_________________________, 20___
							(Date of Letter)



______________________________
(Insurance Company Name)
______________________________
(Claims Department)
______________________________
(Street Address)
______________________________
(City, State and Zip Code)

RE: 	_________________________________________
      	(Name of Insured)
	_________________________________________
	(Claim Number)
	_________________________________________
	(Date of Loss)
	_________________________________________
	(Death Claim)

Dear Claims Adjuster:

	On the _______ day of _________________________, ______(year), the loss of
life occurred to______________________________ (name of decedent) as a result of
______________________________________________________________________________
(cause of death).  The decedent was _____ years of age at the time of death, and
a certified copy of the death certificate is enclosed for your information and
file.  The above-referenced policy was in effect at the time of death.  The policy
of insurance, as above-referenced, was issued in the name of
____________________________ (name of insured) by and through your company or one
of its subsidiaries identified as ____________________________________________
(name of insurer).  A claim arises pursuant to said policy by virtue of the
following (circle appropriate item):

	1.	LIFE INSURANCE DEATH BENEFIT, WHOLE LIFE:
		____________________________________________________________________
	2.	LIFE INSURANCE DEATH BENEFIT, COMBINATION POLICY:
		____________________________________________________________________
	3.	LIFE INSURANCE DEATH BENEFIT, TERM POLICY:
		____________________________________________________________________
	4.	LIFE INSURANCE DEATH BENEFIT, GROUP POLICY:
		____________________________________________________________________
	5.	ANNUITY BENEFITS:
		____________________________________________________________________
	
	6.	RETIREMENT POLICY BENEFITS:
		____________________________________________________________________
	7.	THIRD PARTY CLAIM:
		____________________________________________________________________
	8.  	OTHER: (Specify)
		____________________________________________________________________
			


	Kindly acknowledge to the undersigned receipt of this Notice of Loss, and
kindly initiate file process and claim proceedings.  Once confirmation of the
foregoing is acknowledged by your office, a copy of the policy and details relating
to the claims made thereunder may be directed to you.  Additional information
relating to any pending estate matters will also be provided when appropriate and
upon request.  

	Should there be any concerns which you may have relative to the coverage or
the policy, kindly address those to the undersigned.  Your courteous response will
be most appreciated.  Thank you.

								Very truly yours,



							______________________________
							(Signature)
							______________________________
							(Address)
							______________________________
							(City, State and Zip Code)
							______________________________
							(Phone Number)

LAWCHEK, LTD. LETTER PRO Samples, Copyright 2006
This is not a substitute for legal advice.  An attorney must be consulted.