HomeMy WebLinkAbout04. B) Claim- FonsecaStatewide Services, Inc.
Claim Division 1241 John Q. Hammon Dr.
P.O. Box 5555
Madison, WI 53705-0555
677-204-9712
February 23, 2018
City of Oshkosh
PO Box 1130
Oshkosh, WI 54902
RE: Insured: City of Oshkosh
Claimant Name: Carmen Munoz
1303 W Weiland Ln.
Appleton, WI 54914
Claim Number: WM000702660915
Date of Loss: 1/20/2018
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
RFIC F"I IV' F, P
LAP_R__0_5_20_18_�
Cl'1'Y CLERI{`S ��1~ 1GF;