DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Salazar, Jacqueline	DOIID	799847	NAIC NPN	16847014

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	12/18/2012	11/30/2016
Inactive	Non Resident	Agent	Casualty	12/18/2012	11/30/2016
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	7/30/2013	11/30/2016
Inactive	American Family Home Insurance Company	301817	Agent - Property	7/30/2013	11/30/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	7/9/2013	7/14/2014
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/9/2013	7/14/2014
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	1/11/2013	7/14/2014
Inactive	American Modern Select Insurance Company	581481	Agent - Property	1/11/2013	7/14/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	1/11/2013	7/14/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Property	1/11/2013	7/14/2014
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	1/14/2013	12/30/2013
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	1/14/2013	12/30/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	1/14/2013	10/4/2016
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	1/14/2013	10/4/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/16/2013	7/15/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/16/2013	7/15/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	1/22/2013	6/13/2014
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	1/22/2013	6/13/2014