Claim ID: 19952
Submitted: Jan-04-2019
Requested Processing: Photos required
Name: Kiasax
Email: buzmandy@probbox.com
Company: google
Phone: 82795531176
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1976-12-11
Insured Address: Denver
Insured Telephone: 87553638557
Claimant Address: Denver
Claimant Telephone: 88591284631
Loss Location
USA
Local Authorities:
Loss Description: ventolin hfa 90 mcg inhaler
Handling Instructions: ventolin hfa 90 mcg inhaler