Sentences with phrase «identification information form»

You must file your petition along with a filing fee and other forms, including a summons, identification information form, a certificate of dissolution from the Department of Health and, depending on your local court, case indexing or designation forms.

Not exact matches

We may collect personal identification information from Users in a variety of ways, including, but not limited to, when Users visit our site, register on the site, subscribe to the newsletter, respond to a survey, fill out a form, and in connection with other activities, services, features or resources we make available on our Site.

The operator of an Internet Web site that posts casting advertisements shall not post the advertisement of a person subject to paragraph (1) of subdivision (a) unless the person has provided information to the operator to establish that the person is the recipient of a valid Child Performer Services Permit, including a permit number and a form of identification to verify that the person is the recipient.

For more information on identification to use when you vote for the first time, check the complete list of acceptable forms of identification.

A Social Security number has become a near - universal form of identification, and is often sought whenever you give out your personal information, but must you provide it?

The identification rule will require that the officer «offer business cards, or tear off form with identification information,» in scenarios including a search of personal property, at checkpoints, home searches and upon request.

With this information at hand, different applications that include quantum information processing using clusters of carbon - 13 nuclei in diamond or identification of the stereoisomeric forms of molecules are available.

We may collect personal identification information from Users in a variety of ways, including, but not limited to, when Users visit our site, register on the site, fill out a form, and in connection with other activities, services, features or resources we make available on our Site.Users may be asked for, as appropriate, name, email address.

Applicants are required to populate the DoT Form 1681, Identification Card / Credential Application as stated within the Privacy Act Notice section: The information on this form is requested under authority of Titles 5 and 49, USC; Title 32, CFR; and Title 40 USC 4Form 1681, Identification Card / Credential Application as stated within the Privacy Act Notice section: The information on this form is requested under authority of Titles 5 and 49, USC; Title 32, CFR; and Title 40 USC 4form is requested under authority of Titles 5 and 49, USC; Title 32, CFR; and Title 40 USC 486c.

Just fill out the form on this page with your contact information plus the year, make, model and VIN (vehicle identification number).

Fill out the remaining identification information and sign the form when it is correct.

However, you must send them the required documentation such as photo copies of two forms of identification along with some other types of common background information.

The PIN was an electronic personal identification number that served as a student's or parent's identifier to allow access to personal information in various U.S. Department of Education systems and acted as a digital signature on some online forms.

Generally, in order to open an account, you will need an initial deposit, two forms of identification, and basic information such as Social Security number and home address.

To open a brokerage account, you will need to provide your basic personal information (such as name, address and telephone number), your Social Security number, Signature card, W - 9 form, forms of identification and your initial deposit.

Your electronic personal identification number that serves as your identifier to allow access to personal information in various U.S. Department of Education systems and acts as your digital signature on some online forms.

The form provides information about the donation, including the type of vehicle, the vehicle's identification number, the date of the donation and the value of the vehicle.

Some of the documentation that may be asked for in order to approve your no credit check / no checking account loan include: proof of income (in the form of a pay stub or statement from your employer, or proof of income from your Social Security or retirement), picture identification (in the form of a state issued driver license or other identification card), and your banking information.

An employer who distributes forms with false information — such as an incorrect employee tax identification number, or incorrect reporting of wages paid or taxes withheld — is subject to financial penalties.

The form itself asks for only a handful of basic information — identification info like your social security and driver's license numbers, your employer, salary, and paydays, and finally your bank information so the funds can be deposited directly into your account.

This includes I.D tags containing the owner's name and phone number, contact information for the place you will be staying and, and a microchip that gives your pet a permanent form of identification in the case the I.D tags are lost.

4203 - A requires shelters within 24 hours to take steps to (1) check animals for all currently possible forms of identification including, but not limited to, tags, microchips, tattoos or licenses; (2) make available to the public on the internet on a website or other public means if a website is not practical, at least during the redemption period, a photograph, if practicable, and a general description of the animal to assist the owner (s) in finding the animal, including the species, type, and breed (s), if known, though information about the animal may be withheld if deemed appropriate to facilitate finding the owner (s) or otherwise to protect the safety of the animal.

Before the exam, the dog's owner is given a form at our hospital to complete with information on: 1) the owner (name, address) 2) the dog (name, breed, birth date, AKC registration number, tattoo or microchip identification number) After the examination, the veterinary ophthalmologist will complete the form and indicate any eye abnormalities.

Check with your veterinarian for more information about this permanent form of identification, which works great with birds since you can't put a collar and a tag around their neck.

House Bill 1103 aims to strengthen existing law by requiring animal shelters with some form of identification or notification information about a found animal to contact the owner within 48 hours.

Cat Identification No. 2: Collars and Tags Getting your cat to wear a collar with a small tag featuring your name and phone number or information from a pet registry, is one of the best and cheapest forms of cat iIdentification No. 2: Collars and Tags Getting your cat to wear a collar with a small tag featuring your name and phone number or information from a pet registry, is one of the best and cheapest forms of cat identificationidentification.

Make sure your contact information is current for your lost pet's license, microchip (a permanent form of identification), rabies tag or other information that may be traceable if your animal is found.

Implanted beneath the skin and between the shoulder blades, this form of identification is permanent and programmed with your personal contact information.

If your pet has a form of permanent identification, include the recovery's service's name and contact information in your kit.

While the pupils are dilating, you will fill out the animal identification information on the exam form, and we will scan to confirm microchip number if appropriate.

Collect or post anyone's private information, including personally identifiable information (whether in text, image or video form), identification documents, or financial information through the Service.

We may collect personal identification information and activity from Users in a variety of ways, including, but not limited to, when Users download, activate and / or use Layers, visit or register on our site, subscribe to the newsletter, fill out a form, and in connection with other activities, services, features or resources we make available on Layers.

We may collect personal identification information from Users in a variety of ways, including, but not limited to, subscribe to the newsletter, respond to a survey, fill out a form, and in connection with other activities, services, features or resources we make available on our Site.

On Friday, the government won another court case, allowing it to bar the use of voter information cards as a valid form of identification.

Personal identification information We may collect personal identification information from Users in a variety of ways, including, but not limited to, when Users visit our site, register on the site, fill out a form, and in connection with other activities, services, features or resources we make available on our Site.

The personal information section of your form will include full name and any previous names, date of birth, address, New Hampshire identification number, insurance filing, and the completion date for any safe driver courses or attitude programs (if applicable).

Controlled Substance Prescriptions Criminal Background Check Information Renewal Forms Fee Schedule Pharmacy Laws & Regulations Internet Drug Outlet Identification Program Announcements E-Prescribing and Electronic Data Intermediaries

We may collect personally identification information from Users in a variety of ways, including, but not limited to, when Users visit our site, register on the site, fill out a forms, and in connection with other activities, services, features or resources we make available on our Site.

• Assess all insurance claims against patient services rendered and make a to do list • Assist patients in filling our insurance claim forms and verify form data • Ask questions to assist in determining out any ambiguous information • Verify completeness of information on medical insurance forms • Post insurance billing information data into predefined database systems • Make list of insurance companies to contact for billing purposes • Determine how to approach each insurance company on the list, based on its reputation • Contact insurance companies to determine status of claims • Follow up on unpaid claims, including denial, exceptions and exclusions • Ask why claims have been denied and provide relevant correlating information • Resubmit denied claims with additional information to prove denial is inappropriate • Provide information to collection agencies regarding delinquent or past due accounts • Prepare and submit secondary claims for patients with more than one insurance coverage • Maintain understanding of managed care authorizations and limit coverage to a certain number • Verify patients» benefits eligibility and coverage expanse • Maintain knowledge of ICD9 and CPT treatments to be able to handle data entry and claim check duties appropriately • Gather and maintain patient data including medical histories, insurance identification and diagnosis

Never send sensitive information (such as payment card information, social security numbers, employer identification numbers, passwords, or pin numbers) to us via e-mail or via a «contact us» form or similar feature on our website.

Then I read the fine print of the Individual Identification Information Record form, which assured me, «If identification document is from a foreign jurisdiction, it must be equivalent to one of the above identification docIdentification Information Record form, which assured me, «If identification document is from a foreign jurisdiction, it must be equivalent to one of the above identification docidentification document is from a foreign jurisdiction, it must be equivalent to one of the above identification docidentification documents.»

Have them fill out a prospect identification form with their name, phone number, vehicle make and model, and license plate number — and verify their information.