Information Statement - Idaho Department Of Insurance Page 2
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2IDAHO DEPARTMENT OF INSURANCE
INFORMATION STATEMENT
Page 2
7.
Claims Administrator:
Contact and Title: ____________________________________________________________
Street or P.O.: _______________________________________________________________
City: ____________________________________ State: __________ Zip: ______________
Phone: ___________________________________ FAX: ____________________________
Toll-Free Telephone Number: _________________E-mail address______________________
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