________
________
Date:......................................
________
________
RE: Insurance Claim
To Whom It May Concern,
On ________ I was involved in the following incident:
________
As a result, I am writing to file an insurance claim, the details of which are as follows:
Policyholder: ________
Policy Number: ________
Item(s) Being Claimed:
________
Total amount of claim: $________
I have enclosed the following supporting documentation:
A completed claim form
A copy of a police report
Proof of purchase documents
The following additional enclosures:
________
As a result, I am requesting that the amount specified above be paid to me at your earliest convenience. This can be paid in the following manner:
________
52 522 5558282258 228828 52 88 52858525, 282582 8222582 22 58822 252 5225888 58282. 55522 225 225 2255 252222 522222822 22 2588 252225.
Yours faithfully,
________
________
________
Date:......................................
________
________
RE: Insurance Claim
To Whom It May Concern,
On ________ I was involved in the following incident:
________
As a result, I am writing to file an insurance claim, the details of which are as follows:
Policyholder: ________
Policy Number: ________
Item(s) Being Claimed:
________
Total amount of claim: $________
I have enclosed the following supporting documentation:
A completed claim form
A copy of a police report
Proof of purchase documents
The following additional enclosures:
________
As a result, I am requesting that the amount specified above be paid to me at your earliest convenience. This can be paid in the following manner:
________
52 522 5558282258 228828 52 88 52858525, 282582 8222582 22 58822 252 5225888 58282. 55522 225 225 2255 252222 522222822 22 2588 252225.
Yours faithfully,
________
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