№ files_lp_4_process_1_32074
File format: docx
Character count: 2905
File size: 66 KB
Confidential authorization form for employees allowing ESI Employee Assistance Program to share specified treatment and compliance information with their employer under federal confidentiality laws.
Year:
2026
Organization:
Employee Services, Inc. d/b/a ESI Employee Assistance Group (ESI)
Document Type:
Authorization form
Subject:
Employee Assistance Program records disclosure
Employee Name:
[Provided in document]
Date of Birth:
[Provided in document]
Employer Name:
[Provided in document]
Employer Representative:
[Provided in document]
Purpose of Disclosure:
Coordination of treatment planning, monitoring compliance, evaluating cooperation and motivation in workplace behavior
Applicable Law:
42 C.F.R. Part 2, HIPAA 45 C.F.R. 164
Authorization Expiration:
One year from signature date
Revocation Policy:
Can be revoked in writing at any time
Access Rights:
Employee may inspect and copy records
Witness:
[Provided in document]
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.
The file will be delivered to the email address provided at checkout within 12 hours.
Don’t have cryptocurrency yet?
You can still complete your purchase in a few minutes:- Buy Crypto in a trusted app (Coinbase, Kraken, Cash App or any similar service).
- In the app, tap Send.
- Select network, paste our wallet address.
- Send the exact amount shown above.
The final amount may vary slightly depending on the payment method.
The file will be sent to the email address provided at checkout within 24 hours.
The product description is provided for reference. Actual content and formatting may differ slightly.
Jurisdiction:
Indiana
Legal area:
Civil procedure
Document type:
Stipulated discovery protocol
Subject matter:
Pretrial discovery
Governing rules:
Indiana Rules of Trial Procedure
Discovery scope:
Non-ESI discovery
Discovery pathways:
Streamlined, General, Complex
Parties involved:
Litigating parties in a civil action
Procedural stage:
Pretrial discovery
Obligations:
Initial disclosures and discovery limitations
Applies to:
Civil litigation cases subject to court approval
Court involvement:
Court-approved or court-ordered protocol
Note:
Year
Document Type:
Legal Agreement
Year:
2024
Region / City:
Clinton County
Topic:
Legal cases
Document type:
Court case record
Organization / Institution:
Clinton County
Author:
Unknown
Target audience:
Legal professionals, public
Period of validity:
Not specified
Approval date:
Not specified
Modification date:
Not specified
Description:
Legal case record related to ongoing court proceedings involving multiple parties in Clinton County.
Note:
Year
Region:
Eastern South Island
Topic:
Tracks and Group Size Regulations
Document Type:
Guidelines
Year:
2026
Region / City:
Wellsville, NY, USA
Type of Document:
Application Form
Organization / Institution:
ESI Employee Assistance Program
Intended Audience:
Health service providers and clinicians
Fields of Service:
Mental health, counseling, telehealth, workplace services
Licenses/Certifications:
Professional licenses and certifications required for practice
Insurance Panels:
Aetna, BCBS, Cigna, Medicaid, Medicare, and other listed insurers
Optional Demographics:
Gender, religion, ethnicity, military experience, languages, sign language
Availability:
Days, evenings, weekends
Submission Methods:
Email, Fax, Mail
Authorization:
Verification of professional information and consent for information sharing
Signature Requirement:
Applicant signature and date
Note:
Bond Number
Year:
2020
Region / city:
Vallejo, California
Topic:
Appeal, transportation regulation, settlement
Document type:
Resolution
Organization / institution:
California Public Utilities Commission
Author:
Administrative Law Judge Division
Target audience:
Transportation carriers, legal professionals, regulatory authorities
Period of validity:
2020-2021
Date of approval:
June 18, 2020
Date of amendments:
N/A
Year:
Not specified
Region / City:
Virginia
Topic:
Corporate governance, Membership, Ethics
Document Type:
Bylaws
Organization:
Pool & Hot Tub Alliance (PHTA)
Author:
Not specified
Target Audience:
Members of PHTA, swimming pool and hot tub industry professionals
Validity Period:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2022
Region / City:
Texas
Topic:
Women’s clubs, community service
Document Type:
Handbook
Organization:
Texas Federation of Women’s Clubs (dba GFWC Texas)
Author:
Not specified
Target Audience:
Club members
Validity Period:
Not specified
Approval Date:
Not specified
Amendment Date:
2022
Company:
True Commodities, LLC dba True Power
PUCT Number:
10287
Industry:
Retail electricity provider
Jurisdiction:
Texas, United States
Regulatory Authority:
Public Utility Commission of Texas
Document Type:
Customer rights disclosure
Subject:
Electricity service rights and protections
Customer Service Telephone:
888-642-8783
Customer Service Hours:
Monday–Friday 9 am – 6 pm CST
Website:
www.truepower.com
Email:
[email protected]
Fax:
832-917-0701
Mailing Address:
2900 Wilcrest Dr. Suite 450, Houston, Texas 77042
Related Agencies:
Public Utility Commission of Texas; TDSP providers (CenterPoint, Oncor, Texas New Mexico Power, AEP Central, AEP North)
Geographic Coverage:
Texas
Organization:
Qwest Corporation d/b/a CenturyLink QC
Program:
NBBP/CPF Grant Application
Partnership:
State of Nebraska
Funding Context:
National Broadband Plan / Capital Projects Fund
Related Federal Programs:
Affordable Connectivity Program (ACP); FCC Lifeline Program; NTIA BEAD Program
Geographic Scope:
Nebraska grant areas
Subject:
Digital inclusion; broadband deployment; low-income assistance programs
Service Description:
Fiber-to-the-premise network with up to 940 Mbps download and upload speeds
Target Beneficiaries:
Households, businesses, farms, and qualified low-income customers
Subsidy Amounts:
ACP $30 per month; Federal Lifeline $9.25 per month
Regulatory Authority:
Nebraska Public Service Commission (PSC)
Marketing and Outreach Methods:
Direct mailing; coordination with local government and community leaders; digital marketing; door-hanging promotional materials
Comparative Pricing Reference Cities:
Omaha; Salt Lake City; Phoenix; Denver
Implementation Status:
Low-income offer in development at time of filing
Year:
2013
Region / city:
California
Topic:
Transportation violations, settlement agreement
Document type:
Resolution
Organization:
Public Utilities Commission of the State of California
Author:
Administrative Law Judge Division
Target audience:
Public Utilities Commission stakeholders, legal and transportation professionals
Effective period:
2011-2013
Approval date:
August 19, 2013
Date of changes:
Not specified
Note:
Year
Contextual Description:
A funding application for improving broadband services in underserved areas, including initiatives for low-income assistance and community outreach to increase adoption of high-speed internet.
Year:
2023
Region / City:
Oregon, Washington
Topic:
Telecommunications
Document Type:
Public Notice
Agency:
Federal Communications Commission (FCC)
Author:
FCC Wireline Competition Bureau
Target Audience:
Telecommunications industry professionals, regulatory bodies
Effective Period:
2023
Approval Date:
August 31, 2023
Modification Date:
N/A
Note:
Year
Topic:
Doctoral Research, Education, Business Administration
Document Type:
Application Form
Institution:
MANCOSA
Target Audience:
Applicants to the MANCOSA DBA Programme
Year:
2024
Region / City:
Cambridge, Massachusetts
Subject:
Emergency application for the determination of need in healthcare services
Document Type:
Application Form
Organization / Institution:
Massachusetts Department of Public Health
Author:
Beth Israel Lahey Health, Inc.
Target Audience:
Healthcare providers, regulatory bodies
Effective Period:
June 6, 2024
Approval Date:
June 6, 2024
Modification Date:
None specified
Year:
2025
Region / City:
Hamilton, OH
Subject:
Copper network retirement
Document Type:
Regulatory filing
Organization:
Federal Communications Commission (FCC)
Author:
Cincinnati Bell Telephone LLC d/b/a Altafiber Network Solutions
Target Audience:
Telecommunications service providers, network operators
Effective Date:
May 1, 2025
Date of Approval:
February 3, 2025
Date of Last Modification:
N/A
Year:
2023–2028
Region / City:
Boise, Idaho; Idaho Falls, Idaho, US
Document Type:
Federal Supply Schedule Price List
Organization:
General Services Administration
Company:
Challenger Systems, Inc dba OFR
Administrator:
John Challenger
Phone:
208-888-5739
Website:
www.ofrboise.com
Email:
[email protected]
CAGE Code:
6HYG5
UEI:
M5AMSYGNQB91
Business Size:
Small Business
Contract Number:
47QSMA23D08QD
Contract Period:
July 27, 2023 – July 26, 2028
Service Categories:
Furniture Layout and Design, Project Management, Installation and Reconfiguration, Relocation, Warehousing
Labor Rates:
Designer $62.22/hr, Project Manager $62.22/hr, Lead Installer $55.52–$57.43/hr, Installer $49.30–$50.73/hr, Delivery/Driver/Helper $49.30/hr, Warehouse Staff $49.30/hr
SCA Compliance:
Yes, based on U.S. Department of Labor Wage Determination
Discounts:
Basic 5%
Payment Terms:
30 Days, Government Purchase Cards Accepted
Delivery Terms:
Negotiated per task order, FOB Destination
Warranty:
1-year installation warranty excluding parts
Preventive Maintenance:
Available for High Density Filing, Modular Walls, Storage Solutions, Workstations, Office Furniture
Environmental Practices:
Full recycling of metal and wood products
Year:
2023–2028
Company:
FedComply LLC dba Hidden River Group
Address:
1417 W Park Rd, Greensburg, IN 47240-7477
Contact:
Jamie Warlick, [email protected], 571-277-6007
Contract Number:
47QRAA23D0095
Contract Period:
August 17, 2023 – August 16, 2028
Business Size:
Service-Disabled Veteran Owned Small Business
Schedule Title:
Multiple Award Schedule
Federal Supply Group:
Information Technology and Professional Services
Price List Effective Date:
April 29, 2025
Geographic Coverage:
Worldwide
Ordering Address:
Same as company address
Payment Address:
Same as company address
Maximum Order:
SIN 54151S $500,000; SIN 541611 $1,000,000; SIN 541690 $1,000,000; SIN OLM $250,000
Minimum Order:
$100.00
Labor Categories:
IT Business Process Engineer, IT Data Analyst, IT Program Analyst, IT Program Manager, IT Systems Engineer, Consultant, Data Analyst, Management Associate, Principal, Program Manager, Project Leader, Senior Manager, Subject Matter Expert
Hourly Rates:
Specified for each labor category over five contract years
Unique Entity Identifier (UEI):
PSKYVNECFHC6
SAM Registration:
Active in System for Award Management (SAM)
Compliance:
Section 508 ICT accessibility standards
Year:
2026
Region / City:
Brisbane
Topic:
IT Support, SQL, Database Administration
Document Type:
Job Posting
Organization:
Department of Customer Services, Open Data and Small and Family Business (CDSB)
Author:
Not specified
Target Audience:
Professionals in IT, SQL, and database administration
Effective Date:
23 February 2026
Closing Date:
23 February 2026
Job Reference No:
QLD/678321/26
Position:
Senior IT Support Consultant (SQL DBA)
Location:
7/140 Creek Street, Brisbane
Salary:
$133,603 - $143,125 per annum
Employment Type:
Permanent, Full-time (72.5 hours per fortnight)
Contact:
Cameron Duncan, Platform Manager (Phone: 3007 1310)
Clive Davidson, Product Specialist (Phone:
3034 2089)