CNC - Employment Application

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Thanks for your interest in joining our team!

All applications will be considered without regard to race, color, religion, sex, national origin, age, disability, veteran status, military obligations, genetic information or any other characteristic protected by law. Before approving an applicant for assignment, CNC will consider the results of a thorough background check, which may include prior employment and education verification, verification of adjuster licensure and any other credentials required by law or client requirements, criminal conviction record, driving record, pre-employment drug screening, and other areas.

If you need assistance completing the application, please contact our HR team at 800-843-0170 option 4.

We recommend calling HR after you've completed your application to ensure they've received your information.

Application Recovery

Position(s) Applying For | | |

Personal Information
Emergency Contact Information


Additional Qualifications
Flood# Yrs Exp

Automotive# Yrs Exp

Property# Yrs Exp

Casualty / Other# Yrs Exp

Current and Valid State Insurance Adjuster's License(s)

Work Questions

If employment is offered, you must show verifiable documents that prove your identity and employment eligibility as required by the Immigration Reform and Control Act of 1986.

Driver's License Information


Computer, Software, and Language Skills

Required Equipment


Employment History


High School

Application Attachments

Employee Polygraph Protection Act
Employee Polygraph Protection Act PDF failed to load.

Employee Rights Under the Family and Medical Leave Act
Employee Rights Under the Family and Medical Leave Act PDF failed to load.

Equal Employment Opportunity
Equal Employment Opportunity Act PDF failed to load.


By pressing submit below, I certify that the above statements are true and complete. I understand that any false information or omissions (including, but not limited to, failure to reveal prior employers) in this application or its supporting documents, or in an interview, will be sufficient grounds for refusal to consider me for work, as an independent contractor and/or at-will employee catastrophe insurance adjuster and/or claims processor (non-catastrophe assignments) and/or office staff/examiner, and to terminate my relationship with CNC as an independent contractor or employee, if such is offered. I understand that completion of this application in no way constitutes an offer of employment or assignment as an independent contractor. I understand that this application form will be active for 30 days from the date of completion. If I wish to be considered to work with CNC after that time, I understand that I will be required to complete and submit a new application form. I authorize CNC to obtain information about me from my previous employers and to review my education, previous employment, driving records, criminal records, references, professional licenses and other background data. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same to you. I also acknowledge that a pre-employment or preassignment drug screening and further background screening may be required and agree to voluntarily consent to both, if such is required. I agree that a facsimile, electronic or photographic copy of this Application shall be valid as the original.

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