Authorization and consent clause
Clause I.140 – DEAR 970.5227-4 – Authorization And Consent
Also, you must add in this clause within your consent: Internal Revenue Service (IRS) considers all payments made to research subjects to be taxable income. Your personal information, including your name, address, and social security number may be acquired from you and provided to UNT System Tax Office for the purpose of payment.
[DOCX File]UCCS IRB Sample Consent Form
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52.227-1, Authorization and Consent (Jun 2020), and. FAR Clause . ... Payment by a purchase card may also be made under a contract that does not contain the clause below to the extent the Contractor agrees to accept that method of payment, see FAR 32.1108 and 32.1110(d) for further information.)****
[DOC File]DRUG TESTING AUTHORIZATION & RELEASE
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This consent will automatically expire one (1) year after the date of my signature as it appears below, or on the following earlier date, condition, or event _____ _____. (See back for authorization extension). I understand I have the right to refuse to sign this form, and that I may revoke my consent at any time (except to the extent that the ...
[DOCX File]National Institutes of Health
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Oral Consent and HIPAA Authorization Script and Information Sheet. For Research Study Screening. Study Title: Principal Investigator: ... Your authorization will not expire because your PHI will need to be kept indefinitely for research purposes. ... Remove this clause if …
[DOC File]CONSENT TO PARTICIPATE IN A RESEARCH STUDY
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Consent (Please Print) (Optional) Use the authorization line only in studies which are approved by the IRB to use representatives to authorize a subject’s participation in research. Delete if not applicable. For subjects unable to give authorization, the authorization is …
[DOC File]Consent Form - University of Pennsylvania
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(End of clause) 3. FAR 52.227-1 Authorization and Consent (Dec 2007)-Alternate I (APR 1984) (a)The Government authorizes and consents to all use and manufacture of any invention described in and covered by a United States patent in the performance of this contract or any subcontract at any tier.
[DOCX File]Authorization for Release of Information
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drug testing authorization & consent form I, the undersigned, hereby knowingly and voluntarily authorize and consent to the collection and testing of specimens of my urine by a collection site and laboratory to be designated by Company or its designated agent, Employment Screening Services, Inc., for the purpose of drug testing.
[DOCX File]Home | arpa-e.energy.gov
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My consent will expire one (1) year from the date I signed if I do not revoke my consent earlier unless a longer period is authorized by law. Instructions for signing: Generally, the adult individual (or Legal Representative) or the parent(s) (guardians) of minors should …
[DOC File]CONSENT LETTER - isalvageauction
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Sample Consent Form for Online Surveys [Note that this is a sample consent form for student researchers and should be altered to accurately reflect the individual study. Faculty researchers should make the obvious modifications to remove student references.] You are invited to participate in a web-based online survey on [describe research project].
[DOC File]AUTHORIZATION TO RELEASE/EXCHANGE CONFIDENTIAL …
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As per Average Clause Rs. b) Depreciation on parts as allowed. Rs. c) Deductible / Excess Clause, if any. Rs. d) Salvage value Rs. Rs. Net loss after deductions Rs. ( Rs ... CONSENT LETTER Author: Indian Last modified by: tc Created Date: 8/22/2016 4:16:00 PM Other titles:
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