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Membership

 

Active membership in the Kansas Claims Association, Inc., is available to any individual actively engaged as a claims representative, adjuster, investigator or appraiser for insurance companies and/or self insurers, and derives more than 50% of their income from such activities.  A membership application must be filled out, and submitted to the Membership Committee with the first years dues of $20.00. Applications can be obtained through any member of the association, or by contacting Mr. Bill Woolbright (see our Home page for his contact information). Or you may submit the following application electronically and mail your check as stated below. We encourage individuals that meet the above criteria to join.

 

APPLICATION

Complete the following information and mail a check in the amount of $20.00 (initial dues) to the following address.  Application will only be processed upon receiving initial dues.

KANSAS CLAIMS ASSOCIATION

4525 Pawnee Drive

   Berryton, Kansas 66409-9236

 

 

All applicants must complete this section.

Name: 

Email: 

Resident Address: 

City:    State:      Zip: 

Resident Phone: 

 

Business Address:  

City:    State:      Zip: 

Business Phone: 

 

Employees of Insurance Companies, Self-Insurers & Ind. Adj. Co. complete this section.

 

Name of Employer:      Position Held: 

Address of Employer: 

City:    State:      Zip: 

 

Other Applicants complete this section.

 

State the connections you have with Insurance Co., Self-Insurers, etc. that might qualify you for membership in the association.