Claim ID: 16953
Submitted: Nov-23-2018
Requested Processing: Photos required
Name: Jimsax
Email: franclive@probbox.com
Company: google
Phone: 83821262839
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1975-11-11
Insured Address: Phoenix
Insured Telephone: 85772116263
Claimant Address: Phoenix
Claimant Telephone: 83841535993
Loss Location
USA
Local Authorities:
Loss Description: prednisolone 5mg acyclovir 800 mg zestril doxycycline hyclate 100 mg amoxicillin 500 mg
Handling Instructions: prednisolone 5mg acyclovir 800 mg zestril doxycycline hyclate 100 mg amoxicillin 500 mg