General Info First Name* Middle Name Last Name* Email* Nick Name Alt phone Cell Phone* Fax Home Phone Address Date Available City* Deployed Address State* select-stateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming--District of ColumbiaPuerto RicoGuamAmerican SamoaU.S. Virgin IslandsNorthern Mariana Islands Deployed city Zip* Deployed state select-stateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming--District of ColumbiaPuerto RicoGuamAmerican SamoaU.S. Virgin IslandsNorthern Mariana Islands Mailing Address (If Different): Deployed Zip Xactimate Address: Experience -- Select an experience level --Less than 1 yearLess than 2 yearLess than 3 yearLess than 4 yearLess than 5 yearLess than 6 yearLess than 7 yearLess than 8 yearLess than 9 yearLess than 10 yearLess than 15 yearLess than 20 year Trade Specialty 1 -- Select Trade Specialty #1 --AdjusterTeam LeaderExaminerContractorHome InspectorInvestigator Trade Specialty 2 -- Select Trade Specialty #2 --AdjusterTeam LeaderExaminerContractorHome InspectorInvestigator Trade Specialty 3 -- Select Trade Specialty #3 --AdjusterTeam LeaderExaminerContractorHome InspectorInvestigator Trade Specialty 4 -- Select Trade Specialty #4 --AdjusterTeam LeaderExaminerContractorHome InspectorInvestigator Trade Specialty 5 -- Select Trade Specialty #5 --AdjusterTeam LeaderExaminerContractorHome InspectorInvestigator Trade Specialty 6 -- Select Trade Specialty #6 --AdjusterTeam LeaderExaminerContractorHome InspectorInvestigator License 01.* Select License TypeAdjusterAdjuster - Multi-lineAdjuster - PropertyAdjuster - CasualtyAdjuster - LiabilityContractorContractor - GCContractor - RCGContractor - InspectorAppraiserEngineerInvestigatorHome Inspector State & License Number: 02. Select License TypeAdjusterAdjuster - Multi-lineAdjuster - PropertyAdjuster - CasualtyAdjuster - LiabilityContractorContractor - GCContractor - RCGContractor - InspectorAppraiserEngineerInvestigatorHome Inspector State & License Number: 03. Select License TypeAdjusterAdjuster - Multi-lineAdjuster - PropertyAdjuster - CasualtyAdjuster - LiabilityContractorContractor - GCContractor - RCGContractor - InspectorAppraiserEngineerInvestigatorHome Inspector State & License Number: 04. Select License TypeAdjusterAdjuster - Multi-lineAdjuster - PropertyAdjuster - CasualtyAdjuster - LiabilityContractorContractor - GCContractor - RCGContractor - InspectorAppraiserEngineerInvestigatorHome Inspector State & License Number: 05. Select License TypeAdjusterAdjuster - Multi-lineAdjuster - PropertyAdjuster - CasualtyAdjuster - LiabilityContractorContractor - GCContractor - RCGContractor - InspectorAppraiserEngineerInvestigatorHome Inspector State & License Number: 06. Select License TypeAdjusterAdjuster - Multi-lineAdjuster - PropertyAdjuster - CasualtyAdjuster - LiabilityContractorContractor - GCContractor - RCGContractor - InspectorAppraiserEngineerInvestigatorHome Inspector State & License Number: 07. Select License TypeAdjusterAdjuster - Multi-lineAdjuster - PropertyAdjuster - CasualtyAdjuster - LiabilityContractorContractor - GCContractor - RCGContractor - InspectorAppraiserEngineerInvestigatorHome Inspector State & License Number: 08. Select License TypeAdjusterAdjuster - Multi-lineAdjuster - PropertyAdjuster - CasualtyAdjuster - LiabilityContractorContractor - GCContractor - RCGContractor - InspectorAppraiserEngineerInvestigatorHome Inspector State & License Number: 09. Select License TypeAdjusterAdjuster - Multi-lineAdjuster - PropertyAdjuster - CasualtyAdjuster - LiabilityContractorContractor - GCContractor - RCGContractor - InspectorAppraiserEngineerInvestigatorHome Inspector State & License Number: 09. Select License TypeAdjusterAdjuster - Multi-lineAdjuster - PropertyAdjuster - CasualtyAdjuster - LiabilityContractorContractor - GCContractor - RCGContractor - InspectorAppraiserEngineerInvestigatorHome Inspector State & License Number: Flood Certification: yes NFIP# Appointed in FLorida: yes Experience Info Enter certifications, prior carriers, and IAs separated by commas: Certification Type 1 Certification Type 2 Certification Type 3 Prior Carriers: Prior IAs Primary Adj Type* Select Primary Adj TypePropertyCasualty/LiabilityConstruction DefectAuto (Damage & Bodily Injury)SuretyWorker's CompensationMarine Secondary Adj Type: Select Secondary Adj TypePropertyCasualty/LiabilityConstruction DefectAuto (Damage & Bodily Injury)SuretyWorker's CompensationMarine Other Policy Type 1: Other Adj TypePropertyCasualty/LiabilityConstruction DefectAuto (Damage & Bodily Injury)SuretyWorker's CompensationMarine Other Policy Type 2: Other Adj TypePropertyCasualty/LiabilityConstruction DefectAuto (Damage & Bodily Injury)SuretyWorker's CompensationMarine Other Policy Type 3: Other Adj TypePropertyCasualty/LiabilityConstruction DefectAuto (Damage & Bodily Injury)SuretyWorker's CompensationMarine Other Policy Type 4: Other Adj TypePropertyCasualty/LiabilityConstruction DefectAuto (Damage & Bodily Injury)SuretyWorker's CompensationMarine In order of expertise or extent of experience: Claim Types * 01 --collapseearthquakefirefloodfreezehailhurricaneice-snowlightningmoldsmokethefttornadovandalismvehiclewater damagewind damage 02 --collapseearthquakefirefloodfreezehailhurricaneice-snowlightningmoldsmokethefttornadovandalismvehiclewater damagewind damage 03 --collapseearthquakefirefloodfreezehailhurricaneice-snowlightningmoldsmokethefttornadovandalismvehiclewater damagewind damage 04 --collapseearthquakefirefloodfreezehailhurricaneice-snowlightningmoldsmokethefttornadovandalismvehiclewater damagewind damage 05 --collapseearthquakefirefloodfreezehailhurricaneice-snowlightningmoldsmokethefttornadovandalismvehiclewater damagewind damage 06 --collapseearthquakefirefloodfreezehailhurricaneice-snowlightningmoldsmokethefttornadovandalismvehiclewater damagewind damage 07 --collapseearthquakefirefloodfreezehailhurricaneice-snowlightningmoldsmokethefttornadovandalismvehiclewater damagewind damage 08 --collapseearthquakefirefloodfreezehailhurricaneice-snowlightningmoldsmokethefttornadovandalismvehiclewater damagewind damage 09 --collapseearthquakefirefloodfreezehailhurricaneice-snowlightningmoldsmokethefttornadovandalismvehiclewater damagewind damage 10 --collapseearthquakefirefloodfreezehailhurricaneice-snowlightningmoldsmokethefttornadovandalismvehiclewater damagewind damage General Skills: --residentialchurchesinland marinecommericalliabilityheavy equipmenttractor-trailerearth movementsupplementslarge lossgovernmentmarinecondosewer/septicbodily injurymediiationcontentsDFScargolarge structurallarge commercialbusiness interruptionenvironmentalFEMA inspectionRVfoundation --residentialchurchesinland marinecommericalliabilityheavy equipmenttractor-trailerearth movementsupplementslarge lossgovernmentmarinecondosewer/septicbodily injurymediiationcontentsDFScargolarge structurallarge commercialbusiness interruptionenvironmentalFEMA inspectionRVfoundation --residentialchurchesinland marinecommericalliabilityheavy equipmenttractor-trailerearth movementsupplementslarge lossgovernmentmarinecondosewer/septicbodily injurymediiationcontentsDFScargolarge structurallarge commercialbusiness interruptionenvironmentalFEMA inspectionRVfoundation --residentialchurchesinland marinecommericalliabilityheavy equipmenttractor-trailerearth movementsupplementslarge lossgovernmentmarinecondosewer/septicbodily injurymediiationcontentsDFScargolarge structurallarge commercialbusiness interruptionenvironmentalFEMA inspectionRVfoundation --residentialchurchesinland marinecommericalliabilityheavy equipmenttractor-trailerearth movementsupplementslarge lossgovernmentmarinecondosewer/septicbodily injurymediiationcontentsDFScargolarge structurallarge commercialbusiness interruptionenvironmentalFEMA inspectionRVfoundation Estimating Software Used: XactimateReflectionsPen ProPower ClaimsXactimate 24EZ-BidAccu BidIntegriClaimXactimate 25MitchellCCCADPSimsolSymbility Software* Bilingual yes Birtdate: Language(s): Citizen (check for yes)?: yes Place of Birth: Individual / Corporation: Worker's Comp: yes E & O ? yes Notes: