Sample Letter format for an Insurance Claim

Date: DD/MM/YY

To,

Authority name…

Job Designation…

Insurance Company name…

Address…

Subject – Insurance Claim letter

Dear (name),

I, (your name). I am having a life insurance policy in the name of my father (name of father) the policy number is (policy number) dated (date: dd/mm/yy). The policy is nominated in the name of my mother (name of mother). I am writing this letter to you to inform you about the sad demise of my father. (Describe your actual condition and situation). As my mother is a legal nominee and she was dependent on him, I request you to pay her the claimed amount. As per my records, the amount for the reimbursement comes to (amount of money). The detailed documents and the death certificate are attached herewith. (Write additional information).

You are requested to release the due amount as it can be helpful for her. Looking forward to an early response from your end.

Thanking you

Your Name,

Address…

Signature…

Subject – Insurance Claim letter

Dear (Name),

I am writing this letter to you to inform you that I have taken a policy from your organization the policy number being (ABC – 000-777) dated (DD/MM/YY) as a life insurance policy (Insurance type) for my father (name), the nominee for the same is my mother (name). I feel very sorry to let you know that my father had met with an accident and no more with us. (Describe your actual condition and situation). His death certificate is enclosed herewith for your perusal. I want to file this claim as my mother was financially dependent on my father. According to my documents, the due amount to her is (Amount of money). You are requested to release the due amount that can be helpful indeed for her future. (Write additional information).An early response from your side is highly appreciated. Thanking you.

Yours faithfully,

Your Name,

Address…

Signature…