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Authorization
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#	Item
461	Please review the instructions available on page 2 prior to completing this form. AUTHORIZATION AGREEMENT FOR DIRECT DEPOSIT OF EFT PAYMENTS SECTION 1: CONTACT INFORMATION TAX IDENTIFICATION NUMBER (TIN) OR SOCIAL SECUR Add to Reading List Source URL: ohiosharedservices.ohio.gov - Date: 2015-12-08 17:41:29
462	TEXAS 4-H & YOUTH DEVELOPMENT PROGRAM Program Name CAMP & ENRICHMENT PROGRAM WAIVER, INDEMNIFICATION, AND MEDICAL TREATMENT AUTHORIZATION FORM 1. EXCULPATORY CLAUSE. In consideration for receiving permission f Add to Reading List Source URL: d114-h.tamu.edu - Date: 2015-11-05 16:16:31
463	SCWARN Member Utility Voting Delegate Authorization Form PURPOSE: To identify the individual of record who has been duly appointed by each SCWARN member utility to cast a vote representing that particular member utility Add to Reading List Source URL: www.scwarn.org - Date: 2014-01-03 15:57:30
464	BEADLE COUNTY FLOOD DAMAGE PREVENTION ORDINANCE ARTICLE I STATUATORY AUTHORIZATION, FINDINGS OF FACT, PURPOSE AND OBJECTIVES Add to Reading List Source URL: beadle.sdcounties.org - Date: 2012-02-07 21:55:44
465	NEW LIFESAVING AUTHORITY COAST GUARD AUTHORIZATION ACT 2010 Exploring the Business Case for Emergency Locator Beacon Carriage for Recreational Vessels Operating Beyond 3 Miles Offshore Gordy Garrett Add to Reading List Source URL: www.sarsat.noaa.gov - Date: 2011-08-02 12:50:50
466	WAIVER AND AUTHORIZATION TO RELEASE INFORMATION To Whom It May Concern: I authorize you to furnish the Whitman County Sheriff’s Department with any and all information you have concerning me, my work record, my reputa Add to Reading List Source URL: www.whitmancounty.org - Date: 2015-01-13 17:07:54
467	BECCO CREDIT CARD AUTHORIZATION + CAKE FORM EMAIL THE COMPLETED FORM TO ATTENTION: HOSPITALITY MANAGER TELEPHONE Add to Reading List Source URL: becco-nyc.com - Date: 2016-07-20 23:26:38
468	AUTHORIZATION TO RELEASE PROTECTED HEALTH INFORMATION (PHI) Name of Patient: Date of Birth: Add to Reading List Source URL: healthcarecenters.martinspoint.org - Date: 2015-01-20 12:13:29
469	VTAF Hokie-Matic Form VIRGINIA TECH FOUNDATION, INC. AUTHORIZATION FOR PRE-ARRANGED PAYMENTS (ACH DEBITS) I (we) hereby authorize the Virginia Tech Foundation Inc. to initiate debit entries and/or correction entries to Add to Reading List Source URL: hokieclub.com - Date: 2016-05-11 12:07:30
470	DIVERSITY TRAVEL AWARD (DTA) Pre-Authorization Form & Travel Expense Worksheet This form is required in order to receive Diversity Travel Award funding. The form must be submitted in advance of the applicant’s trip, an Add to Reading List Source URL: gradschool.unc.edu - Date: 2015-01-28 18:56:52

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