HomeMy WebLinkAboutPRR21130 Metro Reporting - Car Fire 5-8-21SASE,
!PLEASE RETURN THIS PORTION WITH REQUEST!
Account No. 06307 HGT-MI XM
Questions? Contact Metro's CALIFORNIA DEPARTMENT
Please Reply To:
Metropolitan Reporting Bureau
Box 926, William Penn Annex
Philadelphia, PA 19105-0926
Phone: (800) 245-6686
Fax No: (800) 343-9047
www.metroreporting.com
Email: report@metroreporting.com
Request for a(n) AUTO FIRE
REPORT NUMBER
INSURED
DATE OF LOSS
LOCATION
DRIVER
OTHER DRIVER
CLAIM NUMBER
: 21-02112
: IRA ALPERT
05/08/21
WE REPRESENT Hagerty Insurance
As agent for the above insurance company
Report. Please return this form with report.
12:01 P
San Luis Obispo, CA
San Luis Obi CA
Ira Alpert
DOB: 08/21/1942
DOB:
130712
POLICY#: 6P35226
VEHICLE YEAR 1976
MAKE/MODEL ROLLS-ROY SILVER S
DRIVER LICENSE# H0555653 STATE: CA
VIN# LRE26608
STATE
PLATE/TAG#
POLICE DEPARTMENT: SAN LUIS OBISPO FIRE DEPT.
BARRACKS/PCT.# SAN LUIS 0
DESCRIPTION Insured was pulling IV into garage and noticed whi
Insured was pulling IV into garage and noticed white smoke and pulled I
V out of garage when it started to smoke worse. Insured had to get out
of IV and call FD. They came and put IV out after a while of it burning
!PLEASE RETURN THE BOTTOM PORTION WITH REQUEST!
❑ Unable to Locate Report With Information Given
0 Loss Location Not In Our Jurisdiction. Try:
❑ Log Entry Only, No Report Written. Please attach call sheet.
0 Not Releasable 0 Not Ready Reason:
H If there is a charge for this service, please enclose your bill with
the report and our check will be issued promptly. 132 CA00000990
1131227220