A1Letters.com

TO HEALTH BENEFITS INSURER REQUESTING REIMBURSEMENT FOR EXPENSES

Dear Felix

I enclose a completed medical claim form together with receipts totaling $[AMOUNT OF RECEIPTS, ex. $233.29] in respect of [DESCRIBE NATURE OF AMOUNTS PAID, ex. minor surgery administered to our employee, [NAME OF EMPLOYEE].

Kindly provide us with a Check payable to the employee in the above amount.

Please address all correspondence to our address noted on our letterhead and marked “Personal and Confidential”.

Regards
Lydia








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