DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Forsythe, Victoria Charlotte	DOIID	578072	NAIC NPN	7900980

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/25/2012	10/31/2017
Inactive	Non Resident	Agent	Property	7/25/2012	10/31/2017
Inactive	Non Resident	Independent Adjuster	Property & Casualty	10/29/2018	10/31/2019
Denied	Non Resident	Managing General Agent	Not Applicable
Inactive	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010	9/16/2015
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	7/25/2012	10/31/2017
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	3/4/2010	7/12/2012
Inactive	Praetorian Insurance Company	301021	Agent - Property	3/4/2010	7/12/2012
Inactive	Redland Insurance Company	300687	Agent - Casualty	1/23/2008	3/31/2010
Inactive	Redland Insurance Company	300687	Agent - Property	1/23/2008	3/31/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Deep South Surplus Inc	701045	Surplus Lines Broker - Not Applicable	3/17/2009	7/12/2012