This letter notifies your insurance company of a property damage claim.
1234, Main Street
Boston, MA 02123
05 April, 2005
<Recipient Address Goes Here>
Re: Policy No. <policy number>
Please be advised that I would like to make a claim on the above-referenced policy of insurance. On <date>, <description>. I would, therefore, request that <company name> pay for the <repair/replacement> of <damaged property>. Please contact me as soon as possible to arrange for the adjustment of this claim.
I look forward to hearing from you.
encl: <List of enclosed items goes here>