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Washington Individual Enrollment Application
Effective January 1, 2014 (Non-grandfathered)
This application is for health care coverage purchased directly from Premiere Blue Cross (Premiere). If you
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Who needs this application is for:
01
This application is suitable for individuals who are seeking various opportunities, such as employment, educational programs, scholarships, grants, or memberships.
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What is this application is for?
This application is for applying for a permit to hold a public event.
Who is required to file this application is for?
Any individual or organization planning to hold a public event is required to file this application.
How to fill out this application is for?
The application is filled out online through the official website of the local government.
What is the purpose of this application is for?
The purpose of this application is to ensure that public events are planned and carried out safely and successfully.
What information must be reported on this application is for?
The application requires information about the date, location, expected attendance, and safety measures of the event.
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