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Please fill out all four boxes. Please copy and paste the following into the fourth "COMMENT" box for the balance of the necessary information.
Claim Number: Date of Loss: __ / __ / 2022 Name of Insured: Insured's Address: Insured's Phone Number: Secondary Phone Number: Policy Limits: Dwelling Limit: $ Other Structure's Limit: $ Personal Belongings Limit: $ Deductible: $ Adjuster's Phone: Adjuster's Mailing Address: Underwriting Company: Special Instructions for this Assignment: **************************************************** **************************************************** *** NOTE: *** Alternatively, the above information, along with your name and email address, may be copied and pasted into an emailed addressed to GuyAnthonyLyons@gmail.com. You may also call Guy Lyons directly with new claim information @ 661-805-9103. |
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