Military Service Checklist

MILITARY SERVICE CHECKLIST

RECITALS

WHEREAS, Service Member: and Organization: desire to record and verify military service documentation and related items for administrative, benefits, or personnel purposes;

WHEREAS, the Organization will compile, verify, and maintain records listed in this checklist to support claims, transitions, or administrative actions subject to the terms set forth below; and

WHEREAS, the parties intend that this document both facilitate the systematic collection of service documentation and govern the handling, confidentiality, and any fees associated with that assistance.

SERVICE MEMBER INFORMATION

DOCUMENT CHECKLIST

Verify the presence and completeness of the following documents. Check box if document is on file and use the notes field for clarifications.

SCOPE OF WORK

The Organization will perform the following tasks in connection with verification and compilation of military service documentation. Describe services, deliverables, and responsibilities in detail below.

PAYMENT TERMS

If fees apply for services rendered in connection with this checklist, indicate amounts and schedules below. All fees are payable as set forth and may be subject to late charges for delinquency.

TERM AND TERMINATION

This checklist and any services described herein commence and terminate as indicated below unless earlier terminated in accordance with this section.

Either party may terminate this arrangement for convenience upon written notice in accordance with the notice period specified above. Termination does not relieve the Service Member of payment obligations for services performed or deliverables provided prior to termination.

CONFIDENTIALITY

All records, documents, and personally identifiable information obtained or generated under this checklist are Confidential Information. The Organization will maintain confidentiality and protect such records from unauthorized disclosure except as required by law or with the written consent of the Service Member. The Organization will implement reasonable administrative, technical, and physical safeguards to protect records.

The parties acknowledge that improper disclosure of certain records may give rise to civil liabilities under applicable privacy laws. The Organization agrees to notify the Service Member promptly of any unauthorized access to confidential records affecting the Service Member.

GOVERNING LAW

This document shall be governed by and construed in accordance with the laws of the jurisdiction where the Organization maintains its principal place of business, without regard to its conflict of law principles. Any dispute arising hereunder shall be resolved in the courts of that jurisdiction unless the parties agree otherwise in writing.

ENTIRE AGREEMENT

This document, together with any attachments or referenced exhibits executed by the parties, constitutes the entire agreement between the parties with respect to the subject matter herein and supersedes all prior discussions, understandings, and agreements. Any modification must be in writing and signed by both parties to be effective.

CERTIFICATION

By signing below, the Service Member certifies that the information provided on this checklist is true and correct to the best of their knowledge. The Organization certifies that it will handle, store, and disclose the listed records consistent with the Confidentiality section above and with applicable legal obligations.

I certify that the information provided on this checklist is accurate and complete.

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