New Appraiser Sign Up Application
You will need PDF (or other electronic formats) of your W9, E&O and appraiser(s) licenses to complete the application.
Note: All fields highlighted yellow are required.
   
Company Info
Company Name
Tax ID Corporation Type
Physical Address

Zip City State County
Billing Address
Zip City State
Phone
Fax Alt Phone
Primary Contact Name Primary Contact Email Confirm Primary Contact Email
 
E&O Carrier E&O Number E&O Expiration Date (mm/dd/yyyy) E&O Amount
Upload E&O Insurance: 
 
Upload W9: 
 
Appraisal Port User? 
General Comments/Notes (Optional - 1000 letters max):

Company Principal / Owner
First Name Middle Initial Last Name Suffix

Please add yourself as an appraiser below if you wish to be assigned appraisals.
Phone Fax Cell Alternate
Years of Appraisal
Experience 		Years in
Business 		If less than 5 years, please
indicate previous business		  
Are you on any exclusionary lists, including,
but not limited to FannieMae or FreddieMac?
Have there been or are there any
pending State Appraisal Licensing Issues?

References
Company Reference Contact Name Phone Email
Personal Reference   Phone Email
 

Appraiser Information
How many appraisers would you like to add?
Are all above appraisers in good standing with
their respective state departments of licensing?

Appraisal Territory (Help) Help
Select State to add:
 

Acknowledgement
Please type YOUR Name    

54.196.69.175 		  8/17/2017
By checking the box To the Left you agree to the terms in the service agreement.
Additionaly, you declare that all information entered is true and correct to the best of your knowledge.
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