Attach Your Letterhead Here
Policy# - Company- Policy# - To Whom It May Concern: Please forward my last four (4) years loss information for the insurance contracts referenced above. New York Law SB 9351 effective June 28, 1986, requires loss information on covered policies be provided within 20 days of request. We are requesting loss information on the above policies pursuant to this provision. Please Mail and Fax the loss history directly to: - Classic Coverage Insurance Agency - 645 Rt. 109, West Babylon, NY 11704 - Fax To: 1(631) 422-8586 Thank you for your prompt attention. Sincerely, Sign: ______________________________ Print name: Date: |
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