DEPARTMENT OF INSURANCE

Affiliations

Name	Petersen, Kristel Ann	DOIID	782874	NAIC NPN	16648671

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Independent Adjuster	Property & Casualty	5/29/2012	6/30/2013
* 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	QBE Americas Inc	741818	Independent Adjuster - Property & Casualty	4/24/2013	6/30/2013