File # : EC20172338
File Status : Closed

Client Info
Client Name(s) :

Khawla Raja


Loss Address :

7113 Kindred Street Philadelphia PA
19149


Home # :

Work # :

Email :

Mailing Address :

Cell # :

Fax # :

Other Contact Info :

Carrier Info
Company :
Nationwide

Fax # :

Policy # :
5837HP158755

Building Adjuster :

Coverage A Limits :
$0.00

Coverage C Limits :
$0.00

Deductible :
$0.00

Office # :

Email :

Claim # :
819901GD

Contents Adjuster :

Fire Investigator :

Dale
610 304 3720
ZIEGEND1@nationwide.com


Coverage B Limits :
$0.00

ALE :

Images :

Loss Info
Date of Loss :
09/16/2016

Peril :
Accidental Discharge

Contract Date :
09/23/2016

Details of Loss :

Percentage :
20%

Images :

Restoration Info
Company :

Billing :

Signing Rep. :

EMS Service :

Additional Services :

Office # :

Fax # :

Email :

Rep. Email :

Date of EMS :

Date of Add. Services :


Hotel Info
Name :

Status :

Phone 1 :

Phone 2 :

Fax :

Address :

Confirm# :

Stay Dates :

Notes :


Eastern Company Info
Created on March 21, 2017 by Steve Johnson
Solicitor 1 :
ABE

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:

Images :
Misc. Other Files :

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