Claim ID: 17082
Submitted: Nov-25-2018
Requested Processing: Photos required
Name: Ivysax
Email: prayong@probbox.com
Company: google
Phone: 86167461747
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1979-12-10
Insured Address: San Jose
Insured Telephone: 89131432537
Claimant Address: San Jose
Claimant Telephone: 85224489882
Loss Location
USA
Local Authorities:
Loss Description: acyclovir prednisolone 20 mg lisinopril hct amoxicillin 500mg doxycycline
Handling Instructions: acyclovir prednisolone 20 mg lisinopril hct amoxicillin 500mg doxycycline