Notes

<div data-container="" class="main-content ThemeGrid_Container" role="main" id="b1-MainContentWrapper"><div class="content-breadcrumbs ph" id="b1-Breadcrumbs"><div data-container="" class="OSInline" style="width: auto; letter-spacing: 2.325px;"><a data-link="" href="/CustomerPortal/Home">HOME</a> / <span style="font-weight: bold;">CLAIMS</span></div></div><div data-container="" class="content-top display-flex align-items-center"><div class="content-top-title heading1 ph" id="b1-Title"></div><div class="content-top-actions ph" id="b1-Actions"><div data-block="Adaptive.DisplayOnDevice" class="OSBlockWidget" id="$b3"><div class="display-on-device-phone" id="b3-OnPhone"></div></div></div></div><div class="content-middle" id="b1-MainContent"><div data-block="Claims.Claims" class="OSBlockWidget" id="$b5"><div data-block="Claims.ClaimsSearch" class="OSBlockWidget" id="b5-$b1"><div data-container="" class="card"><div data-container="" id="b5-b1-DetailContainer"><div data-block="Adaptive.Columns2" class="OSBlockWidget" id="b5-b1-$b1"><div data-container="" class="columns columns2 gutter-base tablet-break-none phone-break-none "><div class="columns-item" id="b5-b1-b1-Column1"><span style="font-size: 32px;">Claims</span></div><div class="columns-item" id="b5-b1-b1-Column2"><div data-container="" style="text-align: right;"><a data-link="" href="#" style="margin-top: 0px; padding: 0px;"><span style="font-weight: bold;">BACK TO CLAIMS HOME</span></a></div></div></div></div><div data-block="Claims.ClaimDetail" class="OSBlockWidget" id="b5-b1-$b2"><div data-container="" id="b5-b1-b2-TopContainer" style="left: 0px; position: absolute; top: -200px;"></div><div data-container="" class="detailContainer" id="b5-b1-b2-DetailContainer"><div data-container="" class="detailsHeader">Claim<span data-expression="" style="margin-left: 5px;">0002683407</span></div><div data-container="" class="detailBodyContainer"><div data-block="Adaptive.Columns3" class="OSBlockWidget" id="b5-b1-b2-$b1"><div data-container="" class="columns columns3 gutter-base tablet-break-none phone-break-all "><div class="columns-item" id="b5-b1-b2-b1-Column1"><div data-container="" class="claimDetailLabel">Named Insured</div><div data-container="" class="claimDetailItem" style="margin-bottom: 20px;"><span data-expression="">DAWN &amp; JOHN RICCI</span></div><div data-container="" class="claimDetailLabel">Address</div><div data-container="" class="claimDetailItem"><span data-expression="">24 BARBARA RD</span></div><div data-container="" class="claimDetailItem"><span data-expression="">HATBORO, Pennsylvania 19040-2006</span></div></div><div class="columns-item" id="b5-b1-b2-b1-Column2"><div data-container="" class="claimDetailLabel">Policy Number</div><div data-container="" class="claimDetailItem"><span data-expression="">347408H</span></div></div><div class="columns-item" id="b5-b1-b2-b1-Column3"><div data-container="" class="claimDetailLabel">Claim Status</div><div data-container="" class="claimDetailItem" style="margin-bottom: 20px;"><span data-expression="">Open</span></div><div data-container="" class="claimDetailLabel">Date Closed</div><div data-container="" class="claimDetailItem"><span data-expression=""></span></div></div></div></div></div></div><div data-block="Navigation.Tabs" class="OSBlockWidget" id="b5-b1-b2-$b9"><section data-advancedhtml="" class="osui-tabs osui-tabs--is-horizontal osui-tabs--is-left" name="0.qksay7zcdv" style="--tabs-header-items: 3; --tabs-height: auto; --tabs-content-item-overflow: initial;"><header data-advancedhtml="" class="osui-tabs__header"><div class="display-contents ph" id="b5-b1-b2-b9-Header" role="tablist"><div data-block="Navigation.TabsHeaderItem" class="OSBlockWidget" id="b5-b1-b2-$b10"><button data-advancedhtml="" class="osui-tabs__header-item" name="0.bhlzs5aaz5w" data-tab="0" role="tab" tabindex="-1" aria-selected="false" aria-controls="b5-b1-b2-$b13"><div class="display-contents ph" id="b5-b1-b2-b10-Title"><span style="font-size: 18px;">Summary</span></div></button></div><div data-block="Navigation.TabsHeaderItem" class="OSBlockWidget" id="b5-b1-b2-$b11"><button data-advancedhtml="" class="osui-tabs__header-item osui-tabs--is-active" name="0.3rlw0k2sjif" data-tab="1" role="tab" tabindex="0" aria-selected="true" aria-controls="b5-b1-b2-$b15"><div class="display-contents ph" id="b5-b1-b2-b11-Title"><span style="font-size: 18px;">Payments</span></div></button></div><div data-block="Navigation.TabsHeaderItem" class="OSBlockWidget" id="b5-b1-b2-$b12"><button data-advancedhtml="" class="osui-tabs__header-item" name="0.y9d2zitig5" data-tab="2" role="tab" tabindex="-1" aria-selected="false" aria-controls="b5-b1-b2-$b17"><div class="display-contents ph" id="b5-b1-b2-b12-Title"><span style="font-size: 18px;">Contact Information</span></div></button></div></div><div data-container="" class="osui-tabs__header__indicator" aria-hidden="true" style="--tabs-indicator-transform: 109px; --tabs-indicator-size: 111px;"></div></header><section data-advancedhtml="" class="osui-tabs__content"><div class="display-contents ph" id="b5-b1-b2-b9-Content"><div data-block="Navigation.TabsContentItem" class="OSBlockWidget" id="b5-b1-b2-$b13"><article data-advancedhtml="" class="osui-tabs__content-item" name="0.eydguxkfn6" data-tab="0" tabindex="-1" aria-hidden="true" aria-labelledby="b5-b1-b2-$b10" role="tabpanel"><div class="display-contents" id="b5-b1-b2-b13-Content"><div data-block="Claims.Summary" class="OSBlockWidget" id="b5-b1-b2-$b14"><div data-container="" style="border-color: rgb(203, 202, 202); border-radius: 4px; border-style: solid; border-width: 1px;"><div data-container="" style="background-color: rgb(247, 247, 247); border-color: rgb(203, 202, 202); border-radius: 4px 4px 0px 0px; border-style: solid; border-width: 0px; height: 50px;"></div><div data-container="" style="padding: 20px;"><div data-block="Adaptive.Columns3" class="OSBlockWidget" id="b5-b1-b2-b14-$b1"><div data-container="" class="columns columns3 gutter-none tablet-break-none phone-break-all "><div class="columns-item" id="b5-b1-b2-b14-b1-Column1"><div data-container="" class="claimDetailLabel">Date of Loss</div><div data-container="" class="claimDetailItem" style="margin-bottom: 20px;"><span data-expression="">09/04/2025</span></div><div data-container="" class="claimDetailLabel">Claim Type</div><div data-container="" class="claimDetailItem" style="margin-bottom: 20px;"><span data-expression="">Auto</span></div><div data-container="" class="claimDetailLabel">Loss Location</div><div data-container="" class="claimDetailItem" style="margin-bottom: 0px;"><span data-expression="">206 South</span></div><div data-container="" class="claimDetailItem" style="margin-bottom: 20px;"><span data-expression="">Columbus, NJ </span></div></div><div class="columns-item" id="b5-b1-b2-b14-b1-Column2"><div data-container="" class="claimDetailLabel">Date Reported</div><div data-container="" class="claimDetailItem" style="margin-bottom: 20px;"><span data-expression="">09/05/2025</span></div><div data-container="" class="claimDetailLabel">Reported By (Relationship to Insured)</div><div data-container="" class="claimDetailItem" style="margin-bottom: 20px;"><span data-expression="">Self</span></div></div><div class="columns-item" id="b5-b1-b2-b14-b1-Column3"><div data-container="" class="claimDetailLabel">Cause of Loss</div><div data-container="" class="claimDetailItem" style="margin-bottom: 20px;"><span data-expression="">Auto Accident: All Other</span></div><div data-container="" class="claimDetailLabel">Loss Description</div><div data-container="" class="claimDetailItem" style="margin-bottom: 20px;"><span data-expression="">Collision with moving or occupied vehicle</span></div></div></div></div><div data-container="" style="margin-bottom: 30px;"><div data-block="Adaptive.ColumnsMediumLeft" class="OSBlockWidget" id="b5-b1-b2-b14-$b5"><div data-container="" class="columns columns-medium-left gutter-none tablet-break-none phone-break-all "><div class="columns-item" id="b5-b1-b2-b14-b5-Column1"><div data-container="" class="claimDetailLabel" style="border-color: rgb(203, 202, 202); border-style: none none solid; border-width: 0px 0px 1px;">Driver Details</div></div><div class="columns-item" id="b5-b1-b2-b14-b5-Column2"><div data-block="Adaptive.Columns2" class="OSBlockWidget" id="b5-b1-b2-b14-$b6"><div data-container="" class="columns columns2 gutter-none tablet-break-none phone-break-none "><div class="columns-item" id="b5-b1-b2-b14-b6-Column1"><div data-container="" class="claimDetailLabel" style="border-color: rgb(203, 202, 202); border-style: none none solid; border-width: 0px 0px 1px;">Driver Name</div></div><div class="columns-item" id="b5-b1-b2-b14-b6-Column2"><div data-container="" class="claimDetailLabel" style="border-color: rgb(203, 202, 202); border-style: none none solid; border-width: 0px 0px 1px;">Role</div></div></div></div><div data-list="" class="list list-group OSFillParent" style="position: relative;"><script style="display: flex; height: 0px; width: 100%;"></script><div data-block="Adaptive.Columns2" class="OSBlockWidget" id="b5-b1-b2-b14-l2-272_0-$b7"><div data-container="" class="columns columns2 gutter-none tablet-break-none phone-break-none "><div class="columns-item" id="b5-b1-b2-b14-l2-272_0-b7-Column1"><div data-container="" class="claimDetailItem" style="margin-bottom: 0px;"><span data-expression="">DAWN RICCI</span></div></div><div class="columns-item" id="b5-b1-b2-b14-l2-272_0-b7-Column2"><div data-container="" class="claimDetailItem" style="margin-bottom: 0px;">Driver</div></div></div></div><script style="display: flex; height: 0px; width: 100%;"></script></div></div></div></div></div><div data-container="" style="margin-bottom: 30px;"><div data-block="Adaptive.ColumnsMediumLeft" class="OSBlockWidget" id="b5-b1-b2-b14-$b8"><div data-container="" class="columns columns-medium-left gutter-none tablet-break-none phone-break-all "><div class="columns-item" id="b5-b1-b2-b14-b8-Column1"><div data-container="" class="claimDetailLabel" style="border-color: rgb(203, 202, 202); border-style: none none solid; border-width: 0px 0px 1px;">Involved Vehicle</div></div><div class="columns-item" id="b5-b1-b2-b14-b8-Column2"><div data-block="Adaptive.Columns2" class="OSBlockWidget" id="b5-b1-b2-b14-$b9"><div data-container="" class="columns columns2 gutter-none tablet-break-none phone-break-none "><div class="columns-item" id="b5-b1-b2-b14-b9-Column1"><div data-container="" class="claimDetailLabel" style="border-color: rgb(203, 202, 202); border-style: none none solid; border-width: 0px 0px 1px;">Description</div></div><div class="columns-item" id="b5-b1-b2-b14-b9-Column2"><div data-container="" class="claimDetailLabel" style="border-color: rgb(203, 202, 202); border-style: none none solid; border-width: 0px 0px 1px;">VIN Number</div></div></div></div><div data-list="" class="list list-group OSFillParent" style="position: relative;"><script style="display: flex; height: 0px; width: 100%;"></script><div data-block="Adaptive.Columns2" class="OSBlockWidget" id="b5-b1-b2-b14-l3-272_0-$b10"><div data-container="" class="columns columns2 gutter-none tablet-break-none phone-break-none "><div class="columns-item" id="b5-b1-b2-b14-l3-272_0-b10-Column1"><div data-container="" class="claimDetailItem" style="margin-bottom: 0px;"><span data-expression="">2024 Chevrolet TRAX LS</span></div></div><div class="columns-item" id="b5-b1-b2-b14-l3-272_0-b10-Column2"><div data-container="" class="claimDetailItem" style="margin-bottom: 0px;"><span data-expression="">KL77LFE26RC021768</span></div></div></div></div><script style="display: flex; height: 0px; width: 100%;"></script></div></div></div></div></div></div></div></div></div></article></div><div data-block="Navigation.TabsContentItem" class="OSBlockWidget" id="b5-b1-b2-$b15"><article data-advancedhtml="" class="osui-tabs__content-item osui-tabs--is-active" name="0.4i2515phhxi" data-tab="1" tabindex="0" aria-hidden="false" aria-labelledby="b5-b1-b2-$b11" role="tabpanel"><div class="display-contents" id="b5-b1-b2-b15-Content"><div data-block="Claims.Payments" class="OSBlockWidget" id="b5-b1-b2-$b16"><div data-container="" style="border-color: rgb(203, 202, 202); border-radius: 4px; border-style: solid; border-width: 1px; height: auto;"><div data-container="" style="background-color: rgb(247, 247, 247); border-color: rgb(203, 202, 202); border-radius: 4px 4px 0px 0px; border-style: solid; border-width: 0px; height: 50px;"></div><div data-container="" style="padding: 20px;"><table class="table" role="grid"><thead><tr class="table-header"><th class="sortable" tabindex="0" style="text-align: right;">Issue Date<div class="sortable-icon"></div></th><th class="sortable" tabindex="0">Description<div class="sortable-icon"></div></th><th class="sortable" tabindex="0">Payment Method<div class="sortable-icon"></div></th><th class="sortable" tabindex="0">Status<div class="sortable-icon"></div></th><th class="sortable" tabindex="0">Gross Amount<div class="sortable-icon"></div></th><th class="sortable" tabindex="0">Deductible<div class="sortable-icon"></div></th><th class="sortable" tabindex="0" style="text-align: right;">NetPayment<div class="sortable-icon"></div></th></tr></thead></table></div></div></div></div></article></div><div data-block="Navigation.TabsContentItem" class="OSBlockWidget" id="b5-b1-b2-$b17"><article data-advancedhtml="" class="osui-tabs__content-item" name="0.jmf4y2ejry9" data-tab="2" tabindex="-1" aria-hidden="true" aria-labelledby="b5-b1-b2-$b12" role="tabpanel"><div class="display-contents" id="b5-b1-b2-b17-Content"><div data-block="Claims.Contacts" class="OSBlockWidget" id="b5-b1-b2-$b18"><div data-container="" style="border-color: rgb(203, 202, 202); border-radius: 4px; border-style: solid; border-width: 1px; height: auto;"><div data-container="" style="background-color: rgb(247, 247, 247); border-color: rgb(203, 202, 202); border-radius: 4px 4px 0px 0px; border-style: solid; border-width: 0px; height: 50px;"></div><div data-container="" style="padding: 20px;"><div data-block="Adaptive.Columns3" class="OSBlockWidget" id="b5-b1-b2-b18-$b1"><div data-container="" class="columns columns3 gutter-base tablet-break-none phone-break-all "><div class="columns-item" id="b5-b1-b2-b18-b1-Column1"><div data-container="" class="claimDetailLabel">Claims Adjuster</div><div data-container="" class="claimDetailItem" style="margin-bottom: 0px;"><span data-expression="">Laura Rucci</span></div><div data-container="" class="contactLinkInfo"><a data-link="" href="mailto:[email protected]" tabindex="-1"><span data-expression="">[email protected]</span></a></div><div data-container="" class="contactLinkInfo"><a data-link="" href="tel:614.430.5635" tabindex="-1"><span data-expression="">614.430.5635</span></a><span data-expression="" class="ThemeGrid_MarginGutter"></span></div></div><div class="columns-item" id="b5-b1-b2-b18-b1-Column2"><div data-container="" class="claimDetailLabel">My Agency</div><div data-container="" class="claimDetailItem" style="margin-bottom: 0px;"><span data-expression="">Jack B Kustra LTD</span></div></div><div class="columns-item" id="b5-b1-b2-b18-b1-Column3"></div></div></div></div></div></div></div></article></div></div></section></section></div></div></div><div data-container="" id="b5-b1-TopOfSearchContainer" style="height: 0px; position: relative; top: 70px;"></div></div></div></div><div data-block="Adaptive.DisplayOnDevice" class="OSBlockWidget" id="$b6"><div class="display-on-device-phone" id="b6-OnPhone"><div data-container="" class="cardTile" style="margin-top: 10px;"><div data-block="Flow.Links" class="OSBlockWidget" id="$b7"><div data-container="" style="text-align: center; height: 100%;"><div data-container="" style="height: 25%;"></div><div data-container="" class="OSInline" style="text-align: left; width: auto; height: 50%; letter-spacing: 2.325px;"><div data-container="" style="text-align: left;"><div data-container="" class="pageImageContainer OSInline"><a data-link="" href="/CustomerPortal/AccountSettings"><img data-image="" src="/CustomerPortal/img/PageLinks_CW.Settings.png?LDMbZz8_HaNyWx6JyGdOuw" style="margin-left: 0px; margin-right: 0px;"></a></div><div data-container="" class="OSInline" style="width: auto; margin-left: 0px;"><a data-link="" href="/CustomerPortal/AccountSettings"><div data-container="" class="pageLinkContainer OSInline" style="margin-bottom: 0px;"><span class="font-bold pageLinks" style="height: auto; margin-bottom: 0px; padding: 0px;">ACCOUNT SETTINGS</span></div></a></div></div><div data-container="" style="text-align: left;"><div data-container="" class="pageImageContainer OSInline"><a data-link="" href="/CustomerPortal/Help"><img data-image="" src="/CustomerPortal/img/PageLinks_CW.Help.png?c+eDuPaW5RCwvQROPjmKtg" style="margin-left: 0px; margin-right: 0px;"></a></div><div data-container="" class="OSInline" style="width: auto; margin-left: 0px;"><a data-link="" href="/CustomerPortal/Help"><div data-container="" class="pageLinkContainer OSInline" style="margin-bottom: 0px;"><span class="font-bold pageLinks" style="height: auto; margin-bottom: 0px; padding: 0px;">HELP</span></div></a></div></div><div data-container="" style="text-align: left;"><div data-container="" class="pageImageContainer OSInline"><a data-link="" href="#"><img data-image="" src="/CustomerPortal/img/PageLinks_CW.feedbackicon.png?pso5FbI9__UMAsh58c5MtA" style="margin-left: 0px; margin-right: 0px;"></a></div><div data-container="" class="OSInline" style="width: auto; margin-left: 0px;"><a data-link="" href="#"><div data-container="" class="pageLinkContainer OSInline" style="width: auto; margin-bottom: 0px; margin-right: 0px;"><span class="font-bold pageLinks" style="height: auto; margin-bottom: 0px; padding: 0px;">FEEDBACK</span></div></a></div></div></div></div></div></div></div></div></div></div>