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* 1. What is your first name?

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* 2. What is your last name?

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* 3. Please provide your contact information.

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* 4. What is your employee number? (If you do not have an employee number, please type "N/A")

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* 5. Have you previously worked for Crawford & Company?

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* 6. Do you have a valid adjuster's license?

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* 7. This is a State Farm Auto Certification class. If you are already certified, there is no need to take this class.

By checking this box, you acknowledge that you are NOT State Farm Auto certified.

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* 8. Please indicate which session you would like to attend (must attend the entire session). You must select the dates.

You will pay at the end of this survey.
Your seat in the class will not be reserved until you make a successful payment of $35.

DEPLOYMENT: If you are deployed with Crawford & Company at the time of the training, we will work with you to reschedule your registration to a future session.

**All trainings are subject to be canceled due to storm activity. You will be notified in advance if this is the case.

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