Sample / Template Request Letter Format for Insurance Claim Form against employee Accident Insurance Policy in word/.doc
May 03, 2013
Voltas House, 45/1 Nariman Point
RCL/LIC/13-14/
The Sr Divisional Manager
LIC India
Mumbai – 587 878
Dear Sir,
Sub: Intimation Letter
This is to inform you that our employee Ms. Mira Khan – Manager met with an accident on 30th of April 2013, while she was coming to office, where she got various cuts & wound in her body.
You are requested to send us the Claim Form and direct us for other necessary requirements.
Thanking You
Yours Faithfully
For Rocket Sales Ltd
Authorised Signatory