Date of Report Submission: 10/03/15
Name:
Address:
City:
State:
Zip:
Daytime Phone:
Evening Phone:
Repair Facility: Professionals Auto Body Inc.
State Appraiser License: 135145
Shop Representative: Bob Brickner
Address: 1109 Plank Road
City: Duncansville
State: Pa
Zip: 16648
Phone: 814-696-8466
Insurance Company: Nationwide
Claim Number: 131180-GC-1
Insurance Company Representative:
Date of Loss: 9-15-2015
Appraiser License Number:
Insurance Company Phone:
Consumer Legislative Representative: Ward, Judy (R) District 80
Consumer Senator: Eichelberger, John H. (R) District 30
Repair Facility Legislative Representative: Ward, Judy (R) District 80
Repair Facility Senator: Eichelberger, John H. (R) District 30
Complaint Comments:
See affidavit