DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Short, Jay	DOIID	361608	NAIC NPN	6344495

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		6/28/2017
Inactive	Non Resident	Independent Adjuster	Property & Casualty	6/28/2017	7/31/2023
Inactive	Non Resident	Independent Adjuster	Workers' Compensation	6/28/2017	7/31/2023
* 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
Denied	Continental Casualty Company	301019	Apprentice Adjuster - Not Applicable
Inactive	Travelers Casualty and Surety Company	301067	Independent Adjuster - Property & Casualty	9/10/1998	12/24/1998

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Biery, William F	314550	Apprentice Adjuster - Not Applicable	9/12/1997	9/10/1998