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Apply to Insurance Loss Control Field Representative
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First Name
Last Name
Email
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State
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Please provide a brief summary of your background and experience (do NOT put "See Resume"):
Have you completed loss control inspections, evaluating hazards and controls for commercial buildings in commercial insurance lines (Property and General Liability)?
Yes
No
Have you completed insurance loss control inspections for Workers' Compensation, Environmental Liability or Cannabis?
Workers' Compensation
Environmental Liability
Cannabis
N/A
If you have completed loss control inspections, please list all loss control companies that you currently work with or have worked with in the past.
Do you have commercial property and casualty claims experience?
Yes
No
Do you currently hold any of the following designations: ARM, CSP, ALCM, CHST, CIH, Other?
Yes
No
Do you operate as a business (LLC/CORP) including an Employer Identification Number (EIN)?
Yes
No
Do you have employees or use subcontractors?
Yes
No
Please confirm you understand this is a 1099 Independent Contractor position not W2 employment by checking the box below. As a 1099 contractor you are free to work for other companies.
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