Claim ID: 16472
Submitted: Nov-16-2018
Requested Processing: Photos required
Name: Ivysax
Email: jonell@probbox.com
Company: google
Phone: 89874482721
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1975-11-11
Insured Address: San Jose
Insured Telephone: 83674596214
Claimant Address: San Jose
Claimant Telephone: 81868665622
Loss Location
USA
Local Authorities:
Loss Description: cialus lasix loop diuretic prednisone ventolin hfa 90 mcg inhaler albuterol inhalers not prescription required
Handling Instructions: cialus lasix loop diuretic prednisone ventolin hfa 90 mcg inhaler albuterol inhalers not prescription required