Claim ID: 19642
Submitted: Dec-31-2018
Requested Processing: Photos required
Name: Janesax
Email: lennartalvarsson@probbox.com
Company: google
Phone: 84697243965
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1980-11-11
Insured Address: San Jose
Insured Telephone: 84453997832
Claimant Address: San Jose
Claimant Telephone: 84628638689
Loss Location
USA
Local Authorities:
Loss Description: ventolin hfa 90 mcg
Handling Instructions: ventolin hfa 90 mcg