DEPARTMENT OF INSURANCE

Affiliations

Name	Backous, Jamie S	DOIID	812276	NAIC NPN	8523531

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	6/12/2013		8/31/2025
* 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
Active	Custard Insurance Adjusters Inc.	401182	Independent Adjuster - Property & Casualty	6/19/2013
Active	Riverwood Claims Management, Inc.	1120701	Independent Adjuster - Property & Casualty	2/17/2021