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Employment Practice Liability Quote
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1
Employment Practice Liability Quote
Name of Organization:
FEIN #:
Physical Address:
Mailing Address:
If Different
Contact Person:
Email
a valid email
Email
Phone:
Fax:
What are the opterations of the organization?
more details
0
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Number of Employees:
# of Full time
# of Temporary Seasonal:
# of Volunteers:
# of Part time
# of Independent contractors
Has there been an Employment Practice Liability Insurance claim in the past 5 years?
pick one!
Yes
No
If Yes, please explain:
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0
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Additional Comments:
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