Form Letter No. 1: Notification Letter

John Doe

Re:     Date of Accident: June 15, 2000
           Location of Accident: 
          Time of Accident:

Dear  John Doe

        Subject; Request of name and address of Your insurance carrier

Regarding the above captioned ACCIDENT WILL YOU PLEASE PROVIDE ME WITH THE following:

        1. NAME, OF YOUR Automobile INSURANCE CARRIER.

        2. The address of Your insurance carrier:

        3. The Telephone Number of Your insurance carrier

        4. Policy Number:

I am enclosing an extra copy pf this letter so that you may return it with the requested information.

Sincerely,