Letter for Delay in Insurance Claim – Sample Letter for Late Submission of Insurance Claim

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)

Incoming Search Terms:

• sample letter explaining the delay in claiming insurance
• sample letter for delay in claiming insurance