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Marco A. Medina

property damage
medium
CS-2607-7750·Auto Accident·joselin@azandassociates.net
Original Intake Submitted
Staff Updates Applied
Last updated by StaffAug 3, 2026 3:12 PM

Missing Information

Client Insurance
Client Vehicle
Other Party Vehicle

People Involved

Total People0
Injured0
No people recorded

Client

NameMarco A. Medina
Phone770-560-9845
EmailTEXT MESSAGES
DOB1967-02-26
Address3809, Snellville, GA 30038

Insurance

Client Carrier
At-Fault CarrierSAFE AUTO
At-Fault Claim #260740022
At-Fault Policy #2030320745

Adjusters

PD AdjusterJUSTIN GWYN
PD Phone336-331-6248

Vehicle

DrivableYes

Medical

Assigned ClinicGwinnett Medical Back and Neck
Treatment Statuspending
ER VisitNo
Currently TreatingNo

Injuries

Client

ARMS,STOMACH,SHOULDERS

AI Analysis

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Case Summary

Incident Date

Jul 6, 2026

Incident Type

auto accident

Incident Location

SALIDA 82,138 WINDLER

Client Role

driver

Description

CARRO SE LE METIO LE QUISO RREBASAR Y CORTAR PASO

At-Fault Insurance

Carrier

SAFE AUTO

Policy #

2030320745

Claim #

260740022

Adjuster

JUSTIN GWYN

Adjuster Phone

336-331-6248

At-Fault Driver

LEO JUSTIN GITTENS

Workstreams

Property Damage

Unassigned

Pending

Treatment / Clinic

Unassigned

Pending

Attorney Documents

Unassigned

Pending

Insurance

Unassigned

Pending

Assigned Clinic

ZIP: 30038Snellville, GA

Gwinnett Medical Back and Neck

Assigned Attorney

The Law Office of Jonathan Herman

Assigned Carrier

Not assigned

Adjusters

Assigned Clinics

0

No clinics assigned yet.

Intake Completeness

5 fields still missing

80%

Client Info

7/7
  • First Name
  • Last Name
  • Phone
  • Email
  • Address
  • Date of Birth
  • Preferred Contact Method

Incident

5/5
  • Incident Date
  • Incident Location
  • Incident Type
  • Incident Description
  • Client Role in Accident

Police & Injuries

4/4
  • Police Report Filed
  • Police Department Name
  • Police Report Number
  • Injuries Description

Vehicle & Parties

0/5
  • Vehicle YearMissing
  • Vehicle MakeMissing
  • Vehicle ModelMissing
  • Insurance CompanyMissing
  • Insurance Policy NumberMissing

Docs & Consent

4/4
  • ID Document
  • Consent to Share Info
  • Consent to Accuracy
  • Digital Signature