Download an application in PDF format for printing
Click Here

Annual Membership Subscription

Please enter information on the form below to process your application for APCAA Annual Membership.

Avatar

Username*

Password*

Retype Password *

First Name *

Last Name *

Organization

Position *

Address *

Address2

City *

Zip *

Country *

State *

Office Phone

Fax

Cell *

Email *

Number of years as an Adjuster *

ALDOI Adjuster’s License Number

License Renewal Date

Indicate if you are an Insurance company staff adjuster *

Yes

List Three (3) Insurance Business References (company, contact name, and their telephone number). *

Types of Claims Handled - Indicate what percent each makes up of your total claims handled *

Disclaimer *

- I submit that the above information is true and correct, that I am licensed to perform property and casualty claims adjustment services in the State of Alabama or am engaged in property and casualty claims adjustment for an insurance carrier or self-insured business-related association licensed in Alabama. I certify that I perform no services as a public adjuster. I agree that my providing false facts could result in rejection or revocation of membership in the Alabama Property and Casualty Adjusters Association.

Acknowledgement *

I understand that as an APCAA member, I will be listed as a member on the website and my contact information will be available to other members only.

Signature - Type your name as you would sign it. *

Date *

Payment Information

Price

Payment Method *

Pay Using Your Credit Card processed through a Secure Paypal Gateway (No Paypal Account Required)

Payment by Mailing a Check

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

Please Note: Some ISP's may block email from server processes. This could prevent your receipt of our confirmation notices. Please add the following email addresses to your address book or approved sender list:

support@apcaa.org, admin@apcaa.org, news@apcaa.org or apcaaorg@gmail.com

Rimkus Consulting Group

Balch & Bingham, LLP

Alfa Insurance

Alabama Municipal Insurance Corporation

Alabama Defense Lawyers Association

APCAA works to uphold and strengthen the ethical standards and practices of the property and casualty adjuster profession in the State of Alabama. The future of this profession depends on solid character, integrity, work ethic, and the desire to serve and help others. APCAA is dedicated to support and promote its members in these areas. APCAA has applied for 501 (c) 6 tax exempt status with the Internal Revenue Service.

334-472-4151

apcaaorg@gmail.com

Online Application

Annual Membership Subscription

Existing user? Please login

New User? Please register

Account Information

Payment Information

Notice: Spam Filter Advice

APCAA Diamond Sponsors

Rimkus Consulting Group

Balch & Bingham, LLP

Alfa Insurance

Alabama Municipal Insurance Corporation

Alabama Defense Lawyers Association

Who We Are:

Contact Us