Associated Adjusters Network Roster Application

Please complete the following information to be added to the AAN roster.

If you have any questions, please contact Ginger Johnston, Roster Manager at 865-573-7923 or by email at ginger@aanadjusters.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 Adjusters Network.

Question Title

* 1. Contact Information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. Driver's License:

State:

Driver's License Number:

Expiration Date:

Question Title

* 3. Next to the states in which you hold an active adjuster license, please enter the License Number and Expiration Date.

Alabama

Alaska

Arizona

Arkansas

California

Connecticut

Delaware

Florida

Georgia

Hawaii

Idaho

Indiana

Kentucky

Louisiana

Maine

Massachusetts

Michigan

Minnesota

Mississippi

Montana

Nevada

New Hampshire

New Mexico

New York

North Carolina

Oklahoma

Oregon

Rhode Island

South Carolina

Texas

Utah

Vermont

Washington

West Virginia

Wyoming

Question Title

* 4. Adjusting Interest: Mark all that apply.

Field Assignments

Desk/Remote Adjusting

CAT/Deployments

Associated Adjusters Network Roster Application

Question Title

* 1. Contact Information

Question Title

* 2. Driver's License:

Question Title

* 3. Next to the states in which you hold an active adjuster license, please enter the License Number and Expiration Date.

Question Title

* 4. Adjusting Interest: Mark all that apply.

Question Title

* 5. If applicable, please give the name of the adjuster school you attended.

Question Title

* 6. Were you referred to us by someone? If yes, please include name in box provided.

Question Title

* 7. If there is additional information or comment that you would like to include, please type here.