This letter is a convenient way to formally notify an insurer, agent, or individual that a loss has been incurred and a claim for damages has been submitted.
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This Printable Business Form Template belongs to these categories: medical
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XYZ Business
123 Main St.
Anytown, CA 95928
(555) 555-1212
August 14, 2010
ABC Insurance
345 Any Place.
Anytown, CA 95928
Dear _____________,
This letter is to notify your firm that a loss has been incurred that is covered by the insurance you underwrite. We are in need of a formal claim form
and/or a call from an adjuster so the claim can proceed.
The policy number is: ___________________
Here is the claim information:
Date/Time:
Type of loss:
Where occurred:
Estimated loss:
Thank you very much for your prompt attention to this matter.
Sincerely,
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