Request Letter for Change Nominee in Insurance Policy


The Manager,
__________ (Name of Insurance Company),
__________ (Insurance Company Address)

Date: __/__/____ (Date)

Subject: Application for Changing Nominee in Insurance policy having policy number ________ (policy number).


Respectfully, I am _________ (Your Name) holder of an insurance policy from your insurance company ______________ (Insurance company name) taken on _______(Date of Insurance Policy Taken) and having policy number __________ (Policy Number) which is due for maturity on _______(Policy Maturity Date).

I hereby request you want to change the nominee in the said policy.

Kindly update the nominee in the Insurance policy as per the details mentioned below:

Nominee Name: _______________
Nominee Relationship with Account Holder: _________________
Nominee Age: _________________
Nominee Date of Birth: _____________
Nominee Guardian: _______________ (if nominee is minor)
Nominee Address: _______________

I request you to kindly complete the formalities of the change nominee details of the policy. I am enclosing _________ (copy insurance policy bond paper/policy amendment form request/ Nominee detailed application form) along with the application.

Thanking You,

Signature: __________
Name: ___________
Contact: ___________

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