HomeMy WebLinkAbout03. A) Claim- DavisClaim Division 1241 John Q. Hammon Dr.
P.O. Box 5555
Madison, WI 53705-0555
877-2049712
January 9, 2018
City of Oshkosh
PO Box 1130
Oshkosh, WI 54902
RE: Insured: City of Oshkosh
Claimant Name: Peter Davis
2181 Knott Rd.
Oshkosh, WI 54904
Claim Number: WM000702660912
Date of Loss: 12/19/2017
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:
Ginger Kimpton
Senior Casualty Claims Adjuster
Phone: 855-828-5515
Fax: 866-828-6613
Email Address: gkimpton@statewidesvcs.com
Feel free to call or email the claim handler above.
Sincerely,
Statewide Services Claim Department
Cc: Phil Burkart
T
IVED9 2018
crry CL Rid"S +OFFICE