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| About UMD - Code of Conduct |
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Check the appropriate box that describes your relationship with HealthNow.
Employee
Temporary Worker
Consultant
Independent Contractor
Subcontractor
Agent
By signing my name below, I acknowledge that I have received and read the Code of Conduct and Compliance Program booklet. I understand that it is applicable to me, and that I agree to abide by the Code and Compliance Program. In addition, I understand that strict adherence to the Code and Compliance Program is a condition of the continuation of my relationship with the Company, as identified above, and that the Company may take disciplinary or other action, up to and including termination of my relationship to the Company for violations of the Code or Compliance Program, applicable laws or regulations, or basic tenets of business honesty and integrity.
I am in compliance with the standards set forth in the Code the Compliance Program and other Company policies, and I will continue to follow them in the future. Finally, I certify that I am not aware of any conduct that would constitute an actual or suspected violation of the Code, the Compliance Program, or other Company policies.
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Date |
_______________________________
Signature |
______________________
Primary Location
of Business Relationship |
_______________________________
Print Name |
cc: Human Resources or Business Agreement File
Compliance Office |
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