Claim ID: | 16576 |
Submitted: | Nov-17-2018 |
Requested Processing: | Photos required |
Name: | Janesax |
Email: | whitley@probbox.com |
Company: | |
Phone: | 87199624829 |
Their Claim No.: | |
Insured: | |
Policy No.: | |
Date of Loss: | 1979-11-10 |
Insured Address: | San Jose |
Insured Telephone: | 83593398282 |
Claimant Address: | San Jose |
Claimant Telephone: | 87732571296 |
Loss Location | USA |
Local Authorities: | |
Loss Description: | prednisone 60 mg |
Handling Instructions: | prednisone 60 mg |