__________ (Name of the Insurance Company),
__________ (Address of the Company)
Date: __/__/_____ (date)
Subject: Report regarding insurance fraud
This is to state that my name is ________ (name) and I hold a _________ (health/car/house/life insurance) insurance having policy ID ________ (mention ID).
Recently, I received a ___________ (mail/call/letter/other) regarding insurance policy in which __________ (mention details) and ___________ (mention your point). In this regard, I want to file a complaint. I request you to kindly guide me through the procedure.
Also, I request you to look into this matter and take immediate action against this matter. If you wish to contact me, you can contact me at ___________ (contact details).
__________ (contact details)
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