DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, John Jerry	DOIID	366316	NAIC NPN	3955621

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Independent Adjuster	Property & Casualty	2/7/2019		11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	09/15/2024	11/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Attenta Inc	649166	Independent Adjuster - Property & Casualty	6/27/2007	1/2/2008
Inactive	Great American Insurance Company	301586	Independent Adjuster - Property & Casualty	5/12/2000	11/30/2012
Inactive	Midwestern Indemnity Company (The)	301494	Independent Adjuster - Property & Casualty	4/3/1992	4/3/1992