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Acknowledgment

Summary Plan Description Employee Acknowledgement Form

Summary Plan Description Employee Acknowledgement Form Name _____ Company _____ I hereby acknowledge receipt of my personal copy of the Summary Plan Description (SPD) for the 401(k) Plan.

INSTRUCTIONS FOR ORDERING BIRTH

LOUISIANA BIRTH REGISTRATION Sources of Acknowledgment of Paternity Affidavit Forms Your Louisiana birthing hospital will make an Acknowledgment of Paternity affidavit form available to you during your hospital stay and will notarize the document after you and your child's father sign it.

STATEMENT AND ACKNOWLEDGMENT

STATEMENT AND ACKNOWLEDGMENT. OMB No.: 9000-0014 Expires: 6/30/2014. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions,

ACKNOWLEDGMENT OF PATERNITY

ACKNOWLEDGMENT OF PATERNITY Please read these instructions before filling out this form. Read the important information about your rights and resp ons i bi lit ies on the back of this form.

Borrower Information - Lender / Broker Information ...

Acknowledgment of Intent to Proceed Acknowledgement of Intent to Proceed - Generic Borrower Information Borrower Name(s): 1. Loan #: 2.

ACKNOWLEDGMENT

ACKNOWLEDGMENT In the event I should need surgery, I understand that Dr. Charles E. Cook and Dr. John M. Noack are in partnership with a group of surgeons and Presbyterian Hospital of Dallas in the ownership of Texas Institute for Surgery.

ACKNOWLEDGMENT OF SERVICE

Acknowledgment of Service Only — Rev. July 31, 2005 Provided by the Family Law Clinic IN THE SUPERIOR COURT OF GWINNETT COUNTY STATE OF GEORGIA , Plaintiff, vs. , Defendant.

NOTICE OF PRIVACY PRACTICES PATIENT ACKNOWLEDGMENT FORM

Federal regulation requires that we give our patients or their authorized representatives our Notice before signing this acknowledgment.

Acknowledgment

Acknowledgment This work was completed during the author'ssabbaticalin Germany under the auspices of the von Humboldt Stiftung. The design techniques described in this paper are patent pending.

Acknowledgment - Criminal Background Check

Microsoft Word - 2010 Applicant Screening Acknowledgment Form - Background Check.doc