DEPARTMENT OF INSURANCE

Affiliations

Name	Forney, Barb R	DOIID	549686	NAIC NPN	7277854

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Adjuster	Independent	9/25/2002	3/9/2004
Inactive	Resident	Apprentice Adjuster	Not Applicable	5/28/2002	9/25/2002
* 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	Cincinnati Insurance Company	301298	Adjuster - Independent	9/25/2002	3/9/2004