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* 1. Please list the contact information for the session coordinator (does not have to be a speaker):

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* 2. Session Title for the printed program:

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* 3. Session Description (draft version - to be used in the program): (min of 500 characters)

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* 4. Track: Select the one track that best fits your session submission. The program committee may assign your session to a different track depending on the submissions.

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* 5. DOI REQUIRED: Describe the educational goal or objective of the session and what the participants will take away from the session. (min of 500 characters)

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* 6. DOI REQUIRED: Statement of relevancy: Describe why the session and goals are relevant to the attendees. This is NOT the session description and is used by the Department of Insurance in evaluating our CE requests. (min of 500 characters)

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* 7. DOI REQUIRED: Describe how this course contributes to an attendee's understanding of insurance coverage and claims, how the course relates to the adjusting of insurance claims, and how the attendee's competence may be improved by completion of the course.This answer should be different than the other answers provided. (min of 500 characters)

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* 8. DOI REQUIRED: Describe how this course contributes to an attendee's understanding of insurance statutes and rules, how the course relates to the adjusting of insurance claims, and how the attendee's competence may be improved by completion of the course.This answer should be different than the other answers provided. (min of 500 characters)

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* 9. DOI REQUIRED: Describe how this course contributes to an attendee's understanding of specific topics (i.e., construction, commercial, residential), how the course relates to the adjusting of insurance claims, and how the attendee's competence may be improved by the completion of the course. This answer should be different than the other answers provided.

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* 10. DOI REQUIRED: Describe how this course contributes to an attendee's understanding of valuation, how the course relates to the adjusting of insurance claims, and how the attendee's competence may be improved by completion of this course.This answer should be different than the other answers provided. (min of 500 characters)

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* 11. DOI REQUIRED: Attach a timed outline of your session. The timed outline should contain your session title and contain all of the detailed topics and subtopics that are insurance industry-related practices, principles, and concepts specifically related to the business of insurance and the amount of time scheduled for each topic. The Timed Outline must also include how the course content will enhance the attendee's technical claims knowledge, understanding, and/or professional competence. Session times are 1 hour in length (remember to leave 5-10 min for Q&A at the end of the session). A good timed outline is at least one to two pages in length. (min of 500 characters)

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* 12. Speaker #1 Contact Information:

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* 13. Speaker #2 Contact Information:

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* 14. Speaker #3 Contact Information:

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* 15. Speaker #4 Contact Information:

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