DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Potter, Erin Marie	DOIID	1068025	NAIC NPN	18364536

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Workers' Compensation	12/12/2019		3/31/2025
Active	Non Resident	Independent Adjuster	Property & Casualty	12/12/2019		3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	01/15/2025	03/31/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brentwood Serv Administrators Inc	397924	Independent Adjuster - Workers' Compensation	12/20/2019	6/9/2022
Inactive	Brentwood Serv Administrators Inc	397924	Independent Adjuster - Property & Casualty	12/20/2019	6/9/2022