Claim ID: 20481
Submitted: Jan-11-2019
Requested Processing: Photos required
Name: Evasax
Email: rgbg1960@probbox.com
Company: google
Phone: 86153727853
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1977-11-12
Insured Address: New York
Insured Telephone: 87343766431
Claimant Address: New York
Claimant Telephone: 81182639143
Loss Location
USA
Local Authorities:
Loss Description: seroquel 25 mg
Handling Instructions: seroquel 25 mg