FOR THE DATA PROVIDER: FOR THE DATA RECIPIENT: ________________________________ ________________________________ Signature Signature ________________________________ ________________________________ PRINT NAME PRINT NAME ________________________________ ________________________________ OR POSITION TITLE OR POSITION [Signature Block Annotation: The data provider and data recipient should each ensure that the person signing a data sharing agreement on its behalf has the authority to do so. For an Agreement the parties want to be legally binding, the signing of the Agreement might involve more formal procedures, such as third-party notarization of the signed document, depending on the law the parties select to govern their contract.]
FOR THE DATA PROVIDER: ________________________________ Signature ________________________________ PRINT NAME ________________________________ OR POSITION FOR THE DATA RECIPIENT: ________________________________ Signature ________________________________ PRINT NAME ________________________________ TITLE OR POSITION [Signature Block Annotation: The data provider and data recipient should each ensure that the person signing a data sharing agreement on its behalf has the authority to do so. For an Agreement the parties want to be legally binding, the signing of the Agreement might involve more formal procedures, such as third-party notarization of the signed document, depending on the law the parties select to govern their contract.]
Annotated-Model-Agreement.docx