APPLICATION FOR NURSES PROFESSIONAL LIABILITY
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Please select the healthcare profession for which you hold the highest credentials or standards appropriate, as mandated by your state statutory guidelines.Coverage is not available for Certified Registered Nurse Anesthetists or MidwivesDo you work more than 24 hours per week?Did you graduate within the last 24 months?Do you work in a nursing home, assisted living facility or similar setting?Do you perform any cosmetic procedures?What is the zip code where you predominantly practice or attend school?Requested Effective Date of Coverage:Application # 6330811