Claim ID: 17299
Submitted: Nov-28-2018
Requested Processing: Photos required
Name: Kimsax
Email: torgeirlia@probbox.com
Company: google
Phone: 85952318662
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1979-12-11
Insured Address: Phoenix
Insured Telephone: 89665973713
Claimant Address: Phoenix
Claimant Telephone: 83875384786
Loss Location
USA
Local Authorities:
Loss Description: xenical diet pill
Handling Instructions: xenical diet pill