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Abuse & Molestation Application THIS APPLICATION IS FOR QUOTE Broker Information (If Not Applicable, Skip This Section)Name of Agency / Brokerage: Name of Contact / Agent: Mailing Address of Agency
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Abuse and molestation application is a form used to report incidents of abuse or molestation.
Individuals or organizations who have knowledge of abuse or molestation incidents are required to file the application.
The application must be completed with detailed information about the abuse or molestation incident, including the date, location, and any witnesses.
The purpose of the application is to document and report incidents of abuse or molestation for investigation and potential legal action.
Information such as the name of the victim, alleged abuser, details of the incident, and any supporting evidence must be reported on the application.
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