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STATE OF CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS SELF INSURANCE PLAN Form No. A4-5 (11/97) APPLICATION FOR A PERMANENT CERTIFICATE TO SELF-INSURE BY AN INTERIM SELF INSURER Read instructions

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What is application for a permanent?

An application for a permanent refers to the process of applying for permanent residency or citizenship status in a country.

Who is required to file application for a permanent?

Any foreign individual who wishes to obtain permanent residency or citizenship in a country is required to file an application for a permanent.

How to fill out application for a permanent?

To fill out an application for a permanent, one needs to gather all necessary documents, such as identification, proof of residence, and employment records. Then, the application form provided by the respective immigration authorities must be completed accurately and submitted along with the required supporting documents.

What is the purpose of application for a permanent?

The purpose of an application for a permanent is to formally request the granting of permanent residency or citizenship status.

What information must be reported on application for a permanent?

The information that must be reported on an application for a permanent typically includes personal details such as full name, date of birth, nationality, current address, employment history, and any criminal record, if applicable.

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