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Legal Yojana

INSURANCE CLAIM NOTICE

Updated: Sep 24

INSURANCE CLAIM NOTICE


Date :

To _______________

   _______________

   _______________


Dear _______________


You are hereby notified that I have incurred a loss which I believe is covered by my insurance policy detailed below. Details of the loss are as follows:


1.  Type of loss or claim: _______________

2.  Date and time incurred: _______________ _______________

3.  Location: _______________

4.  Estimated loss:  _______________


Please forward a claim form to me as soon a possible.


Yours sincerely


Home Phone _______________

Work Phone _______________

Policy Number _______________



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