DEPARTMENT OF INSURANCE

Name	Blackhorse, Kristy	DOIID	706122	NAIC NPN	8012159

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	5/18/2009	7/1/2010
Active	Non Resident	Independent Adjuster	Property & Casualty	9/11/2023		3/31/2027
Inactive	Non Resident	Staff Adjuster	Property & Casualty	12/9/2021	6/13/2023

*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	01/15/2025	03/31/2025	01/02/2025	01/02/2025	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	13601 S 44th St Apt 2103 Phoenix, AZ 850444890
Residence	Not Public Information

Internet Information

Type	Address
Business Email	Kristy.Blackhorse@afics.com
Internet	www.qbe.com

Phone Information

Type	Phone
Business / Home Office	(800) 692-6326