Step 1 of 2 50% Claim Number* Final Confirmation – Please confirm the information below and click submit to receive your disbursement. {Name (First):1.3} {Name (Last):1.6} {Address (Street Address):3.1} {Address (Address Line 2):3.2} {Address (City):3.3} {Address (State / Province):3.4} {Address (ZIP / Postal Code):3.5} {Address (Country):3.6} 12/23/2024 Vehicle on Claim: 2013 Honda Odyssey VIN: 5FNRL5H60DB078998 Incident Date: 12/23/2024 Claim Number: {Claim Number:1} Phone Number:800-630-8045 Fax Number:866-447-4293 Office Hours: Open 24 hours a day,7 day a week Andy’s Body Shop – all forms signed and completed Insured – forms reviewed but not yet signed
