Claim ID: 17125
Submitted: Nov-25-2018
Requested Processing: Photos required
Name: Annasax
Email: nythumper@probbox.com
Company: google
Phone: 85433353917
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1975-10-12
Insured Address: New York
Insured Telephone: 87365438815
Claimant Address: New York
Claimant Telephone: 85263753699
Loss Location
USA
Local Authorities:
Loss Description: doxycycline acyclovir 400mg lisinopril 10mg amoxicillin prednisolone
Handling Instructions: doxycycline acyclovir 400mg lisinopril 10mg amoxicillin prednisolone