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Email
*
Full Name (As it appears on your license)
*
Claims Preference *
Experience: Field Adjuster/Desk Adjuster/Both *
If Desk, what is your preference? *
Phone
*
Do you agree to receive SMS Text Messaging
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Software Experience *
Required
Xactnet Address (Please confirm in your Xactimate account) *
Residential Property Adjusting Experience (Years) *
Commercial Property Adjusting Experience (Years) *
Appraisal/Mediation Experience (Years) *
PA/Attorney Represented Claims (Years) *
Casualty Claims Experience (Years) *
Auto/Truck Appraisal Experience (Years) *
Workers Compensation Experience (Years)
*
NFIP Certified *
TWIA Certified *
California Earthquake Certified *
NCJUA Storm Readiness Class *
Home State License (List State, Number, Expiration Date) *
Additional State Licenses (List State, Number, Expiration Date) *
NPN (National Producer Number) *
Address Street 1
*
Address Street 2
*
Address City
*
Address State
*
Address Zip
*
Additional Qualifications: Tell us about yourself *
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