DE GUZMAN, Kevin Bryan D.

BSME-1A

A.      Parts of Business Letter (Basic Parts)

B. Letter Format

[Name]
[Company name]
[Street address]
[City, state and zip code]
[Phone number]
[Fax number]
[Email address]

[Date]

[Recipient's name]
[Company name]
[Street address]
[City, state and zip code]

[Subject]

Dear [Recipient's name]:

[Body paragraph 1]

[Body paragraph 2]

[Closing paragraph]

Sincerely,

[Your name and suffixes]

[Position in company]
[Your company name]

[Enclosures]
C. Submit a sample letter of request (make sure that you are going to arrange the letter by observing the
basic parts of the business letter and use the full – block style.
(This should be done in a separate paper. This letter of request should be
typed written)

Ms. Eliza Stockton

1351 Weeping Willow Lane
Memphis, TN 37501
555-555-5555

estockton@email.com
Oct. 16, 2019

Ms. Juanita Rodriguez

Greene Insurance Agency
3516 Main St.
Greensboro, NC 27401
RE: Claim 96792-01

Dear Ms. Rodriguez:

I am writing to request several documents regarding claim 96792-01. I need a copy of the
complete terms of the insurance policy, the results of the follow-up examination and the most
current payment records.
I am concerned that at least one appointment was incorrectly billed, which has led to my account
becoming delinquent. As we go forward with my treatment, I want to have a firm understanding
of what my insurance policy covers. I also want to know which doctors and medical facilities are
considered in-network.
You may either send the documents by post or email. Thank you for your time and consideration
in this matter. I look forward to hearing from you soon.

Sincerely,
Eliza Stockton