WIND FELLOW DESIGNEE DIRECTORY
Clear values
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*
User ID
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*
First name
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Last name
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Company
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Address
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City
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State
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Zip
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Website
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Email
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Phone
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Fax
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Mobile
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Job Title
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Occupation
is
is not
Accountant
Adjuster - Company
Adjuster - Independent
Adjuster - Public
Agent - Casualty
Agent - Property
Attorney - Defense
Attorney - Corporate Counsel
Attorney - Policyholder
Carrier
Consultant
Contractor
Engineer
Government
Other
*
Please list "other" occupation here:
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How did you hear about WIND?
any of selected
all of selected
none of selected
Conference promotional email
Attended conference
Colleague/supervisor
Industry connection
LinkedIn
Facebook
Twitter
*
If you were referred to WIND, please provide the name of who referred you.
contains
is
does not contain
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empty
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*
Who do you primarily get your First Party Property work from:
any of selected
all of selected
none of selected
Insurance carriers
Policyholders
Both Insurance carriers & Policyholders
Neutral
*
Adjuster Type
is
is not
Carrier
Independent
Public
N/A
*
If you are a veteran, please indicate in which branch you serve/served
is
is not
Army
Marine Corps
Navy
Air Force
Space Force
Coast Guard
*
Professional Licensures
any of selected
all of selected
none of selected
Attorney
Building Contractor
CPA/Accountant
Engineer
General Contractor
Independent Adjuster
Insurance Adjuster
Insurance Agent/Broker
Mediator
Other (Specify)
Public Adjuster
*
WIND Member Ethics Statement
is
Yes
No
*
Certification Designation (Professional/Fellow)
contains
is
does not contain
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empty
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ends with
*
Educational/Industry Experience Background
contains
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*
Other Professional Licenses and Credentials
contains
is
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empty
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*
*
WIND Certified Umpire Class Completion Date
on or before
is
on or after
empty
any date
this month
this year
last month
last year
is not
December
2025
*
*
WIND Certified Umpire Expiration Date
on or before
is
on or after
empty
any date
this month
this year
last month
last year
is not
*
*
WIND Certified Umpire Professional Expiration Date
on or before
is
on or after
empty
any date
this month
this year
last month
last year
is not
*
*
WIND Certified Umpire Fellow Expiration Date
on or before
is
on or after
empty
any date
this month
this year
last month
last year
is not
*
Other Relevant Information Relating to Ability to serve as an Umpire
contains
is
does not contain
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empty
not empty
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ends with
*
*
WIND Certified Appraiser Class Completion Date
on or before
is
on or after
empty
any date
this month
this year
last month
last year
is not
*
*
WIND Certified Appraiser Professional Expiration Date
on or before
is
on or after
empty
any date
this month
this year
last month
last year
is not
*
*
WIND Certified Appraiser Fellow Expiration Date
on or before
is
on or after
empty
any date
this month
this year
last month
last year
is not
*
Insurance Company Adjuster - Year Issued
contains
is
does not contain
is not
empty
not empty
begins with
ends with
*
Insurance Company Adjuster - License Number/State
contains
is
does not contain
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empty
not empty
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*
Public Adjuster - License Number/State
contains
is
does not contain
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empty
not empty
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ends with
*
Independent Adjuster - License Number/State
contains
is
does not contain
is not
empty
not empty
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ends with
*
Independent Adjuster - Year Issued
contains
is
does not contain
is not
empty
not empty
begins with
ends with
*
Public Adjuster - Year Issued
contains
is
does not contain
is not
empty
not empty
begins with
ends with
*
Attorney/Defense - License Number/State
contains
is
does not contain
is not
empty
not empty
begins with
ends with
*
Attorney/Defense - Year Issued
contains
is
does not contain
is not
empty
not empty
begins with
ends with
*
Attorney/Neutural - License Number/State
contains
is
does not contain
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empty
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ends with
*
Attorney/Neutural - Year Issued
contains
is
does not contain
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empty
not empty
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ends with
*
Attorney/Policyholder - License Number/State
contains
is
does not contain
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empty
not empty
begins with
ends with
*
Attorney/Policyholder - Year Issued
contains
is
does not contain
is not
empty
not empty
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ends with
*
Accountant/CPA - License Number/State
contains
is
does not contain
is not
empty
not empty
begins with
ends with
*
Accountant/CPA - Year Issued
contains
is
does not contain
is not
empty
not empty
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ends with
*
Engineer- License Number/State
contains
is
does not contain
is not
empty
not empty
begins with
ends with
*
Engineer - Year Issued
contains
is
does not contain
is not
empty
not empty
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ends with
*
Agent/Broker - License Number/State
contains
is
does not contain
is not
empty
not empty
begins with
ends with
*
Agent/Broker - Year Issued
contains
is
does not contain
is not
empty
not empty
begins with
ends with
*
General Contractor - License Number/State
contains
is
does not contain
is not
empty
not empty
begins with
ends with
*
General Contractor - Year Issued
contains
is
does not contain
is not
empty
not empty
begins with
ends with
*
Building Contractor - License Number/State
contains
is
does not contain
is not
empty
not empty
begins with
ends with
*
Building Contractor - Year Issued
contains
is
does not contain
is not
empty
not empty
begins with
ends with
*
Mediator - License Number/State
contains
is
does not contain
is not
empty
not empty
begins with
ends with
*
Mediator - Year Issued
contains
is
does not contain
is not
empty
not empty
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ends with
*
Other Professional Licensure - Year Issued
contains
is
does not contain
is not
empty
not empty
begins with
ends with
*
Other Professional Licensure - Current License?
is
is not
Yes
No
or
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