DEPARTMENT OF INSURANCE

Name	Trabel, Douglas J	DOIID	692645	NAIC NPN	7075336

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/26/2022	3/31/2023
Pending Replacement	Non Resident	Agent	Casualty	8/16/2023		3/31/2025
Pending Replacement	Non Resident	Agent	Property	8/16/2023		3/31/2025
Denied	Non Resident	Managing General Agent	Not Applicable
Denied	Non Resident	Property & Casualty Consultant	Not Applicable

*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
Agent	01/15/2025	03/31/2025

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	Riverside Insurance 616 Main StBrookville, IN 470121410
Residence	Not Public Information

Internet Information

Type	Address
Business Email	doug@riversideinsure.com

Phone Information

Type	Phone
Business / Home Office	(812) 656-8400