CAT Season Roster Signup



Your Name:
 
Email Address:
 
Phone Number:
 
The below information helps us understand your availability and qualifications for various assignments we receive from our clients.
 
Are you interested in working on Catastrophe claims this season?
(required)
 
Are you willing to travel for CAT season assignments?
(required)
 
Are you willing to work at a client’s office?
(required)
 
How many years of experience do you have handling catastrophe claims?
 
What is your NPN Number?
 
What states are you currently licensed in?
(required)
    Alabama    Louisiana    Ohio
    Alaska    Maine    Oklahoma
    Arizona    Maryland    Oregon
    Arkansas    Massachusetts    Pennsylvania
    California    Michigan    Rhode Island
    Colorado    Minnesota    South Carolina
    Connecticut    Mississippi    South Dakota
    Delaware    Missouri    Tennessee
    Florida    Montana    Texas
    Georgia    Nebraska    Utah
    Hawaii    Nevada    Vermont
    Idaho    New Hampshire    Virginia
    Illinois    New Jersey    Washington
    Indiana    New Mexico    West Virginia
    Iowa    New York    Wisconsin
    Kansas    North Carolina    Wyoming
    Kentucky    North Dakota
 
Flood Insurance Experience:
(required)
 
FCN Number:
 
Any other important information you feel like we should know regarding your specific needs, please write that here.
Attach Resume
(attached)
Attach Sample File
(attached)
Attach Other File
(attached)