DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Forgy, Angela Dee	DOIID	634738	NAIC NPN	8837644

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	4/13/2007	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	6/26/2006	4/13/2007
Active	Non Resident	Independent Adjuster	Workers' Compensation	3/18/2019		2/28/2025
Inactive	Resident	Staff Adjuster	Workers' Compensation	7/1/2010	3/18/2019
* 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
Independent Adjuster	12/15/2024	02/28/2025

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Todd, Crystal L	518846	Apprentice Adjuster - Not Applicable	6/26/2006	4/13/2007