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Cindy D. Ventura Gonzales

property damage
medium
CS-2607-7345·Auto Accident·joselin@azandassociates.net
Original Intake Submitted
Staff Updates Applied
Last updated by StaffSep 11, 2026 4:24 PM

Missing Information

Client Email
Other Party Vehicle

People Involved

Total People1
Injured0
LOUISSETTE ARABELLA GARCIANot injured

DOB: 2011-08-10

4702725990

Client

NameCindy D. Ventura Gonzales
Phone4702725990
DOB1984-07-16
Address1390 APPIAN WAY , LAWRENCEVILLE, GA 30046

Insurance

Client CarrierASSURANCEAMERICA INSURANCE COMPA
Policy #PGA2760040
At-Fault CarrierSTATE FARM INSURANCE (MUTUAL AUTO)
At-Fault Policy #1335573SFP11002
At-Fault Limits50/100

Adjusters

Vehicle

Year2020
MakeToyota
ModelCOROLLA
DrivableYes

Medical

Assigned ClinicNorth Metropolitan Radiology Associates
Treatment Statuspending
ER VisitNo
Currently TreatingNo

Injuries

Client Injuries—

AI Analysis

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Case Summary

Incident Date

Jul 16, 2026

Incident Type

auto accident

Incident Location

BUFORD GEORGIA

Client Role

driver

Description

I SPOKE WITH D1. D1 STATED SHE WAS PULLING OUT A PARKING SPACE WHEN V2 STRUCK V1. D1 DIS NOT SEE WHERE SHE WAS COMING FROM. I THEN SPOKE WITH D2. D2 STATED SHE WAS COMING AROUND FROM PANERA WHEN V2 STRUCK V1.

Client Insurance

Carrier

ASSURANCEAMERICA INSURANCE COMPA

Policy #

PGA2760040

At-Fault Insurance

Carrier

STATE FARM INSURANCE (MUTUAL AUTO)

Policy #

1335573SFP11002

Policy Limits

50/100

Client Vehicle

Year

2020

Make

Toyota

Model

COROLLA

Workstreams

Property Damage

Unassigned

Pending

Treatment / Clinic

Unassigned

Pending

Attorney Documents

Unassigned

Pending

Insurance

Unassigned

Pending

Assigned Clinic

ZIP: 30046LAWRENCEVILLE, GA ZIP match found

North Metropolitan Radiology Associates

Assigned Attorney

Stephen Law Firm

Assigned Carrier

Not assigned

Adjusters

Assigned Clinics

0

No clinics assigned yet.

Intake Completeness

5 fields still missing

80%

Client Info

5/7
  • First Name
  • Last Name
  • Phone
  • EmailMissing
  • Address
  • Date of Birth
  • Preferred Contact MethodMissing

Incident

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

Police & Injuries

3/4
  • Police Report Filed
  • Police Department Name
  • Police Report Number
  • Injuries DescriptionMissing

Vehicle & Parties

3/5
  • Vehicle Year
  • Vehicle Make
  • Vehicle Model
  • Insurance CompanyMissing
  • Insurance Policy NumberMissing

Docs & Consent

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