Claim ID: 16783
Submitted: Nov-20-2018
Requested Processing: Photos required
Name: Evasax
Email: skinnerpas05@probbox.com
Company: google
Phone: 84989159249
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1980-10-10
Insured Address: New York
Insured Telephone: 84621955163
Claimant Address: New York
Claimant Telephone: 86696373977
Loss Location
USA
Local Authorities:
Loss Description: ventolin inhaler
Handling Instructions: ventolin inhaler