Insurance Claim Disputes (Feb. 2014) | Page 13

(COMPANY LETTERHEAD) (date) To all interested and relevant parties: This is the last good faith effort to receive payment on claim number (claim number). On (date of loss), (homeowner), the homeowners and/or legally binding representatives, of and for (loss address), Policy (policy number), Claim (claim number), contracted our services for a (type of loss) at the aforementioned address. We completed all contracted work successfully. The following documents were submitted to your company for review and payment on (date documents were submitted): 1. 2. 3. 4. Service Contract; Assignment of Insurance Benefits; Direction of Payment to (Company Name); Certificate of Completion and Satisfaction. Please issue payment directly to (Company Name) for the balance due on the invoice within 10 days from the date of this letter so as to avoid any potential legal action in this matter. I sincerely urge you to make every effort to satisfy this outstanding file amicably. Collection Department.