Claim ID: 16918
Submitted: Nov-22-2018
Requested Processing: Photos required
Name: Janesax
Email: mccrearycarpet@probbox.com
Company: google
Phone: 83342898712
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1978-11-12
Insured Address: San Jose
Insured Telephone: 83267116222
Claimant Address: San Jose
Claimant Telephone: 83633819925
Loss Location
USA
Local Authorities:
Loss Description: amoxicillin clavulanate
Handling Instructions: amoxicillin clavulanate