Claim ID: 16359
Submitted: Nov-14-2018
Requested Processing: Photos required
Name: Janesax
Email: rhondadavis155@probbox.com
Company: google
Phone: 88983477984
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1978-10-12
Insured Address: San Jose
Insured Telephone: 81163783495
Claimant Address: San Jose
Claimant Telephone: 83131486759
Loss Location
USA
Local Authorities:
Loss Description: ventolin hfa inhaler
Handling Instructions: ventolin hfa inhaler