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Hurricane Milton and Helene Deployment Update
We understand you may be busy preparing to deploy or in the middle of a deployment, but we ask that you take the time to answer the questions in Section 1 below. If you have time, we ask that you complete Section 2 below.
SECTION 1
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Indicates required field
How Do You Feel About Deploying For Milton or Helene?
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I plan to stay home and work local claims.
I would consider deploying but prefer to stay home and work local claims.
I will deploy as soon as a suitable deployment becomes available.
I have accepted a deployment and am preparing to leave.
I am already deployed to a location away from my home identified in the next question..
I have accepted a local deployment as a desk adjuster etc and am unavailable to work claims.
Other - Please explain below.
If Other please, explain here:
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Name
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First
Last
Email
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Phone Number
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Do we have permission to contact you via SMS text message at the number above regarding adjuster opportunities?
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Yes - you may contact me via SMS
No - you may not contact me via SMS
Home City
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Home State (Two Letter Abbreviation i.e. TN)
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Home Zip Code
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If NOT Deploying, Are You Willing to Work:
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First Party Property Damage Claims for Claims 411 Where You Live
Liability Claims Where You Live
If Deployed, Who Are You Deployed For?
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If Deployed or About to Deploy, Zip Code Where You Will Be Based:
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If Deployed or About to Deploy, City and State Where You Will Be Based:
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While Deployed, Are You Willing to Work:
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First Party Property Damage Claims for Claims 411
Liability Claims for Claims 411
Are you flood certified?
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Yes
No
Flood Number if Certified:
*
SECTION 2 - OPTIONAL
Rate Your Proficiency in Xactimate:
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Zero Experience
Classroom/Online Training Only
Novice
Intermediate
Expert
How Many Claims Have Your Written In Xactimate in the last 5 years?
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0
1 - 20
21 - 50
51 - 100
101 - 250
251 +
How many *RESIDENTIAL* property claims have you worked, excluding flood?
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0
1 - 20
21 - 50
51 - 100
101 - 250
251 +
Please list insurers you have worked RESIDENTIAL property claims for:
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How many storm claims have you worked on a deployment in the last 10 years?
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0
1 - 20
21 - 50
51 - 100
101 - 250
251 +
Rate Your Proficiency in Symbility:
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Zero Experience or Training
Classroom/Online Training Only
Novice
Intermediate
Expert
How Many Claims Have You Written in Symbility in the last 5 years?
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0
1 - 20
21 - 50
51 - 100
101 - 250
251 +
How many *COMMERCIAL* property claims have you worked, excluding flood?
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0
1 - 20
21 - 50
51 - 100
101 - 250
251 +
Please list insurers you have worked COMMERCIAL property claims for:
*
Additional Comments:
*
Submit
