I would like to forward this request for a claim

November 3, 2011


456, X Street, Y Avenue

Philadelphia, PA-19103

(123) 456-7890
[Subject: Normally bold, summarizes the intention of the letter] -Optional-


I would like to forward this request for a claim on the insurance policy that I have with you. This letter is actually for mere documentation purposes as I have already spoken with one of your insurance agents when I went down to your office last Thursday.

Like I told her, my motorcycle, a 2011 Victory Vegas, was stolen as it was parked outside my office in 2336 N Pennsylvania Avenue. I only noticed that my bike was gone as I left the office to head home at around 6:30 in the evening. I reported the incident immediately to the police and have attached the police report.

I had originally bought the bike just four months ago for $15,000. The receipt for this purchase is also included.

I hope that you can process my claim at the quickest time possible and I would greatly appreciate hearing back from you within the next few days. Thank you very much for your time and efforts.



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