Street Address

City, ST ZIP Code

Date

CAAP

Dear CAAP:

From

I, ________ (name) .I am having an educational insurance policy in the name of my father

___________ (name of father) with policy number __________ (policy number) dated _____
(date). The policy is nominated in the name of my mother _______ (name of mother).I am
writing this letter to institute a claim to _________. As this claim is long overdue, I request you
to pay her the claimed amount. As per my records the amount for the reimbursement comes to
Rs.____________ (amount). The detailed document and photocopy are attached herewith. You
are requested to release the due amount as it can be helpful for her. Looking forward early
response from your end.

Thanking you

Sincerely,

Your Name