DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Forsaith, Debra S	DOIID	338194	NAIC NPN	302053

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/1/2023		5/31/2025
Active	Non Resident	Agent	Property	3/1/2023		5/31/2025
Inactive	Non Resident	Agent	General Lines	3/23/1999	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	21st Century North America Insurance Company	300884	Agent - Casualty	8/15/2000	10/4/2011
Inactive	21st Century North America Insurance Company	300884	Agent - General Lines	4/6/2000	8/15/2000
Inactive	21st Century North America Insurance Company	300884	Agent - Property	8/15/2000	10/4/2011
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	3/23/1999	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	3/23/1999	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	3/23/1999	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	3/23/1999	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	3/23/1999	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	11/5/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Insurance Strategies Inc	1320431	Agent - Property	1/23/2024
Active	Insurance Strategies Inc	1320431	Agent - Casualty	1/23/2024
Inactive	U S Bancorp Ins Services L L C	400253	Agent - General Lines	4/6/2000	8/15/2000
Inactive	U S Bancorp Ins Services L L C	400253	Agent - Property	8/15/2000	2/24/2003
Inactive	U S Bancorp Ins Services L L C	400253	Agent - Casualty	8/15/2000	2/24/2003