File # : EC20194727
File Status : Open
Client Info
Client Name(s) :
Loss Address :
Home # :
Work # :
Email :
Joel Israel
Loss Address :
1313 N. 51st St.
Philadelphia Pa. 19131
Home # :
610-226-2546
Work # :
Email :
Mailing Address :
Cell # :
Fax # :
Other Contact Info :
542 Ridge Pike
Lafayette Hill, Pa 19444
Cell # :
610-226-2546
Fax # :
Other Contact Info :
Carrier Info
Company :
Fax # :
Policy # :
Building Adjuster :
Coverage A Limits :
Coverage C Limits :
Deductible :
Nationwide
Fax # :
Policy # :
DP1459724-01-39
Building Adjuster :
Coverage A Limits :
$0.00
Coverage C Limits :
$0.00
Deductible :
$0.00
Office # :
Email :
Claim # :
Contents Adjuster :
Fire Investigator :
Coverage B Limits :
ALE :
Email :
Claim # :
HF974854135
Contents Adjuster :
Fire Investigator :
Coverage B Limits :
$0.00
ALE :
Images :
Loss Info
Date of Loss :
Peril :
Peril :
Contract Date :
Details of Loss :
Percentage :
Details of Loss :
Percentage :
%
Images :
Restoration Info
Company :
Billing :
Signing Rep. :
EMS Service :
Additional Services :
Billing :
Signing Rep. :
EMS Service :
Additional Services :
Office # :
Fax # :
Email :
Rep. Email :
Date of EMS :
Date of Add. Services :
Fax # :
Email :
Rep. Email :
Date of EMS :
Date of Add. Services :
Hotel Info
Name :
Status :
Phone 1 :
Phone 2 :
Fax :
Status :
Phone 1 :
Phone 2 :
Fax :
Address :
Confirm# :
Stay Dates :
Notes :
Confirm# :
Stay Dates :
Notes :
Eastern Company Info
Created on June 15, 2019 by Steve Johnson
Solicitor 1 :
Solicitor 2 :
Adjuster :
Contents Adjuster :
Additional Adjuster :
Additional Claim Info:
Next Action Due Date:
Solicitor 1 :
Solicitor 2 :
Adjuster :
Contents Adjuster :
Additional Adjuster :
Additional Claim Info:
Next Action Due Date:
Date Claim Reported :
Solicitor 1 Email:
Solicitor 2 Email:
Adjuster Email :
Contents Adjuster Email:
Additional Adjuster Email :
Next Action:
Solicitor 1 Email:
Solicitor 2 Email:
Adjuster Email :
Contents Adjuster Email:
Additional Adjuster Email :
Next Action:
Images :
Misc. Other Files :
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