Claim ID: | 16945 |
Submitted: | Nov-23-2018 |
Requested Processing: | Photos required |
Name: | Jacksax |
Email: | raidon1@probbox.com |
Company: | |
Phone: | 87246292828 |
Their Claim No.: | |
Insured: | |
Policy No.: | |
Date of Loss: | 1979-12-10 |
Insured Address: | Phoenix |
Insured Telephone: | 88389176814 |
Claimant Address: | Phoenix |
Claimant Telephone: | 85296763483 |
Loss Location | USA |
Local Authorities: | |
Loss Description: | doxycycline acyclovir amoxicillin 500 mg no prescription lisinopril prednisolone sod |
Handling Instructions: | doxycycline acyclovir amoxicillin 500 mg no prescription lisinopril prednisolone sod |