EXPLANATION AND GUIDE
Letter to Insurance Company Notifying Them of a Claim (Form 21.6) This is a sample letter notifying an insurance company of a loss and a claim under the company’s insurance policy(ies). Make sure, however, to check the notice requirements under the company’s insurance policy(ies).
December 29, 1998 ABC, Inc. 440 Main Street San Francisco, CA 94111 Via Registered Mail Allsafe Insurance Co. 900 Madison Ave. New York, NY 57444 Re: Claim Under Policy #579427
Ladies and Gentlemen: Please be advised that our company has a General Comprehensive Liability policy of insurance with your company (policy #579427). On December 24, 1998, a fire broke out in our store at 440 Main Street, San Francisco, causing damage to inventory and store fixtures. This has also resulted in interruption of our business. We are still evaluating the amount of damage and what we should do. We expect that our loss will be covered by our insurance policy or policies with you. Please contact us as soon as possible so that we can review the next step. Your cooperation is appreciated. We will need to act quickly with your help to minimize the problems to our business. We will assume that this letter constitutes sufficient notice to you under the terms of our insurance coverage unless you promptly advise in writing to the contrary. Very truly yours, ABC, Inc. By: Richard Anson, President Form 21.6