A governmental entity or state agency may not enter into certain contracts with a business entity unless the business entity submits a disclosure of interested parties. If you are the business entity that is completing the form, you are a filer type CERT-BUS. If you are the governmental entity or state agency that received the signed contract and wish to acknowledge it, you are a filer type CERT-GOV.
The Texas Ethics Commission was required to adopt rules necessary to implement that law, prescribe the disclosure of interested parties form, and post a copy of the form on the commission's website. The commission adopted the Certificate of Interested Parties form (Form 1295) on October 5, 2015. The commission also adopted new rules (Chapter 46) on November 30, 2015, to implement the law. The commission does not have any additional authority to enforce or interpret House Bill 1295.
Starting on January 1, 2016, the commission made available on its website a new filing application that must be used to file Form 1295. A business entity must use the application to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number. An authorized agent of the business entity must sign the printed copy of the form. The completed Form 1295 with the certification of filing must be filed with the governmental body or state agency with which the business entity is entering into the contract.
The governmental entity or state agency must notify the commission, using the commission's filing application, of the receipt of the filed Form 1295 with the certification of filing not later than the 30th day after the date the contract binds all parties to the contract. This process is known as acknowledging the certificate. The commission will post the acknowledged Form 1295 to its website within seven business days after receiving notice from the governmental entity or state agency. The posted acknowledged form does not contain the declaration of signature information provided by the business.
The Fair Housing Commission (FHC) makes sure that renters have safe places to live and that landlords follow housing laws. Tenants can use this intake form to file a complaint about unfair rental practices with the FHC.
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All current forms used by the NC Industrial Commission can be found here. Most are in PDF format and will require Adobe Reader to view or print. Some forms may be filled and printed for submission electronically, per Rule 11 NCAC 23A .0108, effective February 1, 2016.
NOTE: Since the Industrial Commission uses an electronic document management system to scan and electronically store all forms and other correspondence received by us, we require that all forms be submitted on white paper. NO forms on colored paper will be accepted.
This is where you begin when you have a claim. This form MUST be filled out completely and submitted to the Industrial Commission when you have been injured on the job. (Note: Please e-mail completed forms to fo...@ic.nc.gov.)
If the claim meets one of the two exceptions listed above, the Form 19 may be downloaded, printed, filled out, and mailed into the N.C. Industrial Commission, faxed to the N.C. Industrial Commission at 919-715-0282, or e-mailed to fo...@ic.nc.gov. Please note that if the claim does not meet one of the exceptions outlined above, the Form 19 will be returned without processing, and a FROI must be submitted via EDI.
N.C. Workers' Compensation Notice to Injured Workers and Employers. This form MUST be prominently posted if you have Worker's Compensation Insurance or qualify as Self-Insured. (N.C. Gen. Stat. §97-93). (Click here for the Spanish Form 17.)
Employers are required to provide this form whenever a report of injury or occupational disease has been received from an employee. This form MUST be filled out completely by the employee and submitted to the Industrial Commission in addition to the Form 19.
Medical Rehabilitation Nurses Section Referral Form. Please use this form to request assistance from the Medical Rehabilitation Nurses Section. Fill out the form completely, making sure to include the I.C. Number for the claim, if possible; and e-mail the completed form to rehab.r...@ic.nc.gov.
Authorization for Rehabilitation Professional to Obtain Medical Records of Current Treatment. Please fill out the form completely, sign it, and mail it to the rehabilitation professional named on the form.Click here for theSpanish Form 25C
Notice to the Commission of Assignment of Rehabilitation Professional. Please fill out this form completely, making sure to include the I.C. Number for the claim. Please submit to the Commission as directed on the form.
In accordance with Rule 11 NCAC 23A .0108, effective February 1, 2016, all documents filed with the Industrial Commission in workers' compensation cases must be submitted electronically. (Employees without legal representation are not required to file electronically.) The Commission has updated all of its forms to facilitate e-filing. Click here to access the Electronic Document Filing Portal (EDFP) for instructions on how to upload documents to the EDFP and how to pay Industrial Commission invoices online.
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The City of Portland, Oregon was issued a territorial charter in 1851, incorporating 2.1 square miles of forest, stumps and houses. In May 1913, Portland voters narrowly approved a commission form of government.
The City of Portland has the last remaining Commission form of government among large cities in the United States. The Mayor, four Commissioners, and the Auditor are the City's six elected officials. The Mayor and the Commissioners together make up the City Council. The commission form of government differs from most other municipal governments in that its members have legislative, administrative, and quasi-judicial powers:
City Council holds regular weekly meetings on Wednesday at 9:30 am. If there is sufficient business, additional meetings are held Wednesday and Thursday at 2:00 pm or 6:00 pm. City Council also meets as needed for work sessions, executive sessions, and other notable meetings where information is presented to and discussed by Council but no legislative action is taken. Learn more about work sessions and other notable meetings.
The City of Portland ensures meaningful access to City programs, services, and activities to comply with Civil Rights Title VI and ADA Title II laws and reasonably provides: translation, interpretation, modifications, accommodations, alternative formats, auxiliary aids and services. Request these services online or call 503-823-4000, Relay Service: 711.
Electronic filing system has launched! 2022 Form 6, Form 6X (all years), and 2023 Form 6F must be filed electronically this year. Paper forms will not be promulgated. Agency Coordinators have been emailed an invitation to register for the system and provide their annual update of filers for their agency. Form 6 filers will receive email invitations in March. Form 6 filers needing earlier access may request an invitation to register by calling the Commission, (850) 488-7864.
If your Cal Grant A award has been on reserve for two years while you have been attending a California Community College, and you are not yet ready to transfer to a tuition-charging Cal Grant school, you must complete this appeal form to request a third year of reserve status.
This form is used to reprocess a student for a Cal Grant, Chafee Grant, or Middle Class Scholarship using the correct financial aid application, Free Application for Federal Student Aid (FAFSA) or California Dream Act Application (CADAA).
The commission form of city government, also known as the Galveston Plan, was devised in Galveston in 1901 and became one of the three basic forms of municipal government in the United States. (The others are mayor-council and council-manager.) Under the commission plan voters elect a small governing commission, typically five or seven members, on an at-large basis. As a group the commissioners constitute the legislative body of the city responsible for taxation, appropriations, ordinances, and other general functions. Individually, each commissioner is in charge of a specific aspect of municipal affairs, e.g., public works, finance, or public safety. One of the commissioners is designated chairman or mayor, but his function is principally one of presiding at meetings and serving in ceremonial capacities. Thus the commission plan blends legislative and executive functions in the same body.
The invention of the commission plan was a direct result of the Galveston hurricane of 1900. An estimated 6,000 lives were lost, and millions of dollars worth of property was swept away. Fearful that the island city might never recover its prosperity under the leadership of the incumbent city council, a group of wealthy businessmen known as the Deep Water Committee devised a plan to have the governor appoint a commission to govern the city during the rebuilding period. To appease opponents who contended that appointed government was undemocratic, the plan was altered to provide for popular election of two of the five commissioners. This plan went into operation one year after the great storm. Court challenges to the constitutionality of the partially appointive government led the legislature to make the office of all five commissioners elective, and in this form the commission plan became popular across Texas and the nation.
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