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Auto-Owners (Mutual) Insurance Company, Case No. No. 2023-LA-0000143
Circuit Court for Peoria County, Illinois

SUBMIT BY FEBRUARY 26, 2024

OR MAIL TO:

Walker v Auto-Owners
c/o Atticus Administration
PO Box 64053
St. Paul, MN 55164
Email: aodepreciationsettlement@atticusadmin.com
Claimant Information
Insured Name
Business Name
Mailing Address*
Street Address Address Line 2 City State Zip Code
Current Phone Number*
Current Email Address*
Claimant ID*
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Accepted file types: pdf, jpg, jpeg, bmp, png, docx, doc, xlsx, xls, Max. file size: 16 MB, Max. files: 10.
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