Claims Settlement LLC

Appraiser/Adjuster Information and Base of Operations

Company

Tax ID/EIN

First name

Last name

Title

Phone

Opt-In to SMS messaging(text rates may apply)

Work Type

Enter Personal Address

Street Address

zip code

Address 2

City

State

Service Radius

Multiple

I also accept FIRE claims

Update/Drag any certificates you have here

Company Address
Same as personal address

zip code

Street Address

Address 2

City

State

Billing Address
Same as personal address

zip code

Street Address

Address 2

City

State

Bank Account Info for Payments

Name On Checking Account

Account Number

Routing Number

Same as personal address

zip code

Street Address

Address 2

City

State

Password
( Must be 8 characters or longer with 1 uppercase letter, 1 lower case and 1 number )

Password

Confirm Password

Notes

Appraiser Notes

Benjamin Button

Appraiser/Adjuster Information and Base of Operations

Company Address Same as personal address

Billing Address Same as personal address

Bank Account Info for Payments

Password (** Must be 8 characters or longer with 1 uppercase letter, 1 lower case and 1 number **)

Notes

Company Address
Same as personal address

Billing Address
Same as personal address

Password
( Must be 8 characters or longer with 1 uppercase letter, 1 lower case and 1 number )