Please complete the following to request your seat in the upcoming 2018 Colonial Training and Certification class.

Please select the Training Location / Date:



    

    

    





    

    






If you are new to Colonial Claims, list the name of person that referred you.

-----------------------------------------------------------------------------------------------------------------------------------------------------------------

Please enter either your FCN or Mentor number as it appears on your card . . .
all 10–digits are required. DO Not enter anyone else’s number, if you do not have a number please type “Mentor”, noting else.

FCN #

Please check all your current FEMA/NFIP certification levels, listed on your FNC card

Residential (Dwelling)
Yes No                 
Manufactured (Mobile) Home/Travel Trailer
Yes No
Small Commercial (up to $100,000)
Yes No                 
Large Commercial (from $100,001 to $500,000)
Yes No
Condominium (RCBAP)
Yes No

-----------------------------------------------------------------------------------------------------------------------------------------------------------------
Please select and provide License # for each state you are seeking CE Credits, you must register now for CE credit.

State                 License #                





Please Enter Your State License # - If you have one.

State License #