DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dale, Jerry Wayne	DOIID	339662	NAIC NPN	35842

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	9/30/1987	7/1/2010
Inactive	Resident	Staff Adjuster	Property & Casualty	7/1/2010	11/30/2013
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fayette Adjustment Company Inc	401265	Adjuster - Independent	3/31/1998	7/27/2001
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Adjuster - Independent	7/27/2001	7/1/2010
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Staff Adjuster - Property & Casualty	7/1/2010	1/24/2011
Inactive	State Automobile Mutual Insurance Company	301824	Adjuster - Independent	9/30/1987	3/31/1998