Claim ID: 16635
Submitted: Nov-18-2018
Requested Processing: Photos required
Name: Evasax
Email: royhayward65@probbox.com
Company: google
Phone: 84753786373
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1977-12-10
Insured Address: New York
Insured Telephone: 83131517128
Claimant Address: New York
Claimant Telephone: 84434411538
Loss Location
USA
Local Authorities:
Loss Description: ventolin hfa inhaler
Handling Instructions: ventolin hfa inhaler