Crop Hail Adjuster Application View Adjuster Application PDF Crop Hail Adjuster Application To apply for a crop hail adjuster, please fill in the below form. Name First Last Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone*FaxMobile PhoneEmail Business PhoneBusiness FaxHave you ever held an adjusters license anywhere in Canada?*NoYesLicense Year*Class*Jurisdiction*Has any adjuster license held by you ever been suspended or revoked anywhere in Canada?*NoYesHave you ever been refused an adjusters license anywhere in Canada?NoYesAre you currently or do you plan to engage in any business other than the adjusting business?*NoYesResume UploadAccepted file types: pdf, doc.If you wish, you may attach your resume in PDF or DOC format.