DEPARTMENT OF INSURANCE

Affiliations

Name	Farnsworth, Carolyn Sue	DOIID	570570	NAIC NPN	7504092

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Independent Adjuster	Property & Casualty	6/2/2003	7/1/2010
Inactive	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010	1/31/2013
* 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	Safe Auto Services, Inc	646940	Independent Adjuster - Property & Casualty	10/29/2007	7/1/2010