- The claimant’s:
- Full name.
- Date of birth.
- Address.
- Social Security number (if available).
- The insurer’s:
- Name.
- Claims department mailing address for lien receipt.
- Claim number in the proper format for identification of the claim.
- Claim date of loss.
- The adjustor’s:
- Name.
- Telephone number.
- Email address.
- Fax number.
Page Topic:
Information for insurance companies and adjustors