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[Senders Name]
[Address line 1]
[Address line 2]
[State, ZIP Code]

Sample Letter #2: Decline a request for a claim or adjustment

[Letter Date]

[Recipients Name]
[Address line 1]
[Address line 2]
[State, ZIP Code]


[Subject: Normally bold, summarizes the intention of the letter] -Optional-


Dear [Recipients Name],



With regard to you life insurance policy, we have recently received a cancellation and refund request. It is with regret that we have received your instructions and it saddens and concerns us that you may no longer be able to maintain your policy.

Should you wish to continue with cancelling your policy you should be aware that you will forfeit any premiums you have already paid. We would recommend that you change your policy to a new, more appropriate one. Your premiums are transferable to a new policy. We have included forms for you to complete and sign should you decide to opt for a new policy. Otherwise please call us on 258-9467 and we will assist you with your cancellation.

Your business has been important to us and we hope to continue or renew our contact in the future.



Sincerely,

[Senders Name]
[Senders Title] -Optional-

[Enclosures: number] -Optional-

cc: [Name of copy recipient] -Optional-