Claim ID: 17238
Submitted: Nov-27-2018
Requested Processing: Photos required
Name: Kimsax
Email: leswolfson@probbox.com
Company: google
Phone: 86615299999
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1979-10-12
Insured Address: Phoenix
Insured Telephone: 81357947341
Claimant Address: Phoenix
Claimant Telephone: 87197717444
Loss Location
USA
Local Authorities:
Loss Description: metformin er 500 mg
Handling Instructions: metformin er 500 mg