Appraiser Panel Application Form



This form is to be used by Appraisal professionals interested in becoming a CoreLogic® Valuation Solutions vendor. Both Independent Contracted Appraisers and Staff Appraiser candidates interested in joining the panel may complete this application form. Further distinctions and clarifications of the relationship between aforementioned parties and CoreLogic Valuation Solutions are detailed within the Appraisal Services Agreement. To begin the application process, please complete each section of this online form in its entirety. Once received into our system, your information will be stored in our applicant database and applicant’s meeting our needs will be contacted when openings arise in their location.


Section 1: Applicant Name, Contact Information & Home Address

indicates required fields


First Name:
Middle Name:
Last Name:
Email Address:
Cell Phone:
Primary Work Phone:

Current Home Address

No P.O. Box Allowed
Street Address:
Address 2:
Zip Code:
City:
State:
County:

Length of Time at Address:
 
Years
If under 1 year, provide prior home street address:

Prior Home Address

Street Address:
Address 2:
Zip Code:
City:
State:
County:

Length of Time at Address:
 
Years

Section 2: Company Name, Contact Information & Business Address



Company Name:
Company Email Address:
Company Website:
Company Work Phone:

Company Address

Street Address:
Address 2:
Zip Code:
City:
State:
County:

Length of Time at Address:
 
Years
FEIN:  
Do you have a company business card?  

Are you the owner of the company?  

Owner's Name:
Owner's Phone:
How long have you been at this company?
 
Years 
If under 1 year, provide name of prior employer and dates employed by them:
Prior Company Name:
Prior Employment From:
To:


Section 3: Errors & Omissions Insurance Information



Our appraisal vendors must have E&O insurance with an individual claim amount of not less than $300,000 and an aggregate claim amount of not less than $1,000,000.
Company Name:
Policy #:
Expiration Date:
Individual Claim Amount:
Aggregate Claim Amount:


Section 4: Experience, Methodology Competency & License Information



How long have you been appraising?
Years
Provide the month and year that you first obtained your appraisal license.

Month:
Year:
Are you on the FHA Roster?

If yes, provide your FHA Connection ID:
Check each box that corresponds with the appraisal methodologies that you are competent to perform:



For every appraisal license that you currently hold, provide the following:
State License Number Issued Date Expiration Date License Type   


 
 



 
 



 
 




Section 5: Professional Designations



List all that currently apply:

Section 6: Languages Spoken



List all languages other than English that you are able to speak fluently:

Section 7: Professional References



Provide the names and contact information of three individuals who will serve as references that we can contact to verify your professional experience. One of the references must be a financial institution or an appraisal management company, other two may be BPO companies or current clients. By providing their names and contact information, you are authorizing us to contact each individual.
First Name Last Name Relationship Company Name  Phone # Email Address  























Section 8: Property Type Competency & Production Past 12 Months


Check each box that corresponds with the types of properties that you are competent to appraise:






 

For each appraisal product listed below, enter the total number of appraisal reports that were completed by you over the past 12 months:

Product Name1004 2055 1073 1075 1004C 1025 2090 2095 Land Field
Review
Desk
Review
# Completed Past 12 Months 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


Section 9: Geographic Competency & MLS Subscription Validation


Enter the requested data for every specific geographic area in which you have the training, experience and data needed to competently complete an appraisal assignment. If you only cover specific zip codes with in a particular county, input each zip code that you specifically cover.
State County  All Zips Covered? If no, list the zips you cover Does the MLS that you suscribe to cover this area? If no, list the alternate data sources that you use in this area.  
















Thank you for expressing an interest in becoming one of our vendors.

Please click on the submit button only once. If you have submitted a profile and need to make a correction, please call 877-352-4650 option 1.

By clicking the submit button, I certify that I have filled out each section honestly and accurately.