To,
__________ (Receiver’s Name),
__________ (Insurance Company Name),
__________ (Address)

Date: __/__/____ (Date)

Subject: Request for a copy of insurance policy

Respected Sir/ Madam,

My name is_________ (Name) and I do hold an insurance policy in your company bearing policy number ____________ (policy number).

I am most respectfully writing this letter to request you for issuance of copy of the insurance policy as the original document got _______ (Lost/ torn/ damaged/ stolen) and therefore, I request you to kindly issue me a copy of the insurance policy in order to prevent any confusion in coming future. I shall be highly obliged for your kind support. The following are the details for policy:

Name of the holder: __________
Policy number: _________
Date of issuance: __/__/____
Registered mobile number: _________

I request you to kindly look into the matter and do the needful at the earliest. I shall be highly obliged for your kind support.

Thanking You,
___________ (Signature),
___________ (Name),
___________ (Contact Number)

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