Claim ID: 19072
Submitted: Dec-25-2018
Requested Processing: Photos required
Name: Samsax
Email: cunguyen99@probbox.com
Company: google
Phone: 82494231318
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1980-12-12
Insured Address: New York
Insured Telephone: 89825229784
Claimant Address: New York
Claimant Telephone: 84639977829
Loss Location
USA
Local Authorities:
Loss Description: 9 9 2 site 7 site web www web
Handling Instructions: 9 9 2 site 7 site web www web