NOTE: This letter is a sample that must be customized to fit the facts of your individual situation and claim. All bracketed and underlined portions must be completed or revised before sending. Use this letter to request information about your claim denial. (PRINT THIS LETTER AS A PDF.)

(Date)

(Address Block)

(Name of adjuster or highest ranking ins. co. employee)

(Name of Insurance Co.)

(Address)
Re: Claim Number: _____________

Date of Loss: _____________

Name of Insured: _______________________

Address of Insured Property: _________________________________________

RE: Request for information about claim denial

Dear (insert name of Insurance Adjuster/Insurance Company Representative),

The purpose of this letter is to request that you keep us informed on our claim by giving us the following information at your earliest convenience, and no later than one week from today. (Optional: As you know, we have suffered a major loss that is having a big impact on our lives and we are struggling to recover). Please (email, call or mail) us with:

1) The exact wording of the policy language you are relying on to reject our claim.

2) Complete copies of all evaluations, reports, estimates you have prepared or caused to be prepared that relate to our property and the claim referenced in this letter.

Thank you in advance for your prompt and complete reply. As you can imagine, this matter is extremely important to us.

I look forward to (insert name of insurance company)’s response by (insert a date that’s a week from the date of the letter). Thank you for your anticipated cooperation in this matter.

Sincerely,

(Your Name)

(Your Mailing Address)