Department of Budget and Management

#21-003270-0001
Supplemental Questionnaire

Last Name
First Name

Please check if you have any of the following:

Knowledge of the MD Tort Claims Act

Knowledge of other local government tort claims acts

Experience with claims payment processing

Experience with self-insurance

Experience with commercial insurance

Insurance industry course work or designation(s)

For any of the skills checked above, please outline details below, including Employer name and dates when the experience was gained if applicable.