EIG Claims Service Adjusters Questionnaire

Please complete and submit the form below in its entirety for ECS Claims Adjuster consideration. If selected for an interview, you will be contacted by our offices. Upon completion of the questionnaire, please submit the following documents via email or fax to complete the application process: Copy of current adjuster license(s), Copies of all your licenses, and certifications, a copy of Valid Driver’s License, a copy of Social Security Card, copy of Auto Insurance, Declaration Page and Resume listing all adjusting experience. These items may be emailed to admin@evansclaims.com or sent via fax to (936) 398-6289. For questions regarding the questionnaire or processing, please email or call our headquarters at (936) 294-9700.

 

Service Adjusters Questionnaire

  • MM slash DD slash YYYY
    ENTER MM/DD/YYYY
  • Work History and Experience:

    Select all boxes that apply to your experience
  • Years of construction experience
  • Licensing and Training:

    Please note: You will be required to submit all copies of certificates, and licenses including licensing numbers for verification
  • Drop files here or
    Max. file size: 300 MB.
      Acceptable file formats: (jpg, gif, png, pdf)
    • NFP Classifications:

    • Job Interests:

    • Number of years and/or months experience
    • Criminal Record

    • Additional Info

    • ELECTRONIC SIGNATURE: Typing your name above, serves as an electronic signature to the questionnaire below and affirms the information you have submitted is true and correct. Your typed signature below also serves as your written consent, authorizing EIG Claims Service to use the information from the questionnaire and subsequent attachments submitted for verifications, background checks, etc. necessary for employment consideration. Typing your name above shall have the same legal effect as your written signature. If you opt to provide a written signature, it is your responsibility as the applicant to submit your handwritten signature within 5 days of your application to EIG Claims Service, via physical mail, or in person using the address provided in the website contact information. EIG Claims Service is an Equal Opportunity Employer.
    • This field is for validation purposes and should be left unchanged.

    Corporate Office: 301 E Gibbs Blvd, Glen Rose, TX 76043

    Florida Office: Seminole FL, 33775

    1-800-237-7796

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