FIFEC Online Registration

Enter your Name and Title as you would like them to appear on your name badge (no designations, please).

First Name *
Last Name *
Job Title *
Company/Organization *
Address *
City *
State *
Zip Code *
State of Florida DFS Adjuster #
Phone: *	- -
Ext.
Fax
E-Mail *
Luncheon Attendance (included in registration fee) *	Yes No
Will you be bringing a luncheon guest? *	Yes No
(An additional charge of $35 for each guest must be added to your registration fee)
Please choose your course selections below: (You may only select ONE course for each timeslot). If the class has two parts, please choose BOTH parts.
Weds PM 1 *	110 - Workers' Comp (Part 1 of 2) 120 - Ethical Considerations (Part 1 of 2) 130 - Eliminating Accidental Fire Causes 140 - Uncovering True Clinic Owner 150 - Fraudulent Check Endorsement 160 - Biomechanical Analysis 170 - Civil RICO NONE
Weds PM 2 *	210 - Workers' Comp (Part 2 of 2) 220 - Ethical Considerations (Part 2 of 2) 230 - Recent Case Law 240 - Adv. Staged Accident Detection/Investigation 250 - Ignitable Liquid Fire Patterns 260 - Preparing for Fraud Trial 270 - Diagnostic Testing NONE
Thurs AM 1 *	310 - Case Law Update 320 - Fire Claims/Fraud Analysis 330 - Social Media (Part 1 of 2) 340 - Accident Reconstruction 350 - Fraud Referrals to DIF 360 - Finding Evidence of Insurance Fraud 370 - Statements & EUO's NONE
Thurs AM 2 *	410 - Profile of Runners/Fraudulent Providers 420 - Statement Analysis 430 - Social Media (Part 2 of 2) 440 - Public Adjusters 460 - Biomechanics 470 - EUO's NONE
Thurs PM 1 *	510 - PIP as a Business Practice 520 - Understanding Haitian Culture (Part 1 of 2) 530 - Public vs Private Origin & Cause Investigations 540 - Referrals & Kickbacks 550 - Cargo Theft 560 - EUO's and the Law 570 - Minor Accident Reconstruction NONE
Thurs PM 2 *	610 - Staged Accidents: Deputy/Detective/SIU Perspectives 620 - Understanding Haitian Culture (Part 2 of 2) 630 - Presentation Skills 650 - Cost-Effective EUOs 660 - Corrugated Stainless Steel Tubing Claims 670 - Interviewing Doctors & Providers NONE
Fri AM 1 *	710 - Pre-surveillance and Internet-Based Investigations 720 - Social Media (Part 1 of 2) 730 - Understanding Haitian Culture (Part 1 of 2) 740 - Litigating Fraud & Counter Claims 750 - Cooking-Related Fires NONE
Fri AM 2 *	810 - SIU Ethics 820 - Social Media (Part 2 of 2) 830 - Understanding Haitian Culture (Part 2 of 2) 840 - Marine Fire Arson 850 - Effective EUO's NONE
How did you hear about our conference? *	I was a previous attendee I received a FIFEC e-mail I saw a magazine ad I heard about it from a colleague
PAYMENT INFORMATION
Credit Card Type *	Visa Master Card Discover American Express
Credit Card Number (no spaces) *
Exp. Date (Month/Year) *
CSV # *
Please provide your billing address if different from the one above.
Name on card
Billing Address
City/State/Zip

Please type the code shown in the image: *
By clicking submit, you authorize FIFEC to charge your registration fee to your credit card. Fees are *non-refundable*.