DEPARTMENT OF INSURANCE

Name	Amos, Denise Rochelle	DOIID	374225	NAIC NPN	7202016

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Adjuster	Independent	5/12/2000	7/1/2010
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	2/2/1999	2/2/2000
Active	Non Resident	Staff Adjuster	Workers' Compensation	10/30/2020		7/31/2026	Kentucky
Inactive	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010	7/31/2020

*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
Staff Adjuster	05/15/2024	07/31/2024	06/03/2024	06/03/2024	Yes

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	J W F Specialty 11711 N Meridian Street Suite 700Carmel, IN 46032
Residence	Not Public Information
Mailing	7357 Ralston Ave Indianapolis, IN 46240

Phone Information

Type	Phone
Business / Home Office	(317) 706-9535