When writing a request letter to a hospital for a refund of deposit, clarity and politeness are essential. Begin with a formal address, date, and subject. Clearly state your name, address, and details of your hospital admission and discharge, including the treatment name and patient ID. Specify the amount deposited and the total bill amount, indicating the excess paid. Request the refund politely and express gratitude.

Sample Letter Regarding Refund

To,
The Manager,
___________ (Name of the Hospital),
___________ (Address)

Date: __/__/____ (Date)

Subject: Application for refund of _________ (refund details)

Respected Sir/Madam,

I am _________ (Name) and I am a resident of __________ (Address).

I got admitted in your hospital on __/__/____ for _______ (treatment name) treatment and I got discharged on __/__/____ (Date). My patient ID is ___________ (Patient ID). I beg to state that at the time of admission I deposited the amount of _________ (amount) on __/__/____ (Date) and the total bill occurred for an amount of _________ (Amount), which is less.

Therefore, I request you to kindly refund the remaining paid amount of _________ (excessive amount paid). I request you to kindly accept my request and I look forward to hearing back from you.

Thanking You,

Yours Faithfully,
_____________ (Signature),
_____________ (Name),
_____________ (Address)

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.

Incoming Search Terms:

  • sample letter to the hospital requesting refund
  • write a letter to hospital authorities requesting the refund of extra deposit

Leave a Reply