Claim ID: 16791
Submitted: Nov-20-2018
Requested Processing: Photos required
Name: Kimsax
Email: bpepin@probbox.com
Company: google
Phone: 84452282393
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1976-11-12
Insured Address: Phoenix
Insured Telephone: 85359674658
Claimant Address: Phoenix
Claimant Telephone: 82566455996
Loss Location
USA
Local Authorities:
Loss Description: prednisone 20 mg
Handling Instructions: prednisone 20 mg