_________________________, 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)
	_________________________________________
	(General Loss)

Dear Claims Adjuster:

	Recently this office was contacted by ________________________________
(name of insured) relative to a casualty loss which occurred on the _____ day
of __________________________, ______(year).  Coverage for this loss is included
as a part of the above-referenced policy for which premiums have been paid on a
current basis.  The casualty loss relating to this occurrence and policy includes
the following: (Circle appropriate item(s) below.)	

	1.	PROPERTY DAMAGE:
		_____________________________________________________________________
	2.	BODILY INJURY:
		_____________________________________________________________________
	3.	MEDICAL PAY:
		_____________________________________________________________________
	4.	PERSONAL INJURY-DYSFUNCTION:
		_____________________________________________________________________
	5.	PERSONAL INJURY-DISABILITY:
		_____________________________________________________________________
	6.	PERSONAL INJURY-PAIN AND SUFFERING:
		_____________________________________________________________________
	7.	WAGE LOSS:
		_____________________________________________________________________
	8.	LOSS OF FUTURE EARNING CAPACITY:
		_____________________________________________________________________
	9.	DEATH:
		_____________________________________________________________________
	10.	LOSS OF CONSORTIUM:
		_____________________________________________________________________
	11.	UNINSURED MOTORIST:
		_____________________________________________________________________
	12.	UNDERINSURED MOTORIST:
		_____________________________________________________________________
	13.	UMBRELLA OR EXCESS COVERAGE:
		_____________________________________________________________________
	14.	SUBROGATION:
		_____________________________________________________________________
	15.	OTHER: (Specify)
		_____________________________________________________________________	

	This correspondence should serve as Notice relative to the loss sustained
by the insured and/or members of the insured's family on the _____ day of 
___________________, _____(year), in conjunction with the item(s) noted above.
Please initiate appropriate processing of this claim as a new file, if a file has
not previously been activated.  In addition to the foregoing, it is requested that
an appropriate and immediate investigation of this loss be conducted by your office
and that the undersigned be provided copies of all materials collected, pursuant to
said investigation.  Also, please verify the status of the policy as above-referenced
and confirm the policy number to the undersigned.  In that process, please confirm
the coverage rates and provide the undersigned with a dec (declaration) sheet
confirming policy coverage in this case.  Kindly provide the undersigned with a
complete copy of the applicable policy as above-referenced and acknowledge receipt
of this communiqué.

	Should your office need any additional information from the undersigned, please
advise.  Thank you for your kind attention to this matter.

							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.