Fillable Conflict of Interest Disclosure Form - COI Form

What is a General Affidavit? General Affidavit is a written statement that can be used in many situations. It can be used in connection with the filing or response to a petition in court, or to provide guarantees to other parties in extrajudicial transactions (for example, a promise to the buyer that you are the owner of a particular property). This most spread way to use the General Affidavit is to notify the court about the witness’s absence. What I need General Affidavit for? If a witness cannot be present at the court, they can write a General Affidavit. This statement is a written denotation of fact. In order to have power at the court, the form must be signed by a notary public or commissioner of oath. Filling out the General Affidavit When completing this form, a person must indicate the following information: Affiant/witness (a person who makes a statement of fact); Correct location; The statement itself; Date of application; Affiant’s signature; The date of the affidavit was signed by a notary; Signature of a notary public; Notary commission; Notary public location. Organizations that work with General Affidavit Court

If you’ve decided to divorce or separate from your spouse, one of the most important aspects to take into account is how it will influence your children. To sort that out in a smart way, you and your soon-to-be-ex-spouse will need to work out a custody schedule and consider granting your ex-partner a temporary custody agreement. That is to say, Temporary Custody Agreement is a document that allows temporary custody of a child to another person.    What You Need Temporary Custody Agreement For There’s a variety of reasons why a parent may grant temporary custody agreement to another person. Some of them include: Separation/divorce: soon-to-be-ex-partners may decide to grant temporary custody agreement until the decision on their child custody case is made by the court; Family violence: temporary custody agreement may be issued by the court if threats are made against the child; Money issues: when a parent is unemployed and/or doesn’t have finances to provide for their child, temporary custody may be granted to another person; Health issues: when a parent is sick, they may ask a friend or a family member to temporarily take custody of their child; Busy lifestyle: when a parent is excessively busy at work, they may ask a trusted person to temporarily take guardianship of their child. How to Fill out the Temporary Guardianship Agreement Form In order to fill out the Temporary Custody Agreement form in a proper way, you’re going to need to provide the following information: Date when the agreement begins and ends. Details on where the child will live. Details on the parent’s visitation rights. Also, parents’ personal details must be provided in the Temporary Guardianship Agreement, along with the information about the trusted individual to whom guardianship rights are granted. In addition to this, the document typically includes details on the couple’s financial decisions. Keep in mind that in order to have legal effect, your Temporary Custody Agreement must be notarized.  Organizations that Work with the Temporary Custody Agreement Form Banks and most other financial institutions  The agreement is filled out in two copies. Each party must keep the notarized copy of the agreement, having previously notarized it at a local bank or other financial institution.

What is a General Partnership Agreement? A General Partnership Agreement is an essential contract between two or several individuals that determines the general aspects of the partnership. This document is necessary to clarify the interests of each of them as a partner and establish their role in the business. It also indicates the initial contributions of partners as well as procedures for sharing transactions and exit from the partnership. What I need the General Partnership Agreement for? The General Partnership Agreement offers the partners the flexibility to structure their business as they see it. This form provides faster and more decisive management compared to corporations that often have to overcome various levels of bureaucracy and red tape, which complicates and slows down the implementation of new ideas. Filling out the General Partnership Agreement Provide the following information to complete the form: Type of business; Name of partnership; Term of partnership; Place of business; Initial capital; Withdrawal of capital; Profits and losses; Partnership books; Fiscal year; Accountings; Time devoted to partnership; Management and authority; Salaries; Net profits; Withdrawal of a partner; The option of purchasing terminated interest; Purchase price of the partnership interest; Agreement on buying or selling in case of the death of a partner; Duties of purchasing partner; Dissolution; Notices; Consents and agreement; Sole Agreement. Organizations that work with General Partnership Agreement Secretary of State offices

What is Form MAP 235? The MAP-235 is also known as the Certification Form for Induced Abortion or Induced Miscarriage. The document was created and provided by the Kentucky Finance and Administration Cabinet. It can be used by medical specialists only. This is the legal document that is operated and recorded by the government authority. The form is active on the territory of the state. If you are from another state and you use the help of specialists not from Kentucky, you need to fill out another form. The statement can be provided only by the doctor and can’t be filled in by the patient. It will not be verified without the doctor’s signature. The document must state that without abortion the patient’s life is in danger. Also, the doctor has to provide information on the procedure that will be made and the date when it takes place. A physician who uses the template has to provide the license number. There must be a detailed description of the patient’s health and recommendations about the procedure. The form is mainly used by physicians who can’t guarantee the safety of the woman during labor. What I need the Form MAP 235 for? You need to use this document as a specialist to recommend abortion to a woman whose life is in danger due to the pregnancy. You can find physical disorder, injury, or any illness that is a death threat to the woman while she carries a fetus. This diagnosis has to be confirmed; Kentucky Finance and Administration Cabinet requires such a statement from each physician who recommended abortion or miscarriage to the patient. The records are kept and can be used in court to prove the urge to provide specific procedures to the patient; The patient may ask for the template from the doctor as well. You have to send a copy to the patient if it is required. How to fill out Form MAP 235? The form can be easily found on the official website of the Kentucky Finance and Administration Cabinet. It is also available on the Internet. There you can read it and also download it on your device. If you want to fill it out online you need to search for a program that works with PDF documents. One of the most obvious choices is PDFLiner which contains all the tools you need and even helps you to create your own electronic signature which you can later use for all the documents you provide. Apart from that, you can add extra sections if you need. Once you fill it, save the document on your device. Send the copy to the Department and if it is required, to the patient. You can do it online, via regular mail, or by hand manually. The printable version is available for you. Here is what you need to include inside: Provide your name and the name of your patient. Share the address of the patient; Decide the type of disorder and put a tick in the appropriate box that matches the patient’s condition; Share the information on the procedure you perform and the date you recommend to do it; Put your signature and name. Include your license number there. Organizations that work with Form MAP 235 Kentucky Finance and Administration Cabinet; Hospitals and private doctors within the state.

What is ADA J400 Form? The ADA dental claim form J400 was created by ADA specialists for professionals who want to report the dental plan services to the dental benefit plan of their patients. Both payers and dentists can use the form. Association welcomes the use of this form and tries to simplify it for everyone who needs to fill it out. There were several updates to the document since it was originally created. This document requires information on the insurance company that offers the benefit plan and information on the policyholder as well. If the policy covers a wide range of dental and medical procedures, the respondent who fills out the document has to provide information about it. You also have to be specific about all the services that were provided. If the patient misses teeth, the specialist has to name them and be specific about which teeth are missing and the treatment that is proposed. You can’t fill out this ADA J400 form by yourself if you don’t own the appropriate information. The form must be accepted and read by ADA. What I need the ADA J400 Form for? The ADA J400 claim form is mainly required by the patient who needs to receive benefits from the insurance company that provides dental benefits and health care. This claim must be left after the patient received treatment and knows the diagnosis so ADA can make a decision about the case; A dental professional has to provide ADA dental form J400 to the ADA on behalf of the patient who asked for the help. If the patient has the insurance policy on the dental benefit, the information must be filled and the payment on the dental policy received. The J400 ADA dental claim form is sent to the American Dental Association with detailed information on the insurance case for each specific patient. How to fill out ADA J400 Form? The document ADA claim form J400 can be easily found on American Dental Association’s official website. Moreover, each dental clinic or private professional that belongs to the Association can also provide the form. If you have not found it, you can Google and find it in no time. Yet, no forms can be filled out while you are online. PDFLiner offers to complete ADA J400 form PDF with a wide range of tools it provides to everyone. You can fill it out once you enter it. After that, save it to the device, print it, and hand it to the other party. You may also send it via email. The document is not that complicated but it must be filled by a professional who owns appropriate information about the health of the teeth. Here is what you need to include in ADA 2006 J400 claim form: Pick the type of transaction you provide and put the tick in the appropriate box; Share the information on the policyholder, including name, date of birth, ID, plant, and employer name; Provide information on the insurance company, including the name, and address; Provide the information on the coverage of the medical insurance you have; Provide the patient information; Provide information on the dental problem patient complaints; Share information on the treatment that was or must be received; Put the patient’s information. Organizations that work with ADA J400 Form American Dental Association; Any clinic that works with ADA.