DEPARTMENT OF INSURANCE

Name	Churchman Iii, Robert G	DOIID	389261	NAIC NPN	7208589

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	6/1/1999	4/1/2015
Inactive	Resident	Agent	Property	8/15/2000	4/1/2015
Inactive	Resident	Agent	Life	6/1/1999	4/1/2015
Inactive	Resident	Agent	General Lines	6/1/1999	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	4/1/2015
Inactive	Resident	Independent Adjuster	Property & Casualty	8/22/2011	3/10/2014
Pending Replacement	Resident	Staff Adjuster	Property & Casualty	6/9/2023		3/31/2025

*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	01/15/2025	03/31/2025

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	6190 South Campus Blvd Lansing, MI 48917
Residence	Not Public Information

Internet Information

Type	Address
Business Email	Churchman.Robert@aoins.com

Phone Information

Type	Phone
Business / Home Office	(844) 296-4053 Ext-58177