DEPARTMENT OF INSURANCE

Affiliations

Name	Burden, Timothy	DOIID	799988	NAIC NPN	16821495

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Workers' Compensation	6/15/2021	7/31/2025
Active	Non Resident	Independent Adjuster	Property & Casualty	6/15/2021	7/31/2025
* 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	Sedgwick Claims Management Service Inc	401194	Independent Adjuster - Workers' Compensation	1/21/2013	7/31/2017