Please enable JavaScript in your browser to complete this form.Name *FirstLastJob Title *Phone Number *Email *State Chapter Affiliation-Select-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinois IndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontana NebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvania Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingIf you are a contract examiner, you may select a state you live in or a state you work for, or select 'unaffiliated' if you wish to not affiliate with a state chapter. If your chapter does not appear in the list, please select 'unaffiliated' to proceed, then contact the IRES office to update your contact information.Subject Matter Areas of ExpertisePlease select all that apply. Refer to the subject matter areas of expertise definitions for descriptions of each area.Subject Matter Areas of ExpertiseAnnuities - GroupAnnuities - IndividualContinuing Care Retirement CommunitiesCredit InsuranceHealth - Large GroupHealth Insurance - Small GroupHealth - IndividualHealth - Excess/Stop LossLife - GroupLife - IndividualLong Term Care - GroupLong Term Care - IndividualMedicare Supplement - GroupMedicare Supplement - IndividualProperty & Casualty: Property - CommercialProperty & Casualty: Property - PersonalProperty & Casualty: Crop-HailProperty & Casualty: FloodProperty & Casualty: FarmownersProperty & Casualty: HomeownersProperty & Casualty: Commercial Multiple PerilProperty & Casualty: Mortgage GuarantyProperty & Casualty: Ocean MarineProperty & Casualty: Inland MarineProperty & Casualty: Financial GuarantyProperty & Casualty: Medical MalpracticeProperty & Casualty: EarthquakeProperty & Casualty: Workers' CompensationProperty & Casualty: Other LiabilityProperty & Casualty: Product LiabilityProperty & Casualty: Personal AutoProperty & Casualty: Commercial AutoProperty & Casualty: Mechanical Breakdown ContractsProperty & Casualty: Motor Vehicle Service ContractsProperty & Casualty: Other Service ContractsProperty & Casualty: AircraftProperty & Casualty: FidelityProperty & Casualty: SuretyProperty & Casualty: Burglary & TheftProperty & Casualty: Boiler and MachineryProperty & Casualty: Credit - Commercial PropertySettlementsTitle InsuranceOther Lines of BusinessCommentSubmit