Adjuster Forms for 2008

IN ORDER TO BE PLACED ON STANDBY, please complete and return the following 8 attachments. You MUST complete and return the forms below to be eligible to go on day rate. Please forward the completed forms to: adjusterpacket@evansclaims.com Forms may be combined into a single pdf document to be emailed.

Adjuster Forms Checklist

Contact Information

Background Authorization Form

Authorization to Release Employment Information

Authorization to Release Consumer Information

Automatic Deposit Authorization

W-9 Form

I-9 Form

Adjuster Contract

If you need additional assistance, please contact the office at 936-294-9700.

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