c-l-u-e reports and your insurance

C.L.U.E Reports and
your insurance

C.L.U.E.® Auto Claims Report

in Compliance with FACT Act. This report has a
whole lot to do with your car insurance rates.
Incidents on this report are added to any moving
violations that you might have. DMV points +
C.L.U.E.(Insurance points) = your points total.

Date Ordered: 10 / 11 / 2015 Expires On: 11/11/2015

C.L.U.E. AUTO CLAIMS REPORT

Reference #: 10531111940410 Date of Order: 010/ 11 / 2012
Account: 113272 Date of Receipt: 11 / 11 / 2012
Recap: SUBJECT 1 CLAIM (S) REPORTED
POSSIBLE RELATED CLAIMS 0
CLAIM (S) REPORTED

SEARCH REQUEST

Subject
Name:
JOHNNY DOE
Date of Birth: 01 / XX / 19XX
SSN: XXX-XX-XXXX
Sex: U
Address: 1111111 ON MAIN ST
Anytown, NJ 08000

REPORTED CLAIM HISTORY

The 7-year loss history
below is associated with the subject and
information listed in the Search Request
section
of this report. Additional loss history
information may be available if additional
search information is provided.
CLAIM 1
Claim Date/Age: 01 / 01 / 2008 CLUE File #: 1234567890123456
Company: PROGRESSIVE INSURANCE Claim #: 1234567
Policy #: ABCD1234567890 Policy Type: PERSONAL AUTO INSURANCE
Policy Holder: DOE , JOHNNY W Vehicle Operator: DOE , MSJANE
Date of Birth: 11 / XX / 19XX
SSN: XXX-XX-XXXX
Sex: M
Address: 1111111 ON MAIN ST
Anytown, NJ 08000
Drivers
License #:
12345XXXX NJ
Vehicle: MY CAR TYPE
VIN: 1A2B3C4D5E6F7G8H9 Disposition: N/A
PAYMENTS BY CLAIM
TYPE
Amount Type Status
$0 COLLISION CLOSED
$710 PHYSICAL/PROPERTY DAMAGE CLOSED
$0 RENTAL REIMBURSEMENT CLOSED
Additional
Info:
N/A

POSSIBLE RELATED CLAIMS

Claims listed below are
based on a match of the
subjects last name and the address(es)
listed in the Search
Request section of this report.
CLAIM 1
Claim Date/Age: 06 / 05 / 2015 CLUE File #: 1234567890123456
Company: PROGRESSIVE INSURANCE Claim #: 111199191954321
Policy #: ABCD1234567890 Policy Type: PERSONAL AUTO INSURANCE
Policy Holder: DOE , JAMES W Vehicle Operator: DOE , MSJANE
Date of Birth: 01 / XX / 19XX
SSN: XXX-XX-XXXX
Sex: M
Address: 1111111 ON MAIN ST
Anytown, NJ 08000
Drivers
License #:
12345XXXX GA
Vehicle: JEEP LBRTYSPFRD
VIN: 1c2B933D5E6F7G9H1 Disposition: N/A
PAYMENTS BY CLAIM
TYPE
Amount Type Status
$18,000 COLLISION CLOSED
$50 RENTAL REIMBURSEMENT CLOSED
Additional
Info:
N/A

INQUIRY HISTORY

Date: 11 / 22 / 2014 Requestor: FACTACT/CHOICEPOINT
Date: 04 / 01 / 2015 Requestor: FACTACT/CHOICEPOINT
Prepared by: COMPREHENSIVE LOSS
UNDERWRITING EXCHANGE
C.L.U.E. Inc., Atlanta, GA.
C.L.U.E. is a registered
trademark of
LexisNexis Risk Solutions Inc.