Claim ID: 16735
Submitted: Nov-19-2018
Requested Processing: Photos required
Name: Janesax
Email: claper1965@probbox.com
Company: google
Phone: 82631587642
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1978-10-10
Insured Address: San Jose
Insured Telephone: 85821338311
Claimant Address: San Jose
Claimant Telephone: 87442667266
Loss Location
USA
Local Authorities:
Loss Description: proair albuterol inhaler
Handling Instructions: proair albuterol inhaler