DEPARTMENT OF INSURANCE

Affiliations

Name	Tobolski, Jeffrey R	DOIID	367677	NAIC NPN	7199166

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Adjuster	Independent	5/16/2000	11/30/2004
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	2/26/1999	2/26/2000
* 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	Fireman's Fund Insurance Company	301423	Adjuster - Independent	5/16/2000	11/30/2004