DEPARTMENT OF INSURANCE

Affiliations

Name	Smith Douglas, Betty Joleen	DOIID	799800	NAIC NPN	16804843

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Property & Casualty	12/18/2012		11/30/2025
* 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
Active	H&R Block Ins Agency Inc	663231	Independent Adjuster - Property & Casualty	5/31/2013