DEPARTMENT OF INSURANCE

Affiliations

Name	Black, Courtney	DOIID	902398	NAIC NPN	17495619

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Independent Adjuster	Property & Casualty	12/23/2015	3/20/2020
Inactive	Non Resident	Staff Adjuster	Property & Casualty	4/6/2020	11/30/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Crawford & Company	401229	Independent Adjuster - Property & Casualty	12/29/2015	3/20/2020