To,
The Branch Manager,
L.I.C. of India
Branch -
Sir / Ma’am,
Re: Death Claim under policy no. ___________________
I the undersigned ___________________(Name of claimant) hereby inform you about the death of
Shri/Smt.____________(name of policyholder)______________________ my_______(relation with
policyholder)________.
Policy number -
Date of death-
Cause of death -
Enclosed is the death certi cate and requisite forms.
Kindly settle the claim.
Thanking you.
Yours Faithfully,
________________________
(Signature of Claimant)
Name _________________________
Address _______________________
_______________________
Place : ______________
Date : ______________
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