DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	David, Autumn Michelle	DOIID	925797	NAIC NPN	17865522

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	8/25/2016		8/31/2026
* 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
Independent Adjuster	06/15/2024	08/31/2024	06/03/2024	06/03/2024	Yes

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Asurion Insurance Services Inc	509331	Independent Adjuster - Property & Casualty	12/1/2016
Active	Asurion Protection Services, LLC.	545067	Independent Adjuster - Property & Casualty	5/26/2022