DEPARTMENT OF INSURANCE

Affiliations

Name	Forsee, Sheila Rena	DOIID	330834	NAIC NPN	7177629

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	12/12/2008	6/1/2013
Inactive	Resident	Agent	Casualty	12/12/2008	6/1/2013
Inactive	Resident	Agent	General Lines	1/19/1988	8/15/2000
* 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	AIG Assurance Company	300897	Agent - Casualty	12/29/2008	9/28/2010
Inactive	AIG Assurance Company	300897	Agent - Property	12/29/2008	9/28/2010
Inactive	American Economy Insurance Company	300315	Agent - Casualty	8/15/2000	12/26/2001
Inactive	American Economy Insurance Company	300315	Agent - General Lines	1/19/1988	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	8/15/2000	12/26/2001
Inactive	American Resources Insurance Company, Inc.	300454	Agent - Casualty	8/15/2000	7/1/2002
Inactive	American Resources Insurance Company, Inc.	300454	Agent - General Lines	10/31/1996	8/15/2000
Inactive	American Resources Insurance Company, Inc.	300454	Agent - Property	8/15/2000	7/1/2002
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	12/27/2001
Inactive	American States Insurance Company	301230	Agent - General Lines	1/19/1988	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	12/27/2001
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	12/19/2008	6/18/2013
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/19/2008	6/18/2013
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	12/29/2008	7/2/2013
Inactive	Dairyland Insurance Company	301370	Agent - Property	12/29/2008	7/2/2013
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	12/26/2001
Inactive	First National Insurance Company of America	301690	Agent - General Lines	11/1/1998	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	12/26/2001
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/31/2012	6/18/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/31/2012	6/18/2013
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	12/26/2001
Inactive	General Insurance Company of America	300261	Agent - General Lines	11/1/1998	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	12/26/2001
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	6/2/1988	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	7/1/2002
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	6/2/1988	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	7/1/2002
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	6/2/1988	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	7/1/2002
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	6/2/1988	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	7/1/2002
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	9/28/1989	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	7/1/2002
Inactive	Infinity Insurance Company	300416	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Insurance Company	300416	Agent - General Lines	3/8/1994	8/15/2000
Inactive	Infinity Standard Insurance Company	301643	Agent - General Lines	6/17/1998	8/15/2000
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	12/29/2008	2/4/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	12/29/2008	2/4/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	12/27/2001
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	11/1/1998	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	12/27/2001
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/15/2000	12/26/2001
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	11/1/1998	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/15/2000	12/26/2001
Inactive	South Carolina Insurance Company	300080	Agent - General Lines	4/18/1998	7/10/2000
Inactive	Stonington Insurance Company	300746	Agent - General Lines	7/16/1997	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	6/2/1988	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Your Insurance Station Inc.	398278	Agent - Property	1/9/2009	6/1/2013
Inactive	Your Insurance Station Inc.	398278	Agent - Casualty	1/9/2009	6/1/2013