HomeMy WebLinkAbout03. A) Claim- JohnsonStatewide Services, Inc.
Claim Division 1241 John Q. Hammon Dc
P.Q. Box 5555
Madison, WI 53705 -0555
877- 204 -9712
September 12, 2016
City of Oshkosh
PO Box 1130
Oshkosh, WI 54902
RE: Insured: City of Oshkosh
Claimant Name: John Johnson
2453 Burnwood Drive
Oshkosh, WI 54902
Claim Number: W M000702660846
Date of Loss: 11/03/2015
Statewide Services, Inc. is the third -party administrator for the League of Wisconsin
Municipalities Mutual Insurance liability and auto program. We received notice of the
above - referenced claim and want to assure you that we are in the process of reviewing it.
This claim has been assigned to:
Doug Dethe
Casualty Claims Specialist
Phone: 608 - 828 -5503
Fax: 800 - 720 -3512
Email Address: ddetlie @statewidesvcs.com
Feel free to call or email the claim handler above.
Sincerely,
Statewide Services Claim Department
Cc: Tim Nickels
RECEIVED
L!SE!!P 1 2 2016
CITY CLERIC'S OFFICE