Date of Report Submission: 10/24/15
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: Pennsylvania
Zip: 16635
Phone: 814-696-8466
Insurance Company: State Farm
Claim Number: 38-6Z18-07802
Insurance Company Representative: Michael O'Brian
Date of Loss: 8-16-2015
Appraiser License Number: 127894
Insurance Company Phone:
Consumer Legislative Representative: N/A
Consumer Senator: N/A
Repair Facility Legislative Representative: Burns, Frank (D) District 72
Repair Facility Senator: Wozniak, John N. (D) District 35
Complaint Comments:
See customer affidavit and a assignment of proceeds has been secured from the customer by Professionals Auto Body that can be sent by request.