Sample Letters

Sample Letters » Financial Institutions » Insurance

Letter for Letter To Health Insurance Requesting Claim Forms

This letter requests claim forms from your insurance company, typically for use within a company health or insurance plan.

1234, Main Street
Boston, MA 02123

05 April, 2005

<Recipient Address Goes Here>


Re: Member No. <member number>
Group No. <group number>

I would appreciate it if you could please send me <number of forms> claim forms for use in reporting claims on the above-referenced health insurance policy.

Thank you for your assistance.


Jim Karter

encl: <List of enclosed items goes here>

Copyright © 2005 | Our Partners