DEPARTMENT OF INSURANCE

Affiliations

Name	Bloxsom, Charlotte Eden	DOIID	773053	NAIC NPN	16514843

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Independent Adjuster	Property & Casualty	2/6/2012	4/1/2019
Active	Resident	Staff Adjuster	Property & Casualty	4/1/2019		3/31/2025
* 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	R J Ketch Equine Inc.	401282	Independent Adjuster - Property & Casualty	11/6/2012	4/1/2019