Claim ID: 17216
Submitted: Nov-27-2018
Requested Processing: Photos required
Name: Evasax
Email: brenna@probbox.com
Company: google
Phone: 88215558875
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1977-12-12
Insured Address: New York
Insured Telephone: 85646197651
Claimant Address: New York
Claimant Telephone: 87494287679
Loss Location
USA
Local Authorities:
Loss Description: synthroid levothyroxine
Handling Instructions: synthroid levothyroxine