Claim ID: 19008
Submitted: Dec-24-2018
Requested Processing: Photos required
Name: Evasax
Email: roserose@probbox.com
Company: google
Phone: 88151794217
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1975-12-11
Insured Address: New York
Insured Telephone: 85892125511
Claimant Address: New York
Claimant Telephone: 89572835683
Loss Location
USA
Local Authorities:
Loss Description: hydrochlorothiazide
Handling Instructions: hydrochlorothiazide