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Registration Form
Basic Info
Appraisal Company Name*
Name as Shown on Tax Return*
COVID-19 Vaccination Status
Undisclosed
Vaccinated
Unvaccinated
Contact Details
Primary Contact First Name*
Contact Last Name*
Address*
Apt., Suite
Zip Code*
City*
State*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
New Brunswick
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State is required
Email*
Phone Numbers
Mobile
Work
Home
Fax
Ext.
Add Phone
Billing Details
Tax ID or SSN*
Attach W9*
Here you can
Download Blank W9
file.
Payment Method*
ACH
Check
Supporting documentation with Check
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*
Vehicle Damage Appraisal
Vista Instant
Vista Photos
Desk Review
Specialty Desk Review
Heavy Equipment - Off The Road
Heavy Equipment - Over The Road
Photos Only
Specialty Photos Only
Property
Property Photos Only
Motorcycle
Re-Inspection
Vehicle Condition Inspection
Mobile Condition Inspection
Watercraft
Appraisal Other
Appraisal Clause
CAT
Diminished Value
Cold Call
Staff Appraiser
Classic
Exotic
Adverse Subro
RV
Glass Only
Towing/Roadside Assistance
Quick Estimate
At least one assignment type is required
Estimating Systems
ADP Audatex
Adjustrite
CCC - Pathways
Exactimate
Mitchell - Truck Est
Mitchell - UltraMate
Mitchell Cloud
Other
TruckMax
TruckWriter
Licenses And Certifications
State
License
Expiration Date
Add License
Certifications
AAIA
COPD
IACA
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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contract
and accept the terms ellectronically
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