Claim ID: 19292
Submitted: Dec-27-2018
Requested Processing: Photos required
Name: Samsax
Email: handymandean05@probbox.com
Company: google
Phone: 85565223632
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1978-10-11
Insured Address: New York
Insured Telephone: 87364222595
Claimant Address: New York
Claimant Telephone: 84193959518
Loss Location
USA
Local Authorities:
Loss Description: 1 5 site 3 4
Handling Instructions: 1 5 site 3 4