To,
The Manager,
___________ (Name of the Insurance Company),
___________ (Address of the Company),

Date: __/__/______ (Date)

Subject: Request for refund

Respected Sir/Madam,

My name is ____________ (name) and I write this letter to inform you that I bought an insurance policy __________ (name of the insurance policy) from your reputed company for which I have received the bond on __/__/____ (date).

I beg to inform you that I am not satisfied with the policy that you have provided to me. I state the reason ___________ (mention the reason why aren’t you satisfied with the policy) and would request you to kindly refund the paid amount. Moreover, as per your company’s policy, I am in the window period for full refund. Please ensure refund is made accordingly. The following are details of the policy:

Name: __________ (Name of the policyholder),
Contact number: _________ (mention your contact number),
Policy number: ________ (mention your policy number),
Date of Issuance of policy: ________ (mention date)

I shall be highly obliged for timely processing for my refund request.

Thanking you,

___________ (Signature),
___________ (Name),
___________ (Contact number)

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