DEPARTMENT OF INSURANCE

Affiliations

Name	Forest, Kimberly Daneille	DOIID	915260	NAIC NPN	17493516

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Independent Adjuster	Property & Casualty	5/12/2016	7/31/2017
Inactive	Non Resident	Staff Adjuster	Property & Casualty	4/21/2020	7/31/2021
* 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	Crawford Catastrophe Services LLC	912275	Independent Adjuster - Property & Casualty	10/31/2016	7/31/2017