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CLAIMS MADE PUBLIC OFFICIALS AND EMPLOYMENT PRACTICES LIABILITY INSURANCE APPLICATION THIS IS AN APPLICATION FOR A CLAIMS MADE POLICY WHICH APPLIES ONLY TO CLAIMS FIRST MADE DURING THE POLICY PERIOD

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This application is needed by individuals or organizations who are interested in [Specify purpose of the application]. It is designed for anyone who meets the eligibility criteria and wishes to [Specify the purpose or benefits of filling out the application].

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This is an application is a form or request for something.

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