"

Developmental Disabilities Waiver Services & Rates

Developmental Disabilities Waiver Services & Rates

www.dmas.virginia.gov

Jun 29, 2021 · Developmental Disabilities Waiver Services & Rates Rates Effective 07/01/2021 BI= Building Independence Waiver; FIS= Family & Individual Support Waiver; CL= Community Living Waiver Service Name National Code BI FIS CL Modifier Units Location Rate CD Personal Assistance S5126 √ √ N/A Hour NOVA $13.60 ROS $10.50

  Community, Waiver

DOB NOW Build - Waiver and Deferral Document Request List

DOB NOW Build - Waiver and Deferral Document Request List

www1.nyc.gov

WAIVER AND DEFERRAL DOCUMENT REQUEST LIST – Updated March 2022 Use the list below to determine if a required document in DOB NOW: Build is eligible for waiver or deferral. The option to request waiver or deferral of a document is selected from the Action column for the Document Name on the Documents tab of the filing.

  Waiver, Deferral, Dob now, Waiver and deferral

FW-003 Order on Court Fee Waiver (Superior Court)

FW-003 Order on Court Fee Waiver (Superior Court)

www.courts.ca.gov

Jury fees and expenses Fees for a peace officer to testify in court Fees for court-appointed experts Court-appointed interpreter fees for a witness Reporter’s daily fees (beyond the 60-day period following the fee waiver order) Other (specify): Fee Waiver for Appeal.

  Court, Order, Waiver, Jury, Order on court fee waiver

Undue Hardship Waiver Application - Michigan

Undue Hardship Waiver Application - Michigan

www.michigan.gov

APPLICATION FOR HARDSHIP WAIVER (Please Print) Submission of this application is necessary to apply for a waiver of the claim due to substantial hardship. Only the applicant’s proportionate share of the claim can be waived. An application must be submitted within 60 days of the date stated on the attached cover letter.

  Applications, Michigan, Waiver application, Waiver

Application for a §1915(c) Home and Community- Based ...

Application for a §1915(c) Home and Community- Based ...

www.in.gov

Waiver 1. Major Changes Describe any significant changes to the approved waiver that are being made in this renewal application: Application for 1915(c) HCBS Waiver: IN.0387.R04.00 - Jul 16, 2020 Page 1 of 344 06/17/2020

  Waiver, Hcbs, Hcbs waiver

Ratio Analysis - USDA Rural Development

Ratio Analysis - USDA Rural Development

www.rd.usda.gov

Training Objectives ... • GUS Accept = no waiver required • GUS Accept with full documentation = no waiver required • GUS Refer, Refer with Caution, or manual uw = waiver required ... application page in the data field provided. GUS will deduct the benefit from the PITI. ...

  Training, Applications, Waiver

College Application Fee Waivers

College Application Fee Waivers

satsuite.collegeboard.org

Application Fee-Waiver Program streamline and simplify the process for students, counselors, and advisers by no longer requiring a second counselor validation. Short Message for Your Institution’s Website The College Board appreciates your support of the SAT-to-College Application Fee-Waiver Program. We realize that our collective

  Programs, Waiver, Fee waiver program

Georgia Medicaid Home & Community Based Waiver Services

Georgia Medicaid Home & Community Based Waiver Services

www.mmis.georgia.gov

Medicaid Waiver Programs –Member Point of Contact •Each waiver has a distinct point of entry to access services. EDWP services (CCSP/SOURCE), contact your Area Agency on Aging (AAA) for an assessment. The toll-free, statewide phone number is 866-55-AGING (866-552-4464). Applying for: ICWP, contact Alliant Health Solutions at 888-669-7195

  Community, Georgia, Waiver

MISCELLANEOUS - Identogo

MISCELLANEOUS - Identogo

www.identogo.com

Photo ID Waiver for Minors (Only needed in special circumstances) Required Secondary document if Photo ID Waiver for Minors is selected (only needed in special circumstances) Birth Certificate bearing an official seal or certified copy) issue by State, county, municipal authority (or outlying possession of the U.S.)

  Waiver, Identogo

FINANCIAL HARDSHIP APPLICATION FOR WAIVER OF …

FINANCIAL HARDSHIP APPLICATION FOR WAIVER OF …

www.thehealthlawfirm.com

FINANCIAL HARDSHIP APPLICATION FOR WAIVER OF COPAY/DEDUCTIBLE The patient will need to complete a financial disclosure form (see attachment B) and provide documentation of proof of income . Appropriate documentation of financial …

  Applications, Waiver, Application for waiver

REGISTRATION GUIDELINES - Gulf Coast State College

REGISTRATION GUIDELINES - Gulf Coast State College

www.gulfcoast.edu

SAT, and for students who are not eligible for Flexible Placement. Visit the . ... STATE OF FLORIDA EMPLOYEE FEE WAIVER . Per Section 1009.265, Florida Statutes, GCSC will ... fees not covered by the waiver. AUDIT STUDENT . Students who plan to take a course as audit must

  Guidelines, States, Students, Registration, Costa, College, Waiver, Gulf, Fee waiver, Registration guidelines, Gulf coast state college

E-FILE AND E-PAY MANDATE WAIVER REQUEST

E-FILE AND E-PAY MANDATE WAIVER REQUEST

edd.ca.gov

• Enter the eight-digit employer payroll tax account number and the business name. • Enter the two-digit year and quarter you are requesting the mandate waiver. Example: Tax year 2018, 3: rd: quarter • Select the reason you are unable to comply with the electronic requirements. If “other good cause” is selected, provide an explanation.

  Employers, Waiver, Mandate, Mandate waiver

GYM MEMBER WAIVER OF LIABILITY & RELEASE

GYM MEMBER WAIVER OF LIABILITY & RELEASE

fitherapy.com

This waiver and release of liability includes, without limitation, all injuries which may occur as a result of: 1) your use of all amenities and equipment in the facility and your participation in any activity, class, program, personal training or instruction;, 2) the sudden and unforeseen malfunctioning of any equipment; 3) our instruction ...

  Release, Waiver

Official Appeal Waiver (REV-638)

Official Appeal Waiver (REV-638)

www.revenue.pa.gov

PENNSYLVANIA DEPARTMENT OF REVENUE . PO BOX 281210 . HARRISBURG PA 17128-1210. PAGE. 1. OFFICIAL APPEAL WAIVER. DEPARTMENT USE ONLY (ET) 07-21 (FI) I/We, am requesting to enter into a deferred payment agreement with . the Pennsylvania Department of Revenue. I acknowledge that by entering into an agreement with the department, I waive all …

  Revenue, Appeal, Officials, Waiver, Official appeal waiver

Repair Waiver Application - illinoisairteam.net

Repair Waiver Application - illinoisairteam.net

illinoisairteam.net

Nov 28, 2017 · Application Instructions This form may be used to apply for a repair waiver from the vehicle emissions testing requirement in accordance with the Illinois Vehicle Emissions Inspection Law of 2005 (625 ILCS 5/13C-30) and 35 Ill. Adm. Code Section 276.401. Please type or print legibly, and complete all fields on the application.

  Applications, Waiver application, Waiver

Your Guide to Section 19 - Federal Deposit Insurance ...

Your Guide to Section 19 - Federal Deposit Insurance ...

www.fdic.gov

the Individual Waiver application, which requires the covered individual to file a Section 19 application on his or her behalf without being sponsored by an IDI. Sponsorship and Individual Waiver applicants are required to complete Form 6710/07. Before an application is filed, prospective applicants are encouraged to take these steps: 1.

  Insurance, Waiver

Construction Forms for Contractors - Craftsman Book Company

Construction Forms for Contractors - Craftsman Book Company

www.craftsman-book.com

Conditional Waiver & Release of Lien upon Final Payment .....279 Unconditional Waiver & Release of Lien upon Final Payment .....282 9 Office Forms 285 Master Tool List .....287 Field Directory .....290 Memorandum .....294 Jobsite Emergency Telephone

  Release, Final, Waiver, Upon, Conditional, Conditional waiver, Upon final

TRADOC Regulation 672-9 Expert Soldier Badge HAND BOOK …

TRADOC Regulation 672-9 Expert Soldier Badge HAND BOOK …

home.army.mil

memorandum to the EIB Test Manager. The waiver(s) must include the individual names, and be accompanied by their respective ARF scorecards (within one year), and ALT C qualification (within six months). Both must show that the Candidate qualified expert, scoring at least 36 points. This waiver must be approved prior to validation. ALT-C is not

  Waiver

HEALTH CARE WORKER WAIVER APPLICATION Illinois …

HEALTH CARE WORKER WAIVER APPLICATION Illinois

dph.illinois.gov

Illinois Department of Public Health . HEALTH CARE WORKER WAIVER APPLICATION . Illinois Department of Public Health . Health Care Worker Registry, 525 W. Jefferson St., Springfield, IL 62761 . Phone: 844-789-3676 Fax: 217-524-0137 E-Mail: DPH.HCWR@illinois.gov. All information requested on this application must be provided …

  Health, Department, Applications, Illinois, Public, Care, Worker, Waiver, Illinois department of public health, Health care workers, Health care worker waiver application, Health care worker waiver application illinois

NC DEPARTMENT OF ROY COOPER • Governor HEALTH AND …

NC DEPARTMENT OF ROY COOPER • Governor HEALTH AND …

ncnar.ncdhhs.gov

registry listing expiration date without completing additional nurse aide training. The Nurse Aide must submit the training waiver application 45 days prior to their registry listing expiration date and must pass the competency examination prior to their Nurse Aide I …

  Training, Applications, Waiver, Registry, Training waiver application

FY 2023 Renewal Application for Funding

FY 2023 Renewal Application for Funding

www.phlprek.org

progress between the initial waiver and action plan submission and the point of renewal application may be ineligible to receive PHLpreK funding beyond the 2022-2023 fiscal year. • Licensing and STARS status for all applicants will be verified with the Early Learning Resource Center (ELRC) .

  Applications, Waiver

Application to have the Chapter 7 filing fee Waived

Application to have the Chapter 7 filing fee Waived

www.uscourts.gov

After considering the debtor’s Application to Have the Chapter 7 Filing Fee Waived (Official Form 103B), the court orders that the application is: [ ] Granted. However, the court may order the debtor to pay the fee in the future if developments in administering the bankruptcy case show that the waiver was unwarranted. [ ] Denied.

  Waiver

Massachusetts Certified Nursing Assistant Examination ...

Massachusetts Certified Nursing Assistant Examination ...

www.prometric.com

Assistant Examination Application ... **Please note that you must fill out and mail in the Nurse Aide Training Waiver application. Route 4. Completed a Nurse Aide Training Program in Another State ... on this form will be included in my record …

  Training, Applications, Waiver, Training waiver application

Fact Sheet MFS Growth Fund

Fact Sheet MFS Growth Fund

www.mfs.com

reflects the reduction of expenses from contractual fee waivers and reimbursements. Elimination of these reductions will result in higher expenses and lower performance. FUND DATA Inception Date 12/29/86 Net Assets $48.9 billion Number of Issues 74 Market Cap (weighted avg.) $836.7 billion Price/Book (weighted avg.) 10.1 Price/Earnings (12 ...

  Reduction, Waiver, Fee waiver

NOTICE TO THE MINOR CHILD'S NATURAL GUARDIAN(S)

NOTICE TO THE MINOR CHILD'S NATURAL GUARDIAN(S)

image.aausports.org

Waiver: On my own behalf and on behalf of my child, ward, heirs, executors, personal representatives, administrators, and assigns, agree to forever waive, covenant not to sue, release, and discharge the Released Parties, named above, from any and all liability, claims, causes of action, damages, costs, or expenses

  Liability, Release, Waiver

SENATE BILL NO. 597

SENATE BILL NO. 597

www.legislature.mi.gov

The reductions may occur only if healthy behaviors are ... 25 enroll all existing fee-for-service enrollees into contracted ... 21 either or both of the waivers requested under this section are 22 approved, the patient protection and affordable care act is 23 repealed, ...

  Reduction, Waiver

Coverage and Payment Related to COVID-19 Medicare

Coverage and Payment Related to COVID-19 Medicare

www.cms.gov

COVID-19 laboratory tests, as approved by CMS in this advisory, such waivers or reductions would satisfy the safe harbor to the Federal anti-kickback statute set forth at 42 CFR 1001.952(l).

  Reduction, Payments, Related, Coverage, Waiver, Coverage and payment related to

Officer Assignment Policies, Details, and Transfers

Officer Assignment Policies, Details, and Transfers

armypubs.army.mil

o Adds joint conditional release requirement criteria of 36 months tour ... ities may request a waiver to this regulation full analysis of the expected benefits and ... the officer’s chain of command based upon individual circumstances, loss of qualifications, or restrictions in accordance with AR 600

  Policies, Officer, Release, Details, Assignment, Transfer, Waiver, Upon, Conditional, Conditional release, And transfers, Officer assignment policies

Nurse Aide I How to Renew Your Nurse Aide I Registry Listing

Nurse Aide I How to Renew Your Nurse Aide I Registry Listing

ncnar.ncdhhs.gov

registry listing expiration date without additional training. Nurse aides must submit the Training Waiver Application 45 days prior to their listing expiration date and must pass the competency examination prior to their listing expiration date. No extension of the 45 days will be granted.

  Training, Applications, Waiver, Registry, Training waiver application

APP-001 Information on Appeal Procedures for Unlimited …

APP-001 Information on Appeal Procedures for Unlimited …

www.courts.ca.gov

INFORMATION ON APPEAL PROCEDURES FOR UNLIMITED CIVIL CASES ... you may submit an application for waiver of court fees and costs on appeal under rules 8.26 and 3.50–3.63 of the California Rules of Court (Cal. Rules of Court, rule 8.100). ... must be an official record of the proceedings from the superior court for the appellate court to review in

  California, Appeal, Officials, Waiver

MEAL BREAK WAIVER REQUEST In accordance with the ...

MEAL BREAK WAIVER REQUEST In accordance with the ...

commellini.com

the meal period. If, at some later date, the employee(s) wishes to receive a meal period, any agreement would no longer be in effect. Employees must still receive a rest period at least ten minutes for each four hours of work. An employer can refuse to allow the employee to waive the meal period and require that an employee take a meal period.

  Agreement, Meals, Waiver, Brake, Meal break waiver

Guidance to Home Care Agencies and Registries Licensed by ...

Guidance to Home Care Agencies and Registries Licensed by ...

www.health.pa.gov

service plan/agreement that authorizes the home care agency/registry to provide the non-skilled service/activity. The order, service authorization form, or service plan/agreement is ... virtue of the agency’s or registry’s participation as a provider in a Medicaid Waiver or …

  Agreement, Waiver

Part D Late Enrollment Penalty (LEP) Reconsideration Request …

Part D Late Enrollment Penalty (LEP) Reconsideration Request …

www.cms.gov

Medicare Appeal #: (For C2C use only) Please use one (1) Reconsideration Request Form for each Enrollee. ... Waiver of Fee for Representation. Instructions: This section must be completed if the representative is required to, or chooses to, waive their fee for ... the fee is for services rendered in an official capacity such as that of legal ...

  Appeal, Officials, Waiver

BOOKING AND SALE TERMS AND CONDITIONS

BOOKING AND SALE TERMS AND CONDITIONS

docs.vikingcruises.com

accident, delay or irregularity of any kind, occasioned by reason of any act or omission arising during or from the cruise tour. you specifically release vrc from any and all claims for loss or damage to baggage or property and for injury, illness or death, and from all ... action waiver, forum for suits and governing law. in the event of any ...

  Release, Waiver, Accident

Terms and Conditions United States & Canada

Terms and Conditions United States & Canada

www.budget.com

2. Budget App 21. Personal Accident and Effects Ins. 3. General Information 22. Liability Protection 4. Changes 23. Supplemental Liability Insurance & Exclusions 5. Meaning of Car 24. Indemnification and Waiver 6. Who May Drive the Car 25. Property in the Car 7. Return of The Car 26. Currency Conversion 8. Where You’ll Return the Car 27.

  Liability, Waiver, Accident

Honda Financial Services - Honda Canada Inc.

Honda Financial Services - Honda Canada Inc.

www.honda.ca

Third party liability coverage minimum of $1,000,000.00 ... Option 4 after you have reported the details of the accident to the police and your insurance company. An HFS Total Loss Representative will settle the claim with your insurance adjuster. If a waiver of depreciation does not apply, we will settle your account based on the fair market ...

  Liability, Waiver, Accident

General Telemedicine Toolkit - CMS

General Telemedicine Toolkit - CMS

www.cms.gov

General Provider Telehealth and Telemedicine Tool Kit Note, this toolkit is designed to provide information only and not intended to endorse any non-federal entities. Focus Area List of Resources 1135 Waiver Information • President Trump …

  General, Toolkit, Tool, Telehealth, Provider, Waiver, Telemedicine, General telemedicine toolkit, General provider telehealth and telemedicine tool kit

Admiralty and Maritime Law - Public.Resource.Org

Admiralty and Maritime Law - Public.Resource.Org

public.resource.org

Notice of Loss or Damage 79 Time Bar 80 Extending the Application of COGSA 80 Jurisdiction and Choice-of-Law Clauses 82. ... Collision and Other Accidents 125 Introduction 125 Liability 126 Causation 126 ... Waiver 177 Bankruptcy 177 Ship Mortgages 177 Chapter 10: Marine Insurance 181 ...

  Waiver, Collision, Damage

SAMPLE FLEET MANAGEMENT POLICY - AGCS Global

SAMPLE FLEET MANAGEMENT POLICY - AGCS Global

www.agcs.allianz.com

b. Collision damage waiver will be refused. 4. Unauthorized Use of Vehicles Assigned drivers and other authorized employees will not allow an unauthorized individual to operate a company vehicle. No exceptions! Disciplinary action may be taken. Additionally, if unauthorized use results in an accident, the responsible employee will be

  Waiver, Collision, Damage, Collision damage waiver

Rental Car Abbreviations - Carnegie Mellon University

Rental Car Abbreviations - Carnegie Mellon University

www.cmu.edu

Miscellaneous Abbreviations: AAF airport access fee AIRCON airport concessionaire fee ALI additional liability insurance APP Alamo protection plus ATP auto tow protection CDW collision damage waiver CFC concession facility charge CONC concession recoup fee CPP carefree personal protection EP extended protection ESP emergency sickness protection FPO fuel …

  University, Waiver, Rental, Abbreviations, Collision, Damage, Carnegie, Carnegie mellon university, Mellon, Rental car abbreviations, Collision damage waiver

MasterCard Guide to Benefits for Credit Cardholders

MasterCard Guide to Benefits for Credit Cardholders

www.mastercard.us

2. Collision/damage waiver provided to you by the rental agency; 3. Any other collectible insurance; 4. The coverage provided under this EOC. If you or an authorized driver’s primary auto insurance or other coverage has made payments for a covered loss, we will cover your deductible and any other eligible amounts, described in

  Waiver, Collision, Damage, Mastercard, Collision damage waiver

TD First Class Travel Visa Infinite Card Welcome Guide ...

TD First Class Travel Visa Infinite Card Welcome Guide ...

www.tdcanadatrust.com

Auto Rental Collision/Loss Damage Insurance16 Drive protected. Use your Card and/or TD Points to pay for the full cost of an eligible car rental, and get the Collision Damage Waiver (CDW) coverage at no additional cost for up to 48 consecutive days. Please note, some rental agencies may require you to buy the CDW coverage from them.

  Waiver, Collision, Damage, Collision damage waiver

WORKERS COMPENSATION AND EMPLOYERS LIABILITY …

WORKERS COMPENSATION AND EMPLOYERS LIABILITY …

www.wcrb.org

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule.

  Insurance, Waiver

shootouts & legends

shootouts & legends

www.ustrc.com

Apr 05, 2022 · FULL AND UNCONDITIONAL RELEASE FOR PARTICIPATION • THE PARTICIPANT IN THIS EVENT (“PARTICIPANT”) HAS READ AND VOLUNTARILY AGREES TO THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT on this form, and further agrees that no oral representations, statements or inducements apart from the …

  Form, Liability, Release, Waiver, Participant, Waiver and release of liability

Instructions Technical Guide and Review Criteria

Instructions Technical Guide and Review Criteria

wms-mmdl.cms.gov

Jul 25, 2000 · Application for a §1915(c) Home and Community-Based Waiver [Version 3.6, January 2019] Instructions, Technical Guide and Review Criteria . Release Date:

  Guide, Review, Technical, Instructions, Criteria, Waiver, Instructions technical guide and review criteria, Technical guide and review criteria

Waiver of Subrogation and Additional Insured’s

Waiver of Subrogation and Additional Insured’s

www.insuranceinstitute.ca

Waiver of Subrogation and Additional Insured’s A great question was brought up regarding waiver of subrogation and I think it is important to share with the class. We do talk about Waiver of Subrogation in this course however only at a very high level and with limited (almost no) depth - it is just really mentioned (pg. 26 Chapter 2).

  Waiver

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