Claim ID: 17296
Submitted: Nov-28-2018
Requested Processing: Photos required
Name: Evasax
Email: jeanene@probbox.com
Company: google
Phone: 88424884449
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1976-11-10
Insured Address: New York
Insured Telephone: 83988711487
Claimant Address: New York
Claimant Telephone: 83298737188
Loss Location
USA
Local Authorities:
Loss Description: metformin 500mg
Handling Instructions: metformin 500mg