To,
The Manager,
________ (Company Name),
________ (Address)
Date: __/__/____ (Date)
Subject: Delayed insurance claim __________ (insurance policy number)
Respected Sir/Madam,
My name is __________ (Name) and I am a resident of _________ (Residence). I do hold an insurance policy under ___________ (Scheme) having policy number _______ (Policy number).
I am writing this letter to request you for considering my insurance application. Respected due to the reason ___________ (Reason- bed rest/ hospitalized/ not well) I failed to submit the application in the mentioned time. I request you kindly accept my application and approve the claim at the earliest.
The details for my medical insurance are mentioned below:
Name: ___________
Tenor: ___________
Amount: ___________
Claimed amount: ___________
Reason: ___________
I hereby confirm that the above-mentioned details are completely true and genuine. In case, the mentioned details are found to be false or incorrect, I shall be held liable for any actions taken against my policy.
Thanking you,
___________ (Signature),
___________ (Name),
___________ (Address),
___________ (Contact Number)
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