DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wittenmeier, Forrest Matthew	DOIID	857928	NAIC NPN	8334532

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/24/2014		8/31/2024
Active	Non Resident	Agent	Property	10/24/2014		8/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	4/14/2016	9/26/2019
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	4/14/2016	9/26/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Newfront Insurance Services, LLC	988910	Agent - Property	3/30/2018	9/26/2019
Inactive	Newfront Insurance Services, LLC	988910	Agent - Casualty	3/30/2018	9/26/2019
Inactive	Yourpeople Inc	844313	Agent - Property	4/14/2016	8/21/2017
Inactive	Yourpeople Inc	844313	Agent - Casualty	4/14/2016	8/21/2017