VistaClaim - Managing Your Claims In Full View

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Registration Form

Basic Info

Appraisal Company Name*

Name as Shown on Tax Return*

COVID-19 Vaccination Status

Contact Details

Primary Contact First Name*

Contact Last Name*

Address*

Apt., Suite

Zip Code*

City*

State* State is required

Email*

Phone Numbers

Ext.

Add Phone

Billing Details

Tax ID or SSN*

Attach W9*

Here you can Download Blank W9 file.

Payment Method* Payment method is required

Bank Routing Number*

Bank Account Number*

Attach Direct Deposit Form*

Here you can Download Blank Direct Deposit Form.

Appraisal Details

Assignment Types* At least one assignment type is required

Estimating Systems

Licenses And Certifications

State	License	Expiration Date

Add License

Certifications

Best Appraisal Price

AUTO Appraisal Flat Rate*

Max Load

Home Load

Upload Supporting Documents

In order to receive assignments, please provide us with the Zip Codes you cover. Preferred format is in Microsoft Excel or Word. The list should contain only the 5 digit zip codes (no county, city, or state information – Zip codes only).

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Actions	Documents

I understand the contract and accept the terms ellectronically

RegistrationDate

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