DEPARTMENT OF INSURANCE

Name	Maxwell, Chadwick Manuel	DOIID	1326152	NAIC NPN	7126010

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date	Designated Home State
Active	Non Resident	Independent Adjuster	Crop	2/27/2024	4/30/2027	Georgia
Active	Non Resident	Independent Adjuster	Property & Casualty	2/27/2024	4/30/2027	Georgia
Active	Non Resident	Independent Adjuster	Workers' Compensation	2/27/2024	4/30/2027	Georgia

*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	02/15/2025	04/30/2025	02/19/2025	02/19/2025	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	4875 Avalon Ridge Pkwy Peachtree Corners, GA 300714712
Residence	Not Public Information

Internet Information

Type	Address
Business Email	licensing@custard.com

Phone Information

Type	Phone
Business / Home Office	(770) 480-3142