Request Letter for Insurance Penalty Charges Waiver - Penalty Fee Waiver Letter Sample
When writing a request letter for the waiver of insurance penalty charges, it's essential to be clear and polite. Explain the reason for the missed payment, express regret, and request the waiver of the penalty fee. Ensure to provide necessary details such as policy number and payment amount. End the letter with gratitude and a commitment to timely payments in the future.

Table of Contents:

Sample Request Letter for Insurance Penalty Charges Waiver

Request Letter for Insurance Penalty Charges Waiver - Penalty Fee Waiver Letter Sample


The Customer Relations Officer,
____________ (Insurance Company Name),
____________ (Address)

Date: __/__/____ (Date)

Subject: Request for a penalty waiver

Respected Sir/Madam,

I would like to state that my name is __________ (Name) and I carry a __________ (medical/ vehicle/ life – Mention) insurance policy of your company ___________ (Company Name) from last ____________ (months/ years – Duration) having policy number __________ (Policy Number).

I regret to inform you that a payment of Rs. _______ (Amount) for _________ (monthly/ Quarter/ Annual) cycle was due on __/__/____ (Date) but due to the reason _______________ (Reason: unavailability of funds/ Out of town/ Forgot), I failed to pay the above-said installment. I have always paid the installments on time.

It would be humble if you kindly consider this as a genuine reason and accept my sincere apology. I request you to kindly waive the penalty applicable for the delayed amount of payment. I will make sure this will never be repeated and the current pending installment will be done by __/__/____ (Date).

Thanking you,

Yours Truly,
____________ (Signature),
____________ (Name),
____________ (Contact Number)


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  • What should be included in a request letter for insurance penalty charges waiver?
    • The letter should include details such as policy number, missed payment amount, reason for the delay, and a sincere apology. It should also request the waiver of penalty charges.
  • How can I express regret for the missed payment in the letter?
    • You can express regret by acknowledging the mistake, offering a sincere apology, and assuring that it will not happen again in the future.
  • What should I promise in the letter to ensure future compliance with payments?
    • You should promise to ensure timely payments in the future and provide a specific date by which you will settle the pending installment.
  • Is it necessary to provide the policy number in the letter?
    • Yes, providing the policy number helps the insurance company identify your account and process your request efficiently.
  • How should I end the letter requesting a penalty waiver?
    • The letter should be concluded with gratitude for consideration and a closing statement expressing your commitment to timely payments in the future.

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