File # : EC20171884
File Status : Closed

Client Info
Client Name(s) :

Patricia Jarrell


Loss Address :

16 E. Walnut Street
Magnolia, DE 19962


Home # :

Work # :

Email :

Mailing Address :

Cell # :
240-520-4089

Fax # :

Other Contact Info :

Carrier Info
Company :
State Farm

Fax # :

Policy # :

Building Adjuster :

Coverage A Limits :
$0.00

Coverage C Limits :
$0.00

Deductible :
$0.00

Office # :

Email :

Claim # :
0806796H4

Contents Adjuster :

Fire Investigator :

Michelle Beatly
253 267 7304


Coverage B Limits :
$0.00

ALE :

Images :

Loss Info
Date of Loss :
01/22/2017

Peril :
Fire

Contract Date :
01/23/2017

Details of Loss :

Percentage :
12%

Images :

Restoration Info
Company :
Priority

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 7, 2017 by Steve Johnson
Solicitor 1 :
George Carroll

Solicitor 2 :
Marshall

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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