DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burnett, Carolyn Cash	DOIID	342047	NAIC NPN	2897615

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	4/14/1999	4/17/2000
Inactive	Non Resident	Independent Adjuster	Property & Casualty	10/17/2008	5/31/2017
* 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	Broadspire Services, Inc.	396187	Independent Adjuster - Property & Casualty	7/17/2012	7/15/2015
Inactive	Crawford & Company	401229	Independent Adjuster - Property & Casualty	7/16/2012	7/16/2012
Inactive	Omni Insurance Company	301545	Independent Adjuster - Property & Casualty	4/17/2000	5/31/2005

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Unversaw, James R	330171	Apprentice Adjuster - Not Applicable	4/14/1999	4/17/2000