DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Forsyth, Travis A	DOIID	1026897	NAIC NPN	19028056

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/29/2019	4/30/2021
Inactive	Non Resident	Agent	Property	1/29/2019	4/30/2021
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	3/10/2020	9/24/2020
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	3/10/2020	9/24/2020
Inactive	AmGUARD Insurance Company	500010	Agent - Casualty	8/20/2019	4/30/2021
Inactive	AmGUARD Insurance Company	500010	Agent - Property	8/20/2019	4/30/2021
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/30/2019	7/18/2019
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	5/30/2019	7/18/2019
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	5/30/2019	7/18/2019
Inactive	Ohio Security Insurance Company	300622	Agent - Property	5/30/2019	7/18/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Coverwallet Inc	906767	Agent - Casualty	9/19/2020	11/9/2020
Inactive	Coverwallet Inc	906767	Agent - Property	9/19/2020	11/9/2020
Inactive	Paychex Insurance Agency Inc	509469	Agent - Casualty	5/30/2019	7/8/2019
Inactive	Paychex Insurance Agency Inc	509469	Agent - Property	5/30/2019	7/8/2019