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LOCAL GOVERNMENT INSURANCE TRUST PRIMARY AND EXCESS LIABILITY PROGRAM New Member Application NAME OF ENTITY (Named Insured): (Includes boards, councils, commissions and units exclusively operated
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Read the instructions at the beginning of the form to understand the purpose and requirements.
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Fill in your personal information, including your name, contact details, and any relevant identification numbers.
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Provide details about your existing liability coverage, if any, such as the name of the insurance company and the policy number.
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Any individual or organization that wishes to become a new member and avail liability coverage can fill out and submit the new member liability-excessdoc form.
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New member liability-excessdoc is a form used to report the excess liability that new members are required to pay
New members who have excess liability are required to file new member liability-excessdoc
New member liability-excessdoc can be filled out by providing information on the excess liability amount and other required details
The purpose of new member liability-excessdoc is to accurately report and calculate the excess liability of new members
Information such as excess liability amount, new member details, and other relevant data must be reported on new member liability-excessdoc
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