Application for Changing Premium Mode – Letter to Insurance Company for Change the Mode of Premium

Sample Application for Changing Premium Mode

To,
Branch Manager,
______________ (Name of the Bank),
______________ (Address)

Date: __ /__ /____ (Date)

From,
_______________ (Name),
_______________ (Address)

Subject: Request to change premium mode to ____________ (monthly/quarterly/half-yearly/annualy)

Respected Sir/Madam,

I would like to bring into your kind notice that my name is ____________ (Name) and my address is _____________ (Residential Address). My policy details are ______________ (Mention all necessary account details).

I would like to bring into your consideration that my current mode of premium is ___________ (Monthly/ Quarterly/ Half Yearly/ Annually) and I would like to get it changed to ___________ (Monthly/ Quarterly/ Half Yearly/ Annually).

The following are basic details of my policy:

Policy Number: _____________ (Policy Number)
Bank Account Number: _____________ (Account Number Linked)
Name: _____________ (Name)
Address: _____________ (Address)
Current Mode of Premium: ___________ (monthly/quarterly/half-yearly/annually)
New Mode of Premium: ___________ (monthly/quarterly/half-yearly/annually)

As per the requirements, I am also enclosing ___________ (Policy amendment Form/ID Proof/ Copy of Policy/Address Proof/ any other documents if required) along with this application.

Kindly help me out by providing me support for the same. I shall be thankful.

Waiting for your response,

Yours ___________ (Faithfully/Sincerely),
______________ (Signature)
______________ (Name),
______________ (Contact Details)

Live Editing Assistance

Live Preview

How to Download, Print, or Share Letter

After writing, you can easily print, email, or save your letter — even share it through WhatsApp.

Need help? See our Live Assistant Help Guide.