Claim ID: 17442
Submitted: Nov-30-2018
Requested Processing: Photos required
Name: Janesax
Email: lloyds849@probbox.com
Company: google
Phone: 88817816318
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1975-11-11
Insured Address: San Jose
Insured Telephone: 88447128838
Claimant Address: San Jose
Claimant Telephone: 85351653973
Loss Location
USA
Local Authorities:
Loss Description: metformin er 500 mg
Handling Instructions: metformin er 500 mg