Crop Hail Adjuster Application

To apply for a crop hail adjuster, please fill in the below form.

Name
First Last
Address*
Street Address City Province Postal Code
Phone*
Fax
Mobile Phone
Email
Business Phone
Business Fax
Have you ever held an adjusters license anywhere in Canada?*
- No
- Yes
License Year*
Class*
Jurisdiction*
Has any adjuster license held by you ever been suspended or revoked anywhere in Canada?*
- No
- Yes
Have you ever been refused an adjusters license anywhere in Canada?
- No
- Yes
Are you currently or do you plan to engage in any business other than the adjusting business?*
- No
- Yes
Resume Upload
Accepted file types: pdf, doc, Max. file size: 50 MB.

If you wish, you may attach your resume in PDF or DOC format.