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Hitting submit at the end of this document does not file a claim with the City of Indio. To submit your claim to the City of Indio, you must print out this document, sign it, and either hand deliver or mail it to:

City of Indio
Attn: Human Resources Department
100 Civic Center Mall
Indio, Ca 92201
Please check that you agree before continuing.
By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored. I also acknowledge that hitting submit does not file a claim with the City of Indio, the form must be signed and delivered to the City as stated above.
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