DEPARTMENT OF INSURANCE

Name	Ross, Tiffany Michelle	DOIID	678318	NAIC NPN	10643547

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	5/16/2008	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	4/18/2008	5/16/2008
Active	Resident	Staff Adjuster	Property & Casualty	7/1/2010		7/31/2026

*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
Staff Adjuster	05/15/2024	07/31/2024	07/10/2024	07/10/2024	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
Residence	Not Public Information
Business / Home Office	1301 Gardiner Ln Po Box 35009Louisville, KY 40232

Internet Information

Type	Address
Business Email	tiffany.ross@kyfb.com

Phone Information

Type	Phone
Business / Home Office	(502) 456-1664 Ext-20118