I am writing your office to report an accident that occurred

November 3, 2011

HENNERY SMITH

2365, S Mayfield Ave

Chicago, IL 60652

Cell: (123)-555-1234

[Subject: Normally bold, summarizes the intention of the letter] -Optional-

Dear HENNERY SMITH,

I am writing your office to report an accident that occurred during my family’s trip to Rome three weeks ago and to make a claim on our insurance policy.

During the fourth day of our vacation, my youngest daughter Jillian tripped and fractured her ankle. We rushed her to the Holy Rosary Medical Center and I needed to settle her medical bills in cash. I contacted our primary doctor here in the United States as my daughter was getting treatment.

The policy number on our account is 56243. I have attached all necessary documents to complete the filing of this claim. I hope to hear from you soon regarding the completion of the reimbursement process. Thank you.

Sincerely,

Larissa

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