Work With Us Salutation -None- Mr. Mrs. Ms. Dr. Prof. First Name Last Name* Date of Birth DBA or Company name on W9 Phone Home Phone Mobile* What Smartphone do you use -None- iPhone Android None Fax Email* Secondary Email Street City State Zip Code Adjuster License Number List states where you hold an adjusters license What is your Xactnet address Is Xactimate installed on your computer -None- yes no What versions of Xactimate do you have Years of adjusting experience -None- < 1 1-5 6-10 11-15 16-20 21+ How many daily claims have you handled -None- None 1-100 101-500 500+ How many cat claims have you handled -None- None 1-100 101-500 500+ Are you CA earthquake certified -None- yes no n/a What insurance carriers have you worked for Select estimating platforms you use Xactimate Simsol MSB Symbility Other Hold Ctrl to select multiple List industry designations you have earned List additional training you have completed Are you NFIP certified -None- yes no Have ever worked as a remote supervisor -None- yes no Do you prefer CAT or Non CAT and why Anything else we should know about you Upload a recent photo of yourself (optional) Max File size limit is 20MB