Skip to main content
Public Adjuster Registry
Search

Claim letter templates

Free, plain-text templates for common claim correspondence. Fill in the bracketed fields, print or email. No account required.

These are informational templates, not legal advice. They do not assert state-specific legal rights. If your situation involves a coverage dispute, consult an attorney.

Request for certified policy copy

[Your Name]
[Your Address]
[City, State ZIP]
[Date]

[Insurance Company Name]
[Claims Department Address]

Re: Policy #[Your Policy Number]
Claim #[Your Claim Number, if filed]

Dear Claims Department:

Pursuant to my rights as the named insured, I am requesting a complete certified copy of my insurance policy, including all endorsements, riders, and the declarations page currently in effect.

Please send the certified copy to the address above within [14/30] days.

Thank you for your prompt attention.

Sincerely,
[Your Name]

Proof of loss cover letter

[Your Name]
[Your Address]
[City, State ZIP]
[Date]

[Insurance Company Name]
[Claims Department Address]

Re: Policy #[Your Policy Number]
Claim #[Your Claim Number]
Date of Loss: [Date of Loss]

Dear Claims Department:

Enclosed is my sworn proof of loss for the above-referenced claim. The total amount claimed is $[Amount].

This proof of loss is submitted within the time required by the policy. Please acknowledge receipt in writing.

Sincerely,
[Your Name]

Enclosure: Sworn Proof of Loss

Supplemental claim notice

[Your Name]
[Your Address]
[City, State ZIP]
[Date]

[Insurance Company Name]
[Claims Department Address]

Re: Policy #[Your Policy Number]
Claim #[Your Claim Number]
Date of Loss: [Date of Loss]

Dear Claims Department:

I am writing to notify you of additional damage discovered since the initial adjustment of the above claim. The supplemental damage includes:

[Describe the additional damage — location, type, how discovered]

I am requesting a re-inspection of the property to include this additional damage in the claim. An updated contractor estimate is [attached / forthcoming].

Please contact me at [Phone] or [Email] to schedule the inspection.

Sincerely,
[Your Name]

Claim status and delay follow-up

[Your Name]
[Your Address]
[City, State ZIP]
[Date]

[Insurance Company Name]
[Claims Department Address]

Re: Policy #[Your Policy Number]
Claim #[Your Claim Number]
Date of Loss: [Date of Loss]

Dear Claims Department:

I filed the above claim on [Date Filed]. As of this letter, [Number] days have passed and I have not received [a response / an inspection / a written coverage determination / payment].

Please provide a written status update within 10 business days, including:
- The current status of the claim
- Any additional information or documentation you require
- The expected timeline for resolution

I can be reached at [Phone] or [Email].

Sincerely,
[Your Name]