Sample Medical Claim Letter

April 15, 2005

ABC Insurance Corporation
St. Joseph Subd.
Balanga City

Dear Ms. Solomon:

I am formally request reimbursement for my medical expenses for policy number, A41572. I was hospitalized for 1 week on April 2 to April 8, 2005 due to pneumonia at St. Luke’s Hospital. My wife needed to pay the bill in full. The amount was Php 55,000 for x-rays, laboratory expenses, rooms and medicines.

According to the terms of my policy, respiratory disease like pneumonia is covered. I have enclosed all the documents related to my treatment. I am requesting your good office to reimburse me Php55,000 in keeping with my health care coverage.

I hope for your cooperation regarding this matter. I can be reach at 09451257853 if you have any clarifications.

Thank you for quick action.


Angelina D. Agaloos

Reward Claim Letter Sample

April 22, 2005

Ms. Ruth D. Reyes
Travel and Tours Enterprise
Binondo, Tondo Manila

Dear Ms. Reyes:

I am requesting to get my travel reward from your good office. I already accumulated 500 rewards points from my RCBC Visa Card.

According to your promo, 500 rewards points are equivalent to 2 days travel to Singapore with hotel accommodation.

I hope for your cooperation regarding this matter. Please inform me when I am going to get my travel reward.

Thanks and more power!

Your office has promotional


Jona R. Soriano


Payment Demand Letter Sample

April 25, 2015

Mr. Marvin D. Rodriguez
San Ville Subd.
Alfonso, Cavite

Dear Mr. Rodriguez:

Last April of 2015, I landscaped your garden at San Ville Subd. for a contract of Php45,000.00, You made the down payment of 10% of the total contract price as agreed. I already finished the landscape of your garden and unfortunately, you have refused to make the final payment. I have made repeated attempts to collect, but you have no response. I am requesting that you make the final payment by May 20, 2015.

I am waiting for your response to this letter no later than May 2, 2015 and if this issue is not resolved by the time specified above, I reserve the right to commence legal proceedings to recover the debt without further notice to you and this letter may be served as evidence of your failure to pay.


Gin Rose Manrique

Breach of Contract Claim Letter

October 25, 2001

Manuel Tie Olondriz
143 Four Lanes
Marigold St. Manila

Dear Mr. Olondriz:

I feel sorry that you have not completed the painting job that you were hired for on September 28 to the agreed upon specifications. You failed to paint the terrace of our house.

I am so disappointed that you were not be able to finish the job that specified in our contract.

Let me know the soonest possible time if you can either return and finish the job to the specifications laid out in our contract or pay out the damages for non completion included in section 8 a.) of the contract we signed.

I hope for your feedback about this matter as soon as possible.

Sincerely yours,

Linda R. Santiago

Defective Order Complaint Letter

September 10, 2015

Ms. Ruth D. Reyes
JC Mer Enterprises
Sta Rita Village
San Fernando Pampanga

Dear Ms. Reyes

One week ago, September 2, 2015 I ordered fifty lamp shades, my order No. 223, and your invoice No. 230. The shipment arrived yesterday, presumably in fulfillment of my specifications.

The entire lot us unsatisfactory. The color is not as specified; the material is of inferior quality; and the shades are not even all of the same size. Some of them also have defects that are glaringly visible.

I am returning the entire order by express, collect, and shall expect to receive the correct merchandise at your earliest convenience.


Jonas R. Santiago

Return Merchandise Letter

August 21, 2007

Ms. Rexie D. Santiago
AJHD Enterprise
Dilgon St. Makati City

Dear Ms. Santiago:

I would like to inform your good office about the merchandise we order last month with order no. 14524. We already cancel this order because according to your secretary, Ms. Adie Cruz, our order will not be able to deliver on time.

But we are surprised to receive this order yesterday.  Frankly speaking, I do not need these merchandises so I want to return it to your office immediately and I will charge your office for transportation. This order contains overrun blouses and shorts.  I think Ms. Cruz was not be able to cancel our order.

Please investigate this matter and allow us to return the merchandise as soon as possible.  I hope we can settle this matter. We are your customer for the past 5 years so you know me well.

Thank you very much for your usual understanding.

Very truly yours,

Ethelyn L. Navarro
JCCEL Trading

Product Complaint Letter

January 28, 2000

Ms. RubyRose D. Tarosa
Sales Manager
ANBC Enterprise
Mandaluyong City

Dear Ms. Tarosa

This is in reference with the washing machine we bought at your center two days ago. It was in the good condition when your salesman demonstrated to us. But yesterday when we use the washing machine, we are not able to press the button to drain the water. I think the washing machine is defected.

I already called your service center and told me that they will repair our washing machine. I am writing to request you to replace my defective washing machine with new one. I have been your customer for the past three years since we transferred in this city and always purchased electrical item from your store.

I know that you will investigate this matter and help me to get new item.  I hope for your kind consideration and I hope to hear you at earliest possible time.

Sincerely yours,

Rebecca L. Macabenta

Damaged Item Complaint Letter

November 25, 2004

Ms. Joy R. Sandoval
ACL Enterprise
Tondo, Manila

Dear Ms. Sandoval,

Good day!

I would like to inform you that your shipment arrived yesterday and we found out that our orders were damaged.

Christmas lights were broken. My order number is No. 25643 with invoice No. A45134. According to your purchaser, there will be 3 months warranty for these items and if there is a damaged item, your company will be in-charged.

I will be returning the entire order by express and we shall expect to receive the good items at your earliest convenience.

I hope for your kind consideration.

Very truly yours,

Alma D. Alarcon

Insurance Claim Letter

April 12, 2009
ABC Insurance Company
Malate, Manila

To whom it may concern:

Good day!

I am writing to inform you about my insurance claim for my car. My policy number is 015214-5204. Your representative already examines and filed a report regarding my insurance claim.

Here are the little details of my car accident:

The body of my car got smashed because a tricycle hit my car from behind at the parking area at the grocery store. I call your customer care and gave the details and found out that I am eligible for a claim. Your representative told me that they will call me soon regarding this matter and will get the feedback at the early possible time.

I didn’t get any words from your company yet in spite of my reminders for last fifteen days. Please kindly look into this matter and I am expecting a positive response as soon as possible.

Sincerely yours,

Merlinda D. Macalinao

Insurance Complaint Letter

October 15, 1998

Ms. Anallyn D. Smite
Insurance Manager
Global Mark Insurance Company
Pasig City

Dear Ms. Smite:

Policy No: 012345678

I would like to complain about my car insurance claim being rejected.

I call to your office last July 25, 1998 to extend the insurance so that it also covered my son as he would also be using my car. But when I make a claim for a minor accident that my son was involved last October 12, my claim was rejected because the policy did not cover my son. Your personnel told that there was no record of my policy ever being extended to cover my son.

Attached here is a copy of a telephone bill which shows that the call was made. I spoke to your personnel named Ms. Karen So. I believe that you made a mistake in not changing the insurance policy. I am willing to investigate this matter and pay the claim.

I hope of hearing from you as soon as possible.


Topper D. Samaniego