Fillable Printable Claim Letter Sample
Fillable Printable Claim Letter Sample
Claim Letter Sample
SAMPLE CLAIM LETTER
(This is a letter being written by the claimant in case of death of a family
member)
________________ (Name and address of insurance company)
_________________ (Date)
Subject: Sum Assured against death of my father
Dear Sir or Madam
I, ________ (name) had taken a life insurance policy from your company
against policy number ____________ on _________ (date) for my father,
____________ (name of father). The nominee of the policy is my mother,
___________ (name of mother).
With deep regret this is to inform you that my father passed away on
_________ (date) due to a massive heart attack. I have attached a copy of
the doctor’s report as well as the death certificate for your reference.
Even though nothing can repair our loss but since my mother was
dependent on him and she was the nominee of the policy, I would like to file
this claim with you. May I request you to please release the money due to
my mother against my father’s life insurance policy at the earliest. As per
our records the sum due to her is Rs.___________?
We look forward to a quick resolution to our claim.
Thanking you in anticipation.
Best regards,
(Name of person writing the letter)
Encl: As above