Insurance Appeal Letter Template

By | March 1, 2012

______________________ [Recipient’s name]

_____________________ [Designation]

_____________________________ [Name of insurance company or agency]

Date: __ __/ __ __/ __ __ __ __

[d d]  [m m] [y   y   y   y]

Sub: Appeal for Insurance Policy Payment

Dear Mr. /Ms. _______________ [recipient’s name],

This is an appeal against the policy number _____________ [unique customer policy number] regarding the insurance policy of ____________________ [name of policy]. I would like to inform you through this insurance appeal letter that I, _________________ [sender’s name], have not received the insurance amount of $ ____________ [due amount] that was due on ______________ [original date of receiving amount].

I have been regularly complaining at your department for the last ___________ [span of complain], but there has been no proper response. The details of my insurance policy and all minor details corresponding to it have been provided along with attested photocopies of records.

I would request you to kindly look into the matter and pay me the amount at the earliest.


___________________ [Customer full name]

______________________ [Signature]

For any other details, please do contact me at:

________________________ [telephone number]

____________________ [email id]




Appeal Letters

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