This letter requests reimbursement for a repair that is covered under your warranty but which you have already paid for.
1234, Main Street
Boston, MA 02123
05 April, 2005
<Recipient Address Goes Here>
Re: Home Warranty No. <warranty number>
Please be advised that I have had to <replace/repair> the <item replaced/repaired> in my home, which was covered under the above-referenced policy. The cost for this came to <$amount>. I have enclosed a copy of the receipt for this for your reference. I would appreciate it if you would forward a check to me in that amount as reimbursement for this item.
If you have any questions about this, please do not hesitate to contact me.
encl: <List of enclosed items goes here>