Claim ID: 19005
Submitted: Dec-24-2018
Requested Processing: Photos required
Name: Samsax
Email: juan0@probbox.com
Company: google
Phone: 83139381241
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1979-11-10
Insured Address: New York
Insured Telephone: 88919327935
Claimant Address: New York
Claimant Telephone: 84359257353
Loss Location
USA
Local Authorities:
Loss Description: 9 www 3 home www 0 5 web 4
Handling Instructions: 9 www 3 home www 0 5 web 4