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Letter for Request For Reimbursemen Under Policy

This letter requests reimbursement for costs that you have already paid to repair or replace insured property.

1234, Main Street
Boston, MA 02123

05 April, 2005

<Recipient Address Goes Here>


Re: Policy No. <policy number>

On <date>, I paid <payee name> <$amount> to <repair/replace> my <description>. Because this expenditure was the result of a covered loss under my policy of insurance with <company name>, I would appreciate it if you would reimburse me for this amount as soon as possible.

If you have any questions about this request, please feel free to contact me. I look forward to hearing from you.


Jim Karter

encl: <List of enclosed items goes here>

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