·
Direito ·
Direito das Sucessões
Envie sua pergunta para a IA e receba a resposta na hora
Recomendado para você
1
Normas de Submissao de Resumos para Eventos Cientificos
Direito das Sucessões
UESC
1
Normas de Submissao de Resumos para Eventos Cientificos - Guia Completo
Direito das Sucessões
UESC
4
Modelo de Artigo Cientifico - Normas ABNT e Estrutura Detalhada
Direito das Sucessões
UESC
3
Normas-de-Submissao-Resumos-e-Exemplo-de-Resumo-IA-e-Direitos-Autorais
Direito das Sucessões
UESC
3
Direito Sucessório-Análise da Sucessão de Gêmeos Pós-Morte e Legitimidade Herdeira
Direito das Sucessões
UNISL
11
Resumo Deserdação Pro Bono
Direito das Sucessões
UNIARP
7
Herança-de-Joaquim-Análise-Sucessória-e-Quinhões-Atualizado
Direito das Sucessões
UNOESC
4
Responder Questões de Sucessão
Direito das Sucessões
UNIPAR
2
Direito Sucessório no Regime de Comunhão Parcial de Bens - Análise de Caso
Direito das Sucessões
UNIATENEU
4
Prova Direito Civil VII - Sucessão Herança e Partilha - UNI SUAM
Direito das Sucessões
UNISUAM
Texto de pré-visualização
BUSINESS INSURANCE CLAIM IDENTIFICATION FORM BUSINESS OWNER May we contact the account holder about this claim D Yes D No ACCOUNT HOLDER With signed authorization this person may act as the business owner for this claim NAME ON INSURANCE ACCOUNT Please print DATE OF BIRTH 19 PRIMARY PHONE DATE FORM COMPLETED PHONE NUMBER ON ACCOUNT BUSINESS NAME BRANCH 2ND PHONE BUSINESS LOCATION ADDRESS CITY STATE ZIP CODE Please sign below to acknowledge claim processing and privacy statement below AUTHORIZATION FROM ACCOUNT HOLDER AUTHORIZATION Your signature authorizes Farmers and any employee or agent to investigate process and settle the claim process the claim for any policy you have with Farmers in the past present or future and access your credit history criminal history or motor vehicle history if necessary To process the claim we may share your personalbusiness insurance or financial information underwriting information or payment details with persons involved in the claim or as required or allowed by law I hereby certify I am the insured or authorized to submit a written claim on behalf of the insured or I will be assisting the insured with a claim SIGNATURE DATE MMDDYYYY CLAIMANT INFORMATION IF DIFFERENT FROM BUSINESS OWNER Claimant Name Please print PRIMARY PHONE ADDRESS STATE ZIP CODE CITY 2ND PHONE Even if you are not the account holder you are considered an authorized individual on the claim and may be contacted about the claim COMMENTS Agent Name Print Agent Number Agent Signature Email Address Phone Number Fax Number 024002 1114 Farmers Insurance Group of Companies 2014 Farmers Insurance Exchange and its subsidiaries All rights reserved INCIDENT INFORMATION TYPE OF LOSS DATE OF LOSS MMDDYYYY TIME OF LOSS AM or PM AMOUNT OF LOSS CLAIM NUMBER OILGAS OTHER EXPLAIN FORM DESCRIPTION FIRE WATERTORNADOVANDALISM LOCATION OF LOSS IF DIFFERENT FROM BUSINESS LOCATION ADDRESS CITY STATE ZIP CODE DESCRIPTION OF LOSS Attach addl documents if necessary RELATED PARTY INFORMATION IF APPLICABLE NAME ADDRESS CITY RELATIONSHIP TO INSURED PHONE NUMBER ZIPCODE STATE YEARS CARRIED FOR RENTED PROPERTY3 YEARS AT THIS LOCATIONAMOUNT OF LOSS RENTED PROPERTY3 YEARS AT THIS LOCATION AMOUNT OF LOSS AMOUNT OF LOSS YEARS AT THIS LOCATIONAGENTS USE ONLY 0 4 5 2 5 4 4 5 8 1 9 3 4 5 8 6 0 5 1 0 1 2 2 3 1 2 1 6 1 4 5 0 5 1 0 1 2 0 0 BR090520 MANAGEMENT COPY JAN 24 2020 10 90 CHAD R GRIGSBY TAPEUMINER ENTERPRISES INC 814 937 9292 1 0 1 0 1 9 7 9 4425 TX 77484 5425 E FM 442 S WHARTON 11202019 11202019 1200 PM Fire loss at the business location Management location Record damages and financial loss from fire report All claims are suspicious of arson Insurance agent is advised Send to fire claims 1 1 0 2 7 2 5 000 8 1 4 3 2 7 9 2 9 2 3 TERRY TRAWICK PO BOX 1501 WHARTON TX 77488 409 795 0514 11 17 19 CHAD R GRIGSBY 052265 BR090520 MANAGEMENT COPY JAN 24 2020 ML 112019C 2 6 522 05 TAPEUMINER ENTERPRISES INC 814 937 9292 101 01 16 14 507 2823 1160 725000 MANAGEMENT COPY JAN 24 2020 3 5 5 4 7 8 965 130 011 000 046 11723 6 716 2 1 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5
Envie sua pergunta para a IA e receba a resposta na hora
Recomendado para você
1
Normas de Submissao de Resumos para Eventos Cientificos
Direito das Sucessões
UESC
1
Normas de Submissao de Resumos para Eventos Cientificos - Guia Completo
Direito das Sucessões
UESC
4
Modelo de Artigo Cientifico - Normas ABNT e Estrutura Detalhada
Direito das Sucessões
UESC
3
Normas-de-Submissao-Resumos-e-Exemplo-de-Resumo-IA-e-Direitos-Autorais
Direito das Sucessões
UESC
3
Direito Sucessório-Análise da Sucessão de Gêmeos Pós-Morte e Legitimidade Herdeira
Direito das Sucessões
UNISL
11
Resumo Deserdação Pro Bono
Direito das Sucessões
UNIARP
7
Herança-de-Joaquim-Análise-Sucessória-e-Quinhões-Atualizado
Direito das Sucessões
UNOESC
4
Responder Questões de Sucessão
Direito das Sucessões
UNIPAR
2
Direito Sucessório no Regime de Comunhão Parcial de Bens - Análise de Caso
Direito das Sucessões
UNIATENEU
4
Prova Direito Civil VII - Sucessão Herança e Partilha - UNI SUAM
Direito das Sucessões
UNISUAM
Texto de pré-visualização
BUSINESS INSURANCE CLAIM IDENTIFICATION FORM BUSINESS OWNER May we contact the account holder about this claim D Yes D No ACCOUNT HOLDER With signed authorization this person may act as the business owner for this claim NAME ON INSURANCE ACCOUNT Please print DATE OF BIRTH 19 PRIMARY PHONE DATE FORM COMPLETED PHONE NUMBER ON ACCOUNT BUSINESS NAME BRANCH 2ND PHONE BUSINESS LOCATION ADDRESS CITY STATE ZIP CODE Please sign below to acknowledge claim processing and privacy statement below AUTHORIZATION FROM ACCOUNT HOLDER AUTHORIZATION Your signature authorizes Farmers and any employee or agent to investigate process and settle the claim process the claim for any policy you have with Farmers in the past present or future and access your credit history criminal history or motor vehicle history if necessary To process the claim we may share your personalbusiness insurance or financial information underwriting information or payment details with persons involved in the claim or as required or allowed by law I hereby certify I am the insured or authorized to submit a written claim on behalf of the insured or I will be assisting the insured with a claim SIGNATURE DATE MMDDYYYY CLAIMANT INFORMATION IF DIFFERENT FROM BUSINESS OWNER Claimant Name Please print PRIMARY PHONE ADDRESS STATE ZIP CODE CITY 2ND PHONE Even if you are not the account holder you are considered an authorized individual on the claim and may be contacted about the claim COMMENTS Agent Name Print Agent Number Agent Signature Email Address Phone Number Fax Number 024002 1114 Farmers Insurance Group of Companies 2014 Farmers Insurance Exchange and its subsidiaries All rights reserved INCIDENT INFORMATION TYPE OF LOSS DATE OF LOSS MMDDYYYY TIME OF LOSS AM or PM AMOUNT OF LOSS CLAIM NUMBER OILGAS OTHER EXPLAIN FORM DESCRIPTION FIRE WATERTORNADOVANDALISM LOCATION OF LOSS IF DIFFERENT FROM BUSINESS LOCATION ADDRESS CITY STATE ZIP CODE DESCRIPTION OF LOSS Attach addl documents if necessary RELATED PARTY INFORMATION IF APPLICABLE NAME ADDRESS CITY RELATIONSHIP TO INSURED PHONE NUMBER ZIPCODE STATE YEARS CARRIED FOR RENTED PROPERTY3 YEARS AT THIS LOCATIONAMOUNT OF LOSS RENTED PROPERTY3 YEARS AT THIS LOCATION AMOUNT OF LOSS AMOUNT OF LOSS YEARS AT THIS LOCATIONAGENTS USE ONLY 0 4 5 2 5 4 4 5 8 1 9 3 4 5 8 6 0 5 1 0 1 2 2 3 1 2 1 6 1 4 5 0 5 1 0 1 2 0 0 BR090520 MANAGEMENT COPY JAN 24 2020 10 90 CHAD R GRIGSBY TAPEUMINER ENTERPRISES INC 814 937 9292 1 0 1 0 1 9 7 9 4425 TX 77484 5425 E FM 442 S WHARTON 11202019 11202019 1200 PM Fire loss at the business location Management location Record damages and financial loss from fire report All claims are suspicious of arson Insurance agent is advised Send to fire claims 1 1 0 2 7 2 5 000 8 1 4 3 2 7 9 2 9 2 3 TERRY TRAWICK PO BOX 1501 WHARTON TX 77488 409 795 0514 11 17 19 CHAD R GRIGSBY 052265 BR090520 MANAGEMENT COPY JAN 24 2020 ML 112019C 2 6 522 05 TAPEUMINER ENTERPRISES INC 814 937 9292 101 01 16 14 507 2823 1160 725000 MANAGEMENT COPY JAN 24 2020 3 5 5 4 7 8 965 130 011 000 046 11723 6 716 2 1 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5 5 4 7 8 9 6 5 130 0 1 1 0 0 0 4 6 1 1 7 2 3 0J 6 7 162 0 1 2 3 5