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Below is the federal Fair Credit Reporting Act (FCRA). Please read through and click the 'Next Step' button to proceed.

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About You

Required Info
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Demographic Info Your cooperation in providing this information is voluntary. This information will not be used in the hiring process, and will be maintained separately from all of employment related information.
  • Are you a veteran?
  • Are you a disabled Veteran?
  • Check the position(s) you're applying for:


Background Information
  • Are you a U.S. citizen and/or permitted to legally work in the United States?
  • Are you incapable of: carrying and/or climbing a ladder; climbing, inspecting and/or measuring roofs; inspecting and measuring interior areas, including basements, attics and/or crawl spaces; inspecting and measuring any other portion of a dwelling or structure; using a personal computer; and/or travel on short notice for extended periods of time?

    Please be aware that a “yes” answer to this question does not mean that your application will not be considered. The Eberl Group complies with the Americans with Disabilities Act and applicable state and local laws. The Eberl Group does not discriminate against individuals with disabilities in hiring or employment, including job assignment, promotion, discipline, or termination. Upon request, and except where accommodations would create unreasonable hardship for The Eberl Group, it is committed to making reasonable accommodations for qualified employees and applicants in accordance with applicable laws.

  • Are you ineligible to handle claims for any insurance company?
  • Due to the contractual requirements of our clients, the Eberl Group is prohibited from deploying adjusters who have been convicted or received a deferred adjudication for certain criminal offenses. Therefore, the Eberl Group generally will not hire any adjuster who has received a conviction or deferred adjudication for any felony or a conviction or deferred adjudication for a misdemeanor involving dishonesty, breach of trust, intentional injury or loss to person or property, endangerment to others while under the influence of alcohol or controlled substance.


Physical Address
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Mailing Address
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Previous Address
  • (If address is less than 7 years)

Employment History

***PLEASE NOTE: Add any and all work experience you have here. This space is not limited to only adjusting experience. We need all work experience from your 3 most recent employers or the last 5 years regardless of the type of employment.



Carriers Worked For

Carrier Last Date Worked Certified?

Claims Handling Experience

(You may include decimals for months. For example, 1.5 equals 1 year, 5 months)
Experience Type Years of Experience Total # of Assignments Total # of Claims Handled # of Claims Handled in Last 12 Months

Related Experience

Experience Type Years of Experience

Software Experience

Experience Type Years of Experience

Adjuster Skills

Adjuster Experience
  • Are you a licensed adjuster?
  • If yes, please list all states and license numbers
Flood Experience
  • Are you flood certified?
State Farm
  • Have you successfully completed the following State Farm tests?
Estimating Solutions
  • Have you attended an Xactimate training class?


Certifications What certifications do you currently hold?

Other Experience and Qualifications

Related Experience and Skills
List any additional skills or experience that you possess that you think are relevant or related to adjusting
Insurance Company Experience
List any insurance companies you have worked for as staff which are not listed above
Company Position Start Date End Date
What is your highest level of education?
If you have served in the United States Military, please explain branch, dates, duties, rank attained and discharge status
List four references. We encourage references for adjuster or adjuster-related work and skills if available.
Name Phone Company or How Known Number of Years Known

Upload Resume

Please attach your resume

Sign Application


Please be aware that a comprehensive criminal background check is mandatory and will be performed on or before deployment for ALL Adjusters.

Pending review, your background check must come back free of felony convictions, deferred adjudications and certain misdemeanor convictions or deferred adjudications involving dishonesty or breach of trust, intentional injury or endangerment of others while under the influence of alcohol or other substances.

The Eberl Group is an equal opportunity employer and all applicants are considered on their qualifications regardless of race, sex, religion, national origin or age. This package will be given every consideration; however receipt of this information does not guarantee future employment.

Thank You!

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