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Use this simple E-mail form to send us the claim you would like to assign to us. We will get it faster than a Faxed claim mainly because you have to take or send the claim to your faxing dept. then wait. The following boxes allow you to state WHO, WHAT, WHERE, and WHEN to describe your claim. We will contact you if additional information is needed. |
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Would you like for us to submit reports to your company by E-mail? We can do it. We can send you everything including the color photos scanned in, the medical bills, the police report, the estimates etc., or just reports. You can also send us memos by E-Mail. If you are interested in that please put your name, address, and phone number in the boxes below, and we will contact you.
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P.O. Box 1567 Davenport, IA 52809 Phone Number: 1-(563)-285-4755 or 1-(309)-762-1626 Fax: 1-(563)-285-9809 Your Contact: Frank Clapp, socrates@netins.net Webmaster - Steve Kolb, steve@brokebox.com of Broke Box Webpage Design - Steve Kolb Copyright © 1997 Frontier ® Adjusters
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