Fillable You and your Service Provider must BOTH sign (Vancouver Island University)

Fill Online, Printable, Fillable, Blank You and your Service Provider must BOTH sign (Vancouver Island University) Form

Use Fill to complete blank online VANCOUVER ISLAND UNIVERSITY pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

You and your Service Provider must BOTH sign (Vancouver Island University)

On average this form takes 35 minutes to complete

The You and your Service Provider must BOTH sign (Vancouver Island University) form is 2 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 140 other fields

Country of origin: CANADA
File type: PDF

Use our library of forms to quickly fill and sign your Vancouver Island University forms online.

BROWSE VANCOUVER ISLAND UNIVERSITY FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
NAME OF STUDENT
SOCIAL INSURANCE NUMBER
StudentAid BC APPLICATION NUMBER
MAILING ADDRESS
POSTAL CODE
CITY
PROV
TELEPHONE
( )
SCHOOL NAME
SPECIFY THE SERVICES AND FUNDING YOU RECEIVE:
Study Period:
Start Date: YYYY-MM-DD
End Date: YYYY-MM-DD
Tutor
$
Transportation
$
Note Taker
$
Attendant
$
Interpreter
$
Captioner
$
Reader
$
Academic Strategist
$
Note Sharing
$
Behavioural Interventionist
$
Alternate Format
$
SUBTRACT Amount paid to your service provider(s)
$
= Unused funds (attach cheque, bank draft or money order)
$
• You and your Service Provider must BOTH sign Section 3.
• Funding must be used as outlined in the approval letter.
• Your Service Provider must have the appropriate qualifications to provide the service and be approved by your
institution.
• Family members cannot provide services without pre-approval by StudentAid BC.
• Receipts and unused funds must be submitted before any further services will be provided.
• When submitting receipts, keep copies for your records.
• To return unused funds, submit a cheque, bank draft or money order payable to the Minister of Finance to:
Ministry of Advanced Education, Skills and Training
StudentAid BC – Directed Programs Unit
PO Box 9173 Stn Prov Govt
Victoria BC V8W 9H7
•
Section 1 – to be completed by student
Section 2 – to be completed by Service Provider
NAME OF SERVICE PROVIDER:
E-MAIL ADDRESS:
TELEPHONE:
Dates
# of
Hours
Hourly rate
Payment
received
Initials
for
payment
received
Description of services
and course name(s)
YYYY-MM-DD
TOTALS
$
I understand that by signing below I certify that the information is complete and accurate. I have provided the services stated, for the dates
indicated and have received payment in the amount(s) specified, to complete the transaction.
SIGNATURE OF SERVICE PROVIDER Print Name Date Signed
_______________________________________ ___________________________________ ____________
I understand that by signing below I certify that the information is complete and accurate. I have received the services stated, for the dates
indicated and have provided payment in the amount(s) specified and as approved by StudentAid BC.
SIGNATURE OF STUDENT Print Name Date Signed
_______________________________________ ___________________________________ ____________
June 2020
Section 3 – Signatures
( )
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

You and your Service Provider must BOTH sign (Vancouver Island University)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 20 May 2022

Message

View Audit Log
Print With Audit Log
Duplicate Document