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Associated Adjusting Roster Application

-Please complete the following information to be added to the Associated Adjusting roster.

If you have any questions, please contact Ginger Johnston, Roster Manager at 866-833-4036 or by email at ginger.johnston@associatedadjusting.com

Once completed, you will receive a follow-up email with additional information and further instructions to complete the onboarding process.

Thank you for your interest in working with Associated Adjusting.
1.Contact Information(Required.)
2.Driver's License:(Required.)
3.Next to the states in which you hold an active adjuster license, please enter the License Number and Expiration Date.(Required.)
4.Adjusting Interest: Mark all that apply.(Required.)
5.If applicable, please give the name of the adjuster school you attended.(Required.)
6.Were you referred to us by someone? If yes, please include name in box provided.
7.If there is additional information or comment that you would like to include, please type here.
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