Welcome to the Allied American Adjuster Application

Thank you for your interest in joining the Allied American team. We take pride in servicing some of the best clients in the industry, with a continuous focus on quality and service.
The completion of this form does not guarantee any open positions and does not in any way obligate Allied American. The information entered here will be kept secure and confidential in our Allied American Adjuster Database.

BASIC INFORMATION (RED = REQUIRED)

SOFTWARE EXPERIENCE (Please fill in relevant fields)

VERSION
USER ID #

YEARS OF ADJUSTING EXPERIENCE

ADJUSTER LICENSES

STATE
LICENSE #
EXPIRATION DATE

CERTIFICATION

ROLE PREFERENCE

CLAIM TYPE PREFERENCE

REFERRED BY

PLEASE ATTACH THE FOLLOWING SUPPORT DOCUMENTS AND YOUR PHOTO:

I certify the facts set forth in my application for employment are true and complete. In making this application for employment you are hereby authorized to make any investigation of my personal and criminal history, motor vehicle violations, financial, education, and credit record through any agency of your choice. I also understand that an investigative consumer report may be made whereby information is obtained through personal interviews with my neighbors, friends or others. This inquiry, if made, may include information as to my character, general reputation, personal characteristics and mode of living. I understand that I have the right to make a written request within a reasonable period of time to receive additional, detailed information about the nature and scope of any such investigative report that is made.

If you agree to the certification above please type your name (first last) in the box below as your electronic signature