DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Milburn, Roy Anita	DOIID	315448	NAIC NPN	7162691

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Apprentice Adjuster	Not Applicable	9/30/1998	5/17/1999
Active	Resident	Independent Adjuster	Property & Casualty	12/21/2001		4/30/2026
* 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	02/15/2024	04/30/2024	03/26/2024	03/26/2024	Yes

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Davies Claims Solutions, LLC	548339	Independent Adjuster - Property & Casualty	4/23/2002	10/2/2003
Inactive	Willis Administrative Services Corporation	394874	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Willis of Louisville, Inc.	401313	Independent Adjuster - Property & Casualty	10/6/1999	12/21/2001

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sawyer, Jack C	360921	Apprentice Adjuster - Not Applicable	9/30/1998	5/17/1999