Letters in English
Self Declaration Letter for Mediclaim – Sample Declaration Letter
Sample Letter Template

Self Declaration Letter for Mediclaim – Sample Declaration Letter

Deepanshu Thakral
Updated February 23, 2021
Topics:
Declaration Letter
Insurance Letters
Request Letters
When writing a self-declaration letter for a mediclaim, it's crucial to clearly state your details, including policy number, amount, and any relevant information about your medical claim. Ensure that all information provided is accurate and truthful, and politely request approval for your claim. Maintaining clarity and politeness throughout the letter is essential for effective communication.

Sample Self Declaration Letter for Mediclaim

To
The Customer Service Manager,
___________ (Company Name),
___________ (Address)

Date:__/__/____ (Date)

Subject: Declaration for Mediclaim

Respected Sir/ Madam,

I __________ (Name) S/O, D/O, W/O ____________ (Name), a resident of ____________ (Residential Address) am writing this letter to you in order to declare that I do carry a mediclaim policy in your company. I am working in __________ (Company Name) having employee ID _________. I hereby declare that I have taken up (Policy details) having policy number __________ (policy number) amounting __________ (amount)

I applied for a medical and I hereby declare that all information provided in the application is true to the best of my knowledge. I ensure that I have not applied for medical claims from any other company/organization. I request you to kindly approve my request and provide me with a claim for the expenditures made.

Thanking you,
__________ (Signature)
__________ (Name),
__________ (Address),
__________ (Contact Number)

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