{ReturnAddress_1} {ReturnAddress_2} {ReturnAddress_3} | {CompanyHeader_1} {CompanyHeader_2} {CompanyHeader_3} {CompanyHeader_4} |
SECOND REQUEST – REPORT OF ACCIDENT
{DeliveryAddress_1} {DeliveryAddress_2} {DeliveryAddress_3} {DeliveryAddress_4} |
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Dear Sir or Madam:
Your Policy Number: {PolicyNumber}
You Agent: {AgencyInfo}
We are in receipt of a claim concerning the above-referenced automobile accident or loss. As of this date we have not received the completed and signed Report of Accident Form as previously requested from you. Please note your Personal Automobile Policy states:
CONDITIONS – (Unless otherwise noted, conditions apply to all Parts.)
3. Notice
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Therefore, it is your duty . . .