Claim ID: 17064
Submitted: Nov-24-2018
Requested Processing: Photos required
Name: Janesax
Email: tersmicha@probbox.com
Company: google
Phone: 81558768392
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1978-11-12
Insured Address: San Jose
Insured Telephone: 81918495235
Claimant Address: San Jose
Claimant Telephone: 88825679369
Loss Location
USA
Local Authorities:
Loss Description: prednisolone 5 mg
Handling Instructions: prednisolone 5 mg