DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Goff, Dianne A	DOIID	628251	NAIC NPN	665424

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/20/2006	9/30/2012
Inactive	Non Resident	Agent	Property	3/20/2006	9/30/2012
Active	Non Resident	Staff Adjuster	Property & Casualty	7/6/2015		9/30/2026
* 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
Staff Adjuster	07/15/2024	09/30/2024	07/16/2024	07/16/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	4/7/2006	2/8/2008
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	3/31/2006	2/8/2008
Inactive	Nationwide General Insurance Company	300603	Agent - Property	3/31/2006	2/8/2008
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	3/31/2006	2/8/2008
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	3/31/2006	2/8/2008
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	3/31/2006	9/25/2011
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	3/31/2006	9/25/2011
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	3/31/2006	2/8/2008
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	3/31/2006	2/8/2008
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	2/6/2007	2/8/2008
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	2/6/2007	2/8/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	2/8/2008	9/25/2011
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	2/8/2008	9/25/2011