Instructions Fee Schedule

Size: px
Start display at page:

Download "Instructions Fee Schedule"

Transcription

1 City f Lndn Tree Prtectin By-Law C.P Tree Prtectin Area Permit Applicatin Cemetery r Glf Curse Planning Services - Urban Frestry 267 Dundas Street, 3rd Flr Lndn, Ontari N6A 1H2 Telephne: CITY (2489), ext treeprtectin@lndn.ca Instructins Fee Schedule 1. This prcess pertains t an applicatin t Injure and/r Destry a Tree(s) within a Tree Prtectin Area as defined by Schedule D f the By-law, as may be amended frm time t time, in a Cemetery r n a Glf Curse. 2. There are n applicatin fees fr trees in a cemetery r glf curse. City f Lndn cntact infrmatin Please cmplete the fllwing infrmatin. If yu require assistance, City staff may be cntacted by telephne at CITY (2489), extensin 4457 r by t treeprtectin@lndn.ca. Once this applicatin has been cmpleted, please submit it with payment by ne f the fllwing ptins: 1. Scanned and sent by t treeprtectin@lndn.ca (payment will be required prir t the applicatin being cnsidered cmplete). 2. Mailed t Urban Frestry, City f Lndn, 267 Dundas Street, 3rd Flr, Lndn Ontari N6A 1H2. 3. In persn at 267 Dundas Street, 3rd Flr, Lndn Ontari, between the hurs f 8:30 a.m. and 4:30 p.m. Mnday Friday After Submissin Upn receipt, yur applicatin will be reviewed and yu will be cntacted by City staff. By submitting this applicatin, the City will deem yu t have cnsented t a member f City staff visiting the prperty between 8 a.m. and 5 p.m. (Mnday - Saturday) t inspect the Tree(s), whether yu are present r nt. Every effrt will be made t cnduct the visit at a mutually cnvenient time. T assist staff, it wuld be helpful if yu culd attach clured flagging tape r a piece f material - either arund the trunk r arund a branch - at a visible height t each Tree subject t this applicatin. Please d nt mark the Tree in any way which culd cause injury, such as slashing bark frm the Tree. Right t Appeal The Applicant has the right t appeal and request a Hearing with a Hearings Officer if the Municipality fails t make a decisin n an applicatin within 60 days after a cmplete applicatin is received by the City Planner. A request by an Applicant fr a Hearing shall be made in writing and filed with the City Clerk. The request shall cnsist f a ntice f appeal and must cmply with the requirements set ut in Schedule 1 f the City s Hearings Officer By-law A

2

3 City f Lndn Tree Prtectin By-Law C.P Tree Prtectin Area Permit Applicatin Cemetery r Glf Curse Planning Services - Urban Frestry 267 Dundas Street, 3rd Flr Lndn, Ontari N6A 1H2 Telephne: CITY (2489), extensin treeprtectin@lndn.ca APPLICANT INFORMATION Cmplete the fllwing infrmatin. All cmmunicatins will be directed t the Primary Cntact with a cpy t the Landwner if different. Nte: If additinal space is required fr Landwner(s) infrmatin, please attach a separate sheet cntaining said infrmatin. Landwner(s) (Attach infrmatin with additinal Landwner infrmatin if required) Name Telephne number address Address City Prv/Territry Pstal cde Applicant (cmplete if the Applicant is different frm the Landwner) Name Telephne number address Address City Prv/Territry Pstal cde Prfessinal credentials Qualified Persn authrized by the Landwner t file the applicatin (if applicable) Name Telephne number address Address City Prv/Territry Pstal cde Prfessinal credentials Cntractr implementing the wrk Business name Telephne number address Address City Prv/Territry Pstal cde Name f persn ding wrk Prfessinal credentials Primary Cntact Which f the abve is the Primary Cntact? Landwner Applicant Qualified Persn Cntractr LAND SUBJECT TO THE APPLICATION Municipal address Unit number City Rll number Legal descriptin f prperty Lndn Frm n (rev ) Page 1 f 3

4 Subject Tree (if multiple trees, please attach a sheet listing each tree with the same infrmatin as requested belw) Species Diameter at 1.4 metres abve grund level Height (in metres) Cnditin Please make sure yu have identified clearly what it is yu want t achieve, s that staff, when visiting the site, are able t identify the Tree(s) and what yu want t d. If mre than ne Tree is present, please identify each Tree by a unique number (e.g. 1, 2, 3) r letter (e.g. A, B, C) and the species, if knwn. Have yu identified which Trees, where, are t be Injured and/r Destryed? Yes N Have yu attached cnfirmatin by the Qualified Persn f the lcatin, species, size and health f the Distinctive Tree(s) n the prperty? Bundary Tree Is the Tree(s) a Bundary Tree(s)? A Bundary Tree shall have the same meaning as defined by the Frestry Act, R.S.O c.f.26. * If yes, have yu included the written cnsent t the applicatin by the adjacent Landwner(s)? Attach r include: A five-year Silvicultural Prescriptin and/r Frest Management Plan, prepared by a Qualified Persn, describing hw the Trees n the Site are t be managed in a sustainable fashin t achieve Gd Arbricultural Practices and Gd Frestry Practices. The reprt will evaluate the basis fr the prpsed Tree Injury r Destructin and identify recmmendatins fr any cnditins t be included in a Tree Prtectin Area Permit that the Qualified Persn believes are necessary t be in accrdance with Gd Arbricultural Practices. Als include a general descriptin f the circumstances that wuld represent a substantive change frm the five-year Silvicultural Prescriptin and/r Frest Management Plan that wuld require a Tree Prtectin Area Permit. Such ther infrmatin deemed necessary by the City Planner. APPLICATION CONSENT Yes Yes * Yes N N N Signature f Applicant By submitting this applicatin, the City will deem yu t have cnsented t a member f City staff visiting the prperty between 8:00 a.m. and 5:00 p.m. (Mnday - Saturday) t inspect the Tree(s), whether yu are present r nt. Landwner's authrizatin (if different frm Applicant) I understand that an Applicatin is being made fr a Permit t Injure r Destry a Tree r Trees frm my land. By signing this Applicatin, I am cnsenting t the Applicatin. I acknwledge that the City Planner will send a cpy f his r her decisin t me. Signature f Landwner Signature f Landwner NOTICE OF COLLECTION OF PERSONAL INFORMATION The persnal infrmatin cllected n this applicatin frm is cllected under the authrity f the Municipal Act, 2001, as amended and the City f Lndn Tree Prtectin By-law C.P and will be used t assist the Civic Administratin in evaluating the request. The persnal infrmatin will be disclsed t City staff nly n a need t knw basis but it will nt be disclsed t the public unless therwise required by law. Hwever, infrmatin abut the specific Tree(s) and its/their lcatin with respect t this applicatin will becme part f the public recrd. Questins abut this cllectin f persnal infrmatin shuld be addressed t the Manager f Envirnmental and Parks Planning at 267 Dundas Street, 3rd Flr, Lndn, ON N6A 1H2 r by telephne at CITY (2489), extensin Page 2 f 3

5 Fr City f Lndn use nly Applicatin number Date received File handler name Decisin Permit issued Refused Date f decisin Date applicatin deemed cmplete Page 3 f 3

General Information and Instructions NOT FOR USE

General Information and Instructions NOT FOR USE Part II Order Request Frm Ministry f the Envirnment and Climate Change General: General Infrmatin and Instructins Anyne wh has utstanding envirnmental issues that have nt been addressed thrugh the Class

More information

PATIENT LIABILITY STATEMENT

PATIENT LIABILITY STATEMENT PATIENT LIABILITY STATEMENT (Updated 6/17) We will nt initiate therapeutic services until signed authrizatin is prvided. I understand that I am persnally respnsible fr charges incurred fr services rendered

More information

JOHN L. LITTLE, D.D.S, P.A ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES. May Refuse to Sign This Acknowledgement-

JOHN L. LITTLE, D.D.S, P.A ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES. May Refuse to Sign This Acknowledgement- JOHN L. LITTLE, D.D.S, P.A ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES -Yu I, Privacy Practices. May Refuse t Sign This Acknwledgement- ---, have received a cpy f this ffice's Ntice f {Please

More information

CAREVEST MORTGAGE INVESTMENT CORPORATION Directions for Completing Retraction Requests

CAREVEST MORTGAGE INVESTMENT CORPORATION Directions for Completing Retraction Requests This package is ONLY fr Class A sharehlders f. Cntents f this package (5 pages): - Instructins fr cmpleting yur retractin request - Retractin Request frm fr CareVest Mrtgage Investment Crpratin The February

More information

Producer Statements will be accepted only in accordance with this policy.

Producer Statements will be accepted only in accordance with this policy. Prducer Statements Plicy This plicy has been prepared t ensure that Cuncil has clearly dcumented plicies and prcedures fr the request fr and acceptance f Prducer Statements in cnnectin with applicatins

More information

Alternative Exam Arrangements

Alternative Exam Arrangements A Series f Fact Sheets fr Students Alternative Exam Arrangements Sme students with disability/health cnditins may require alternative arrangements t successfully cmplete their examinatins. Temprary Disability

More information

Policy on Requesting Reasonable Accommodations from the Zoning Code

Policy on Requesting Reasonable Accommodations from the Zoning Code Plicy n Requesting Reasnable Accmmdatins frm the Zning Cde Backgrund The Americans with Disabilities Act (ADA), as amended, is a federal anti-discriminatin statute designed t remve barriers that prevent

More information

Use the included checklist to ensure that the plan(s) include at least the minimum required information.

Use the included checklist to ensure that the plan(s) include at least the minimum required information. RCOC Applicatin Instructins CHELMSFORD CONSERVATION COMMISSION Request fr Certificate f Cmpliance Applicatin Instructins Certificates f Cmpliance (COC) are the final permit issued by the Cnservatin Cmmissin

More information

Details of Rate, Fee and Other Cost Information

Details of Rate, Fee and Other Cost Information Details f Rate, Fee and Other Cst Infrmatin Accunt terms are nt guaranteed fr any perid f time. All terms, including fees and APRs fr new transactins, may change in accrdance with the Credit Card Agreement

More information

Subject Access Requests

Subject Access Requests Subject Access Requests The Data Prtectin Act 1998 gives rights t individuals in respect f the persnal data that rganisatins hld abut them. One f thse rights is the right t get a cpy f the infrmatin that

More information

Discretionary Use Application

Discretionary Use Application Discretinary Use Applicatin Prir t submitting a frmal applicatin, yu may wish t cntact the Planning Department fr a preliminary cnsultatin. The City f Regina Zning Bylaw has tw categries f uses that may

More information

Privacy Notice for Applicants and Tenants

Privacy Notice for Applicants and Tenants Privacy Ntice fr Applicants and Tenants What we need Scttish Brders Husing Assciatin (SBHA) will be a "cntrller" f the persnal infrmatin that yu prvide t us thrugh yur cmpleted Husing Applicatin Frm, and

More information

Zoning Bylaw Amendment Application

Zoning Bylaw Amendment Application Zning Bylaw Amendment Applicatin Prir t submitting a frmal applicatin, yu may wish t cntact the Planning Department fr a preliminary cnsultatin. The Zning Bylaw is a set f regulatins which cntrls land

More information

address: Driver license number: Date of birth: Occupation:

address: Driver license number: Date of birth: Occupation: MEMBERSHIP APPLICATION PRIMARY MEMBER INFORMATION Name: Scial security Member Number: Hme phne: Cell phne: Business phne: Mther s Maiden Name: Security passwrd: Mailing address: City: State: ZIP Cde: Street

More information

Appeal Process Overview

Appeal Process Overview Appeal Prcess Overview www.ptbard.bc.ca Scpe f Appeals The Bard may hear appeals frm administrative penalties impsed n a licensee by the Registrar f Passenger Transprtatin Parties t Appeals The appellant

More information

MD Collection Agency License Amendment Checklist (Company)

MD Collection Agency License Amendment Checklist (Company) MD Cllectin Agency License Amendment Checklist (Cmpany) CHECKLIST SECTIONS General Infrmatin Amendments GENERAL INFORMATION Instructins Maryland Cmmissiner f Financial Regulatin (MD) Agency des nt require

More information

CRG PATIENT REGISTRATION FORM

CRG PATIENT REGISTRATION FORM CRG PATIENT REGISTRATION FORM PATIENT INFORMATION Patient s Name: Birth : (Last) (First) (Middle) Scial Security Number: Male: Female: Hme Address: (Street / RR Bx # / Apt. #) (City/State) (Zip) Preferred

More information

A-1110 Wien. Privacy Notice

A-1110 Wien. Privacy Notice Eurfins Lebensmittelanalytik Tel. +43 (1) 944 33 44-0 ffice@eurfins.at www.eurfins.at Privacy Ntice Table f cntents 1 Cntrller infrmatin... 2 2 What infrmatin shuld yu give Eurfins?... 2 3 Why d we use

More information

REPRESENTATIVE PAYEE PROGRAM T. O. D., Inc.

REPRESENTATIVE PAYEE PROGRAM T. O. D., Inc. P.O. Bx 99243 Referral Checklist Client Infrmatin: Please cmplete t the best f yur ability adding as many details as available. Budget: The budget shuld be filled ut as cmpletely as pssible. If yu are

More information

VOLUNTEER REGISTRATION FORM

VOLUNTEER REGISTRATION FORM VOLUNTEER REGISTRATION FORM Office Use Only Prgram: Site: Day(s): Time: Name Email: Phne Number (cell) (hme) (Wrk) Address Birth date What is yur current ccupatin? Are yu r have yu ever been a member f

More information

PROOF OF CLAIM AND RELEASE

PROOF OF CLAIM AND RELEASE Deadline fr Submissin: FEBRUARY 16, 2015 Tel.: 866-274-4004 Fax: 610-565-7985 inf@strategicclaims.net PROOF OF CLAIM AND RELEASE IF YOU PURCHASED OR OTHERWISE ACQUIRED AMERICAN DEPOSITORY SHARES ( ADS

More information

PROOF OF CLAIM AND RELEASE

PROOF OF CLAIM AND RELEASE PROOF OF CLAIM AND RELEASE Deadline fr Submissin: July 11, 2015 IF YOU PURCHASED THE COMMON STOCK OF, INC., ( ) DURING THE PERIOD FROM NOVEMBER 14, 2013 THROUGH APRIL 9, 2014, INCLUSIVE (THE CLASS PERIOD

More information

CONSENT FOR TREATMENT

CONSENT FOR TREATMENT Thank yu fr chsing 2 nd Street Dental, LLC as yur dental prvider. We are cmmitted t yur treatment being successful. Please understand that payment f yur fees is cnsidered part f yur treatments. The fllwing

More information

Queen s University Housing & Hospitality Services Residence Agreement. Graduate Students - Confederation Place Hotel

Queen s University Housing & Hospitality Services Residence Agreement. Graduate Students - Confederation Place Hotel Queen s University Husing & Hspitality Services Residence Agreement Graduate Students - Cnfederatin Place Htel All students are expected t regulate their cnduct accrding t reasnable standards f curtesy

More information

AAFMAA CAP FAQs. Q: What are the requirements for a CAP loan? A: The following items are required to receive a CAP Loan: Eligible military status: o

AAFMAA CAP FAQs. Q: What are the requirements for a CAP loan? A: The following items are required to receive a CAP Loan: Eligible military status: o Overview: AAFMAA has prvided Career Assistance Prgram ( CAP ) lans as a benefit f membership fr many years. We have cmpiled this list f Frequently Asked Questins fr yur cnvenience and t prvide yu with

More information

What do you need? Copy of the HIPAA Policy on Amendment of Protected Health Information

What do you need? Copy of the HIPAA Policy on Amendment of Protected Health Information HIPAA Privacy Prcedure #4 Effective Date: April 14, 2003 Reviewed Date: February, 2011 Amendment f Prtected Health Revised Date: February, 2011 Infrmatin Scpe: Radiatin Onclgy ************************************************************************************

More information

PROOF OF CLAIM AND RELEASE

PROOF OF CLAIM AND RELEASE Deadline fr Submissin: June 9, 2018 PROOF OF CLAIM AND RELEASE IF YOU PURCHASED THE COMMON STOCK OF MAGNACHIP SEMICONDUCTOR CORP. ( MAGNACHIP ) BETWEEN FEBRUARY 1, 2012 AND MARCH 11, 2014, INCLUSIVE (TH

More information

CONSENT NOTICE OF DECISION

CONSENT NOTICE OF DECISION NSENT NOTICE OF DECISION The Twnship f Clearview Cmmittee f Adjustment has made a decisin regarding an applicatin fr cnsent. The cnsent has been cnsidered under the requirements f the Planning Act RSO

More information

FORM 2. INDEPENDENT REGULATORY BOARD FOR AUDITORS (Established under Section 3 of Act 26 of 2005)

FORM 2. INDEPENDENT REGULATORY BOARD FOR AUDITORS (Established under Section 3 of Act 26 of 2005) FORM 2 INDEPENDENT REGULATORY BOARD FOR AUDITORS (Established under Sectin 3 f Act 26 f 2005) APPLICATION BY A FIRM FOR ADMISSION TO THE REGISTER OF AUDITORS (Fr applicatin in terms f Sectin 38(2)) and

More information

IHCS CLAIMS REFERENCE GUIDE

IHCS CLAIMS REFERENCE GUIDE CLAIMS REFERENCE GUIDE WHERE DO I SUBMIT CLAIMS? Yu will submit the claims fr members directly t at the claims address belw. Electrnic Claims: Direct t Payer ID: 1 Paper Claims: Claims: Address1: City,

More information

Privacy & Data Protection Policy

Privacy & Data Protection Policy Privacy & Data Prtectin Plicy Whitby & District Fishing Industry Training Schl Limited and 54 Nrth Maritime Training ("Whitby Fishing Schl", WDFITS, 54 Nrth Maritime "we" r "us") are cmmitted t prmting

More information

Golf Relief and Assistance Fund Application

Golf Relief and Assistance Fund Application Glf Relief and Assistance Fund Applicatin Eligibility The Glf Relief and Assistance Fund is designed t supprt individuals wrking in the glf industry and their husehld family members wh have been impacted

More information

PASSPORT INFORMATION:

PASSPORT INFORMATION: Dear Vlunteers, Thank yu fr yur interest in the Kids Arund the Wrld playgrund build trip. We are excited fr the pprtunity t wrk alngside yu t impact the lives f these children. The need there is tremendus

More information

Summit Asset Managers Limited

Summit Asset Managers Limited Irish Infrastructure Trust Privacy Ntice Intrductin This ntice sets ut details f hw and why Summit Asset Managers Limited, f Beresfrd Curt,, Dublin 1, Ireland, acting n behalf the Irish Infrastructure

More information

AAFMAA CAP FAQs. General Questions:

AAFMAA CAP FAQs. General Questions: Overview: AAFMAA has prvided Career Assistance Prgram ( CAP ) lans as a benefit f membership fr many years. We have cmpiled this list f Frequently Asked Questins fr yur cnvenience and t prvide yu with

More information

Renewing an Insurance Policy

Renewing an Insurance Policy AGENTS, BROKERS Renewing an Insurance Plicy This renewal prcedure is designed t help representatives respect their bligatins when renewing an insurance plicy. Essentially, these bligatins are spelled ut

More information

BCECM Community Project Grant - Program Guidelines and Application Form

BCECM Community Project Grant - Program Guidelines and Application Form BCECM Cmmunity Prject Grant - Prgram Guidelines and Applicatin Frm Bruneau Centre fr Excellence in Chral Music Applicatin Deadline: Mnday, Octber 16, at 5:00 p.m. (NST) Cmmunity Prject Grant Prgram Guidelines

More information

CITY OF EAST LANSING WRITTEN PUBLIC SUMMARY OF FOIA PROCEDURES AND GUIDELINES

CITY OF EAST LANSING WRITTEN PUBLIC SUMMARY OF FOIA PROCEDURES AND GUIDELINES CITY OF EAST LANSING WRITTEN PUBLIC SUMMARY OF FOIA PROCEDURES AND GUIDELINES Cnsistent with Public Act 563 f 2014 amending the Michigan Freedm f Infrmatin Act (FOIA), the fllwing is the Written Public

More information

Your Retirement Guide. Employees

Your Retirement Guide. Employees Yur Retirement Guide Emplyees Retirement is a big step. Over the next few weeks and mnths yu ll be asked t make many imprtant decisins abut yur New Yrk Life benefits and yur financial security. This easy-t-use

More information

Scope of the family representation contract

Scope of the family representation contract FamilyTariff Family Tariff General Tariff Infrmatin This chapter f LSS Tariffs prvides infrmatin abut hw LSS will cmpensate yu fr family law services that yu prvide t clients. Fr general infrmatin abut

More information

Petition to Rezone Packet

Petition to Rezone Packet Petitin t Rezne Packet Cntents Prcedure and Required Materials Petitin Applicatin Affidavit Permissin t Reprduce Cnfirmatin f Ownership by Owner; and Authrizatin fr Agent r Petitiner, when a different

More information

Research Data Request Form

Research Data Request Form 1 NC Department f Public Instructin Research Data Request Frm The fllwing frm may be used t request student data frm the Nrth Carlina Department f Public Instructin (NCDPI). Please understand that the

More information

FOR OFFICE USE ONLY. DP# DP Fee: Date Received: Date Accepted as Complete: Date of Decision: Date Complete/Not Complete letter was sent: Roll #:

FOR OFFICE USE ONLY. DP# DP Fee: Date Received: Date Accepted as Complete: Date of Decision: Date Complete/Not Complete letter was sent: Roll #: HAMLET - Industrial, Cmmercial, Mixed-Use, Cmmunity Service, Public Utility, Parks & Recreatinal FORM E WHEATLAND COUNTY HIGHWAY 1 RR 1 STRATHMORE, ALBERTA T1P 1J6 TEL (403) 934-3321 FAX (403) 934-4889

More information

NO LATE ENTRIES WILL BE ACCEPTED.

NO LATE ENTRIES WILL BE ACCEPTED. THE INSTITUTE OF ADMINISTRATION AND COMMERCE IAC SUMMATIVE ASSESSMENT INFORMATION T prve yur cmpetency and gain an IAC recgnized qualificatin is the final step in yur studies. T d this, yu need t successfully

More information

Form 1B AU UK Competent Authority (CA)

Form 1B AU UK Competent Authority (CA) Frm 1B AU UK Cmpetent Authrity (CA) Applicatin fr Assessment fr Registratin in Australia via the Cmpetent Authrity Pathway This frm is fr the use f Ostepaths wh are bth: 1. Graduates frm ne f the listed

More information

Renewal of Manager s Certificate

Renewal of Manager s Certificate Applicatin fr Renewal f Manager s Certificate Sectin 219, Sale and Supply f Alchl Act 2012 General infrmatin: Yu must renew yur manager s certificate befre it expires. Once yur manager s certificate has

More information

Resolving Frequently Asked Questions

Resolving Frequently Asked Questions Frm ADV Part 1A Updates Reslving Frequently Asked Questins Presented by: Stephen Gallett, Esq. Cary Kvitka, Esq. Max Schatzw, Esq. 609.219.7450 Prvide Backgrund n: Agenda New and Revised Questins in Item

More information

FOR PLAN ADMINISTRATORS

FOR PLAN ADMINISTRATORS QDRO INFORMATIONAL KIT FOR PLAN ADMINISTRATORS T ensure cmpliance with requirements impsed by the IRS, we infrm yu that any infrmatin cntained in this cmmunicatin (including any attachments) was nt intended

More information

What credit related information do we collect and hold and how do we collect it?

What credit related information do we collect and hold and how do we collect it? In this Credit Reprting Plicy, ORIX, we, us and ur mean ORIX Australia Crpratin Limited and ur related cmpanies. Thse related cmpanies may als have their wn privacy r credit reprting plicies which set

More information

Western Management 1654 The Alameda Suite 100 San Jose, California

Western Management 1654 The Alameda Suite 100 San Jose, California Fax COMMUNITY NAME PROPERTY MANAGER FROM FAX PAGES PHONE DATE REGARDING Rental Applicatin CC Urgent Fr Review Please Cmment Please Reply Please Recycle Cmments: Western Management 1654 The Alameda Suite

More information

Terms and Conditions 19 December 2018

Terms and Conditions 19 December 2018 Stck and Shares Lifetime ISA (Prperty Saver) Terms and Cnditins 19 December 2018 These Terms, tgether with the Applicatin Frm, frm a legal agreement between yu and us which sets ut hw the Lifetime ISA

More information

Consent to Request Consumer Report & Investigative Consumer Report Information

Consent to Request Consumer Report & Investigative Consumer Report Information Cnsent t Request Cnsumer Reprt & Investigative Cnsumer Reprt Infrmatin Applicant's First Name r Initial Last Name I understand that [Cmpany Name] ( COMPANY ) will utilize the services f Sterling InfSystems

More information

MICRO GROUP EMPLOYER DOCUMENTATION REQUIREMENTS

MICRO GROUP EMPLOYER DOCUMENTATION REQUIREMENTS Seattle, Washingtn 98101 MICRO GROUP EMPLOYER DOCUMENTATION REQUIREMENTS D nt cancel any existing plicies until yu receive cnfirmatin f final rates and/r acceptance f the grup by Regence BlueShield (Regence).

More information

VA Mortgage Lender License New Application Checklist (Company)

VA Mortgage Lender License New Application Checklist (Company) VA Mrtgage Lender License New Applicatin Checklist (Cmpany) CHECKLIST SECTIONS General Infrmatin License Fees Requirements Cmpleted in Requirements/Dcuments Upladed in Requirements Submitted Outside f

More information

SNAKK MEDIA LIMITED FINANCIAL PRODUCTS TRADING POLICY AND GUIDELINES

SNAKK MEDIA LIMITED FINANCIAL PRODUCTS TRADING POLICY AND GUIDELINES SNAKK MEDIA LIMITED FINANCIAL PRODUCTS TRADING POLICY AND GUIDELINES Date adpted: 5 Nvember 2015 Versin: 1 1 SCOPE OF POLICY FINANCIAL PRODUCTS TRADING POLICY AND GUIDELINES This plicy applies t all directrs,

More information

ISA CERTIFIED ARBORIST APPLICATION

ISA CERTIFIED ARBORIST APPLICATION ISA CERTIFIED ARBORIST APPLICATION This applicatin must be received at least 12 WORKING DAYS prir t the date f the chapter r assciate rganizatin exam fr which yu are applying. There is n deadline fr the

More information

Scope of the family representation contract

Scope of the family representation contract FamilyTariff Family Tariff General Tariff Infrmatin This chapter f LSS Tariffs prvides infrmatin abut hw LSS will cmpensate yu fr family law services that yu prvide t clients. Fr general infrmatin abut

More information

INTERNATIONAL COLLEGE OF MANAGEMENT, SYDNEY

INTERNATIONAL COLLEGE OF MANAGEMENT, SYDNEY INTERNATIONAL COLLEGE OF MANAGEMENT, SYDNEY PROFESSIONAL SCHOLARSHIP PROGRAM APPLICATION Suths Cares HOSTPLUS ICMS Indigenus Schlarship Applicatin Frm February 2019 1 The Internatinal Cllege f Management,

More information

PSNC Briefing on the NHS Complaints procedure (from 1 April 2009)

PSNC Briefing on the NHS Complaints procedure (from 1 April 2009) PSNC Briefing n the NHS Cmplaints prcedure (frm 1 April 2009) Under the prvisins f the Natinal Health Service (Pharmaceutical Services) Regulatins 2005 1 pharmacy cntractrs are required t make arrangements

More information

PAYMENT BY CARD TERMS & CONDITIONS

PAYMENT BY CARD TERMS & CONDITIONS PAYMENT BY CARD TERMS & CONDITIONS Versin 2.0 - June 2013 Effective frm 1 st June 2013 Issued n 1 st June 2013 Terms & Cnditins fr use f Credit/Debit card fr Payments (POS) Intrductin This Service is ffered

More information

Intellectual Property Policy

Intellectual Property Policy Apprved by Academic Affairs Cuncil, June 24, 2014 Intellectual Prperty Plicy Purpse Statement This plicy is intended t supprt faculty, staff, and students in identifying and prtecting intellectual prperty,

More information

FINANCIAL SERVICES GUIDE Adams Triglone, Gregory Thomas Adams, Judith Anne Constantine

FINANCIAL SERVICES GUIDE Adams Triglone, Gregory Thomas Adams, Judith Anne Constantine FINANCIAL SERVICES GUIDE Adams Triglne, Gregry Thmas Adams, Judith Anne Cnstantine Date: 8 December 2016 This Financial Services Guide ( FSG ) is prvided by: Adams Triglne ABN 29 551 448 187 (Authrised

More information

FAQs What does my insurance cover? What will this event cost? I don t know who my insurer is. How can I find out?

FAQs What does my insurance cover? What will this event cost? I don t know who my insurer is. How can I find out? FAQs What des my insurance cver? Virtually every hme insurance plicy cvers damage caused by fire, even if the fire began n a neighburing prperty, as lng as the fire was nt started intentinally by the insured.

More information

You can get help from government organizations that are not connected with us

You can get help from government organizations that are not connected with us 2011 Evidence f Cverage fr Medi-Pak Advantage MA (PFFS) Chapter 9: What t d if yu have a prblem r cmplaint (cverage decisins, appeals, cmplaints) BACKGROUND SECTION 1 Intrductin Sectin 1.1 What t d if

More information

Please work with your department administrative assistant to submit the necessary paperwork, as they should be very familiar with this process

Please work with your department administrative assistant to submit the necessary paperwork, as they should be very familiar with this process Dear Faculty Member, Thank yu fr cntacting the Office f Internatinal and Cultural Affairs (OICA) cncerning yur intent t invite a visiting schlar t ur campus. Please wrk with yur department administrative

More information

Application Checklist: Supporting documents you need to provide with your application: o Application fee

Application Checklist: Supporting documents you need to provide with your application: o Application fee Applicatin fr Special Licence Sectin 138, Sale and Supply f Alchl Act 2012 General infrmatin: Office Use Only An applicatin fr a special licence MUST be ldged at least 20 wrking days befre the event(s)

More information

T E M P L A T E. Tenancy Management Requirements. 1. General. a. Compliance obligations

T E M P L A T E. Tenancy Management Requirements. 1. General. a. Compliance obligations age 1 enancy anagement s 1. General a. Cmpliance bligatins b. SD Husing Client System c. enant placement he rvider is t cmply with all aws, each enancy greement and the plicies and prcedures applicable

More information

Caregiver/Respite Application (Please print)

Caregiver/Respite Application (Please print) 52 Armstrng Rad Plymuth, MA 02360 WWW.THEARCOFGP.ORG Email:Inf@Thearcfgp.rg PHONE: 508.732.9292 FAX: 508.732.9229 Caregiver/Respite Applicatin (Please print) Name Last First Middle Address Street City

More information

Checking and Savings Account Application

Checking and Savings Account Application Checking and Savings Accunt Applicatin Please use the Checking and Savings Accunt Applicatin t: Open a FREE Checking r Dividend Checking and Opt-in r Out f DCU s Overdraft Payment Service including an

More information

Application for Rent-Geared-to-Income Assistance Form 1 (Part 1)

Application for Rent-Geared-to-Income Assistance Form 1 (Part 1) Applicatin fr Rent-Geared-t-Incme Assistance: Applicatin fr Rent-Geared-t-Incme Assistance Frm 1 (Part 1) Instructins 1. Please print, and fill ut all sectins f the applicatin frm. Yu will find infrmatin

More information

Handling Complaints at Lloyd s: Guidance for managing agents and their representatives

Handling Complaints at Lloyd s: Guidance for managing agents and their representatives Cmplaints May 2017 Llyd s cmplaints Handling Cmplaints at Llyd s: Guidance fr managing agents and their representatives This guidance nte prvides a practical prcess fr handling UK cmplaints received frm

More information

TEMPORARY HOLIDAY SALES

TEMPORARY HOLIDAY SALES TEMPORARY HOLIDAY SALES APPLICATION PACKAGE APPLICATION INFORMATION: Temprary hliday sales may nly be sld at nnresidential zning districts r frm areas immediately adjacent and utilized in cnjunctin with

More information

AusNet Electricity Services Pty Ltd. Information Sharing Protocol and Register

AusNet Electricity Services Pty Ltd. Information Sharing Protocol and Register AusNet Electricity Services Pty Ltd Infrmatin Sharing Prtcl and Register 1 BACKGROUND This is AusNet Electricity Distributin Pty Ltd s ( DNSP s) infrmatin sharing prtcl, and infrmatin sharing register,

More information

Charter Township of Oakland 4393 Collins Road, Rochester, MI Public Summary of FOIA Procedures and Guidelines

Charter Township of Oakland 4393 Collins Road, Rochester, MI Public Summary of FOIA Procedures and Guidelines Charter Twnship f Oakland 4393 Cllins Rad, Rchester, MI 48306 248-651-4440 Public Summary f FOIA Prcedures and Guidelines Cnsistent with the Michigan Freedm f Infrmatin Act (FOIA), Public Act 442 f 1976,

More information

HESPERIA COMMUNITY LIBRARY WRITTEN PUBLIC SUMMARY OF FOIA PROCEDURES & GUIDELINES Effective July 1, 2015

HESPERIA COMMUNITY LIBRARY WRITTEN PUBLIC SUMMARY OF FOIA PROCEDURES & GUIDELINES Effective July 1, 2015 HESPERIA COMMUNITY LIBRARY WRITTEN PUBLIC SUMMARY OF FOIA PROCEDURES & GUIDELINES Effective July 1, 2015 Pursuant t the requirements f the Freedm f Infrmatin Act (FOIA), the fllwing is the Written Public

More information

Europa Group Privacy Policy

Europa Group Privacy Policy Eurpa Grup Privacy Plicy The privacy and security f yur persnal infrmatin is very imprtant t us (Eurpa Grup). This plicy explains hw we cllect and use yur persnal infrmatin. Please read it carefully. This

More information

IRS 2016 FEDERAL TAX TRANSCRIPT INFORMATION

IRS 2016 FEDERAL TAX TRANSCRIPT INFORMATION Financial Aid Office P.O. Bx 6905 Radfrd, VA 24142 Phne: (540) 831-5408 Fax: (540) 831-5138 finaid@radfrd.edu RU Financial Aid Website: http://www.radfrd.edu/finaid IRS 2016 FEDERAL TAX TRANSCRIPT INFORMATION

More information

There are two ways to submit your banking information for direct deposit into your personal bank account:

There are two ways to submit your banking information for direct deposit into your personal bank account: Cmpleting Yur Master Student Financial Assistance (MSFAA) Agreements Alberta and Canada have lifetime Master Student Financial Assistance Agreements (MSFAAs) that will cver yu fr all f the time yu are

More information

Training course and online qualification bookings Updated June 2018

Training course and online qualification bookings Updated June 2018 Terms and cnditins Training curse and nline qualificatin bkings Updated June 2018 Terms and cnditins fr training curse and nline qualificatins 1. Definitins and Interpretatin 1.1. The fllwing definitins

More information

Western Management PO Box San Jose, California

Western Management PO Box San Jose, California Fax COMMUNITY NAME PROPERTY MANAGER FROM FAX PAGES PHONE DATE REGARDING Rental Applicatin CC Urgent Fr Review Please Cmment Please Reply Please Recycle Cmments: Western Management PO Bx 26824 San Jse,

More information

HOME IMPROVEMENT CONTRACT

HOME IMPROVEMENT CONTRACT HOME IMPROVEMENT CONTRACT YOU ARE ENTITLED TO A COMPLETELY FILLED-IN COPY OF THIS CONTRACT, SIGNED BY BOTH YOU AND THE CONTRACTOR BEFORE ANY WORK MAY BE STARTED. CONTRACTOR S NAME: ADDRESS: PHONE: FAX:

More information

Raleigh Pediatric Associates Financial Policy

Raleigh Pediatric Associates Financial Policy Welcme t Raleigh Pediatrics Assciates! We re glad yu ve chsen us as yur child s pediatrician and strive t give yur children the best in medical care. We understand that in additin t feeling cmfrtable with

More information

FINANCIAL SERVICES GUIDE

FINANCIAL SERVICES GUIDE PART N: iinvest Securities Financial Services Guide (FSG) FINANCIAL SERVICES GUIDE DATED: Octber 2017 Cntents f this FSG This Financial Services Guide ( FSG ) is an imprtant dcument that iinvest Securities

More information

MD Sales Finance License Amendment Checklist (Company)

MD Sales Finance License Amendment Checklist (Company) Amendment Checklist (Cmpany) CHECKLIST SECTIONS General Infrmatin Amendments GENERAL INFORMATION Instructins Maryland Cmmissiner f Financial Regulatin (MD) Agency des nt require advance ntice fr any changes;

More information

Quality of Life Equipment Grants

Quality of Life Equipment Grants Quality f Life Equipment Grants Abut the Quality f Life Equipment Grants Prgram The MS Sciety f Canada makes available t individuals living with multiple sclersis (MS) a Quality f Life Equipment Grants

More information

North Shore Trust and Savings E Sign Act Disclosure Online / Mobile Banking Agreement and Electronic Funds Transfer (EFT) Disclosure

North Shore Trust and Savings E Sign Act Disclosure Online / Mobile Banking Agreement and Electronic Funds Transfer (EFT) Disclosure Please take a few minutes t read this User Agreement. When yu're ready, click the I Agree buttn t start enjying the cnvenience and financial security f ESB Online Nrth Shre Trust and Savings E Sign Act

More information

LMA GUIDANCE: GDPR CORE USES INFORMATION NOTICE

LMA GUIDANCE: GDPR CORE USES INFORMATION NOTICE LMA GUIDANCE: GDPR CORE USES INFORMATION NOTICE FEBRUARY 2018 NOTE: This guidance and the Lndn Market Cre Uses Infrmatin Ntice will be updated when the UK Data Prtectin Bill is enacted the Bill currently

More information

Tacoma Power Water Access Grant 2019 Due date: March 22, 2019

Tacoma Power Water Access Grant 2019 Due date: March 22, 2019 Tacma Pwer Water Access Grant 2019 Due date: March 22, 2019 APPLICATION FORM PACKET Includes: 1. Checklist 2. Instructins fr applicatin 3. Applicatin frms 1 APPLICATION FORMS CHECKLIST All applicants are

More information

CONDITIONAL USE PERMIT & MINOR USE PERMIT APPLICATION GUIDE

CONDITIONAL USE PERMIT & MINOR USE PERMIT APPLICATION GUIDE Butte Cunty Department f Develpment Services PERMIT CENTER 7 Cunty Center Drive, Orville, CA 95965 Planning Divisin Phne 530.552.3701 Fax 530.538.7785 Email dsplanning@buttecunty.net FORM NO PLG-06 INTRODUCTION

More information

De minimis aid declaration

De minimis aid declaration De minimis aid declaratin Declaratin within the scpe f the prvisin f aid as referred t in the de minimis aid Regulatin (OJ 2006, L379). It is recmmended that yu read the explanatry ntes in the annex t

More information

VILLAGE OF SCHILLER PARK COOK COUNTY, ILLINOIS

VILLAGE OF SCHILLER PARK COOK COUNTY, ILLINOIS VILLAGE OF SCHILLER PARK COOK COUNTY, ILLINOIS Prcedures and Applicatin fr Village f Schiller Park Cnsideratin f Ck Cunty Real Estate 6B Classificatin This applicatin is nly used fr petitin f a standard

More information

The Lockwood Foundation Grant Application Instructions

The Lockwood Foundation Grant Application Instructions The Lckwd Fundatin Grant Applicatin Instructins 2017-2018 Applicatin Opens January 22, 2018 Applicatins due March 5, 2018 The Bellevue Cllege Fundatin and The Lckwd Fundatin are pleased t annunce the 2017-2018

More information

Guidelines for submission to the NSW Population and Health Services Research Ethics Committee. Version June 2015

Guidelines for submission to the NSW Population and Health Services Research Ethics Committee. Version June 2015 Guidelines fr submissin t the NSW Ppulatin and Health Services Research Versin 3.0 18 June 2015 Cntents Sectin 1: Intrductin... 3 Sectin 2: Research Gvernance... 4 Sectin 3: Submissins t the NSW PHSREC...

More information

City of Stevens Point Plan Commission Application Packet

City of Stevens Point Plan Commission Application Packet City f Stevens Pint Cmmunity Develpment Department 1515 Strngs Avenue, Stevens Pint, WI 54481 P: (715) 346-1567 F: (715) 346-1498 cmmunitydevelpment@stevenspint.cm http://stevenspint.cm City f Stevens

More information

REQUEST FOR PROPOSAL (RFP) FOR ENGINEERING DESIGN SERVICES FOR THE Electrical and Stage Lighting Upgrades at B Street Community Center.

REQUEST FOR PROPOSAL (RFP) FOR ENGINEERING DESIGN SERVICES FOR THE Electrical and Stage Lighting Upgrades at B Street Community Center. REQUEST FOR PROPOSAL (RFP) FOR ENGINEERING DESIGN SERVICES FOR THE Electrical and Stage Lighting Upgrades at B Street Cmmunity Center March 15, 2018 Intrductin The City f San Rafael (City) hereby requests

More information

Edward T. Conroy Memorial Scholarship

Edward T. Conroy Memorial Scholarship Edward T. Cnry Memrial Schlarship Cntact Infrmatin www.twsn.edu/finaid finaid@twsn.edu Edward T. Cnry Memrial Schlarship Prgram prvides financial aid t: Sns and daughters and surviving spuses (wh have

More information

On April 1, 2013, the Harmonized Sales Tax (HST) was replaced by the federal Goods and Services Tax (GST) and the BC Provincial Sales Tax (PST).

On April 1, 2013, the Harmonized Sales Tax (HST) was replaced by the federal Goods and Services Tax (GST) and the BC Provincial Sales Tax (PST). HST t PST: Transitin Rules fr Real Prperty A printable versin f infrmatin fund nline at: www.bcrea.bc.ca/gvernment-relatins/hst-pst-resurces/pst-transitin-rules Last update: January 7, 2015 On April 1,

More information

USDA Forest Service Project-level Objections Process

USDA Forest Service Project-level Objections Process USDA Frest Service Prject-level Objectins Prcess 36 CFR Part 218, Prject-Level Pre-decisinal Administrative Review Prcess September, 2013 What is the bjectin prcess and what happened t the appeals prcess?

More information

REFERENCE NUMBER: PFS.PDS.115. TITLE: Patient Billing and Collections CURRENT EFFECTIVE DATE: 01/01/2018. PAGE 1 of 8 SCOPE:

REFERENCE NUMBER: PFS.PDS.115. TITLE: Patient Billing and Collections CURRENT EFFECTIVE DATE: 01/01/2018. PAGE 1 of 8 SCOPE: PAGE 1 f 8 SCOPE: This Patient Billing and Cllectins Plicy applies t all Presbyterian Healthcare Services (Presbyterian) hspital facilities, including inpatient, utpatient, hme health care services and

More information

OSHA INSPECTION CHECKLIST

OSHA INSPECTION CHECKLIST OSHA INSPECTION CHECKLIST HANDLING AN OSHA INSPECTION The Occupatinal Safety and Health Act (OSH Act) authrizes the Occupatinal Safety and Health Administratin (OSHA) t cnduct wrkplace inspectins and investigatins

More information