Claim ID: 18849
Submitted: Dec-22-2018
Requested Processing: Photos required
Name: Evasax
Email: jettmanbo@probbox.com
Company: google
Phone: 87415539568
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1980-12-10
Insured Address: New York
Insured Telephone: 83374893571
Claimant Address: New York
Claimant Telephone: 87789573149
Loss Location
USA
Local Authorities:
Loss Description: hydrochlorothiazide 25mg
Handling Instructions: hydrochlorothiazide 25mg