DEPARTMENT OF INSURANCE

Name	Forgy, Angela Dee	DOIID	634738	NAIC NPN	8837644

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Adjuster	Independent	4/13/2007	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	6/26/2006	4/13/2007
Active	Non Resident	Independent Adjuster	Workers' Compensation	3/18/2019		2/28/2025	Kentucky
Inactive	Resident	Staff Adjuster	Workers' Compensation	7/1/2010	3/18/2019

*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	12/15/2024	02/28/2025

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	Sedgwick 25 Century BlvdNashville, TN 37214
Residence	Not Public Information

Internet Information

Type	Address
Business Email	angela.forgy@sedgwick.com

Phone Information

Type	Phone
Business / Home Office	(704) 717-7706