Building Removal

Building Removal Form

  • Date Format: MM slash DD slash YYYY
  • Terms of Agreement

    TERMS AND CONDITIONS FOR ONLINE FORMS SUBMITTAL ELECTRONIC SIGNATURE AGREEMENT By clicking on the "submit" button, you agree to these Terms and Conditions for online forms submittal with Rhode Island Interlocal Risk Management Trust (“The Trust”) and understand and/or agree to the following: I understand that this Electronic Signature Agreement allows me to submit electronic documents to The Trust’s electronic document receiving system for authorized claims and other information in lieu of paper submissions. I understand that The Trust has developed this Agreement, and allows for the submission of forms online, in accordance with the Uniform Electronic Transactions Act which is codified at R.I. Gen. Laws §42-127.1-1 et seq. I agree that I will review the contents of all electronic submissions prior to submission. I understand and agree that I will be legally bound, obligated, or responsible by my use of my electronic signature as I would be using my hand-written signature. I understand that I will automatically receive an e-mail receipt from The Trust’s electronic document receiving system for any form submission that requires a valid electronic signature, identifying the document received, the signatory, and the date and time of receipt. I agree that I will contact the Trust’s Website Administrator if I do not receive an e-mail receipt as specified above within five (5) business days for any submission to The Trust. I understand that I will have the opportunity to review the document submitted in a human-readable format and an opportunity to repudiate the electronic document based on this review . I understand that The Trust will automatically reject any electronic document submitted without a valid electronic signature if such signature is required. I understand that The Trust may contact the Member Official for the Member who has authorized me as signatory for the Member in order to verify my identity . I agree to notify the Trust’s Website Administrator if I cease to represent the Member as signatory as soon as this change in relationship occurs. I agree to retain a copy of this signed agreement as long as I continue to represent the Member as signatory of the Member’s electronic submissions. THE TRUST SHALL BEAR NO LIABILITY OR RESPONSIBILITY FOR ANY LOSSES OF ANY KIND THAT YOU MAY INCUR AS A RESULT OF AN ERRONEOUS STATEMENT, ANY DELAY IN THE ACTUAL DATE ON WHICH YOUR FORM IS SUBMITTED, OR FOR YOUR FAILURE TO PROVIDE ACCURATE AND/OR VALID INFORMATION AS REQUIRED ON THE FORM. The Trust reserves the right to change these terms and conditions at any time. Notice of any such change may be given on or with your bill or by other methods. FOR MORE INFORMATION Call 401-438-6511