HomeMy WebLinkAbout07. A) Claim- SiewertStatewide Services, Inc.
Claim Division 1241 John Q, Hammons Dr,
P.O. Boz 5555
Madison, W1 53705-OSSS
877-204-9712
June 19, 2018
City of Oshkosh
PO Box 1130
Oshkosh, WI 54902
RE: Insured: City of Oshkosh
Claimant Name: Erin Siewert
2881 West Moor
Oshkosh, WI 54904
Claim Number: WM000702660931
Date of Loss: 6/18/2018
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
RECEIVED
JUN 2 0 2018
CITY CLERK'S +OFFICE