DEPARTMENT OF INSURANCE

Name	Forehand Jr, Michael Frederick	DOIID	697612	NAIC NPN	12831818

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	4/30/2009	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	2/2/2009	4/30/2009
Active	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010		1/31/2025

*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	11/15/2024	01/31/2025

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
Residence	Not Public Information
Business / Home Office	80 E Rich St Columbus, OH 432155249

Phone Information

Type	Phone
Business / Home Office	(614) 721-0497