With the adoption of Substitute House Bill 1037, effective 07/25/2021, those who wish to operate in Washington state as an emergency adjuster after a governor-declared disaster are now required to register by completing and submitting this form.

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Adjuster information

Please provide your name as it appears on your adjuster license.

Adjuster address

Contact information

Please provide a valid email for registration confirmation.

Confirmation

This registration is valid for 180 days and pertains only to claims arising from the identified declared disaster on this form. If the declared disaster extends beyond 180 days, or if another disaster is declared, an additional registration is required.

I have read and understand the information above