DEPARTMENT OF INSURANCE

Name	Forrester, Kevin Thomas	DOIID	780624	NAIC NPN	15838407

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Property	5/1/2012	6/30/2014
Inactive	Non Resident	Agent	Casualty	5/1/2012	6/30/2014
Active	Non Resident	Staff Adjuster	Property & Casualty	7/12/2017		6/30/2026	Texas

*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	04/15/2024	06/30/2024	04/26/2024	04/26/2024	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	5920 Landerbrook Dr Mayfield Hts, OH 441246506

Phone Information

Type	Phone
Business / Home Office	(440) 910-5737