Renters Insurance Claim
Renters Insurance Claim
Date: [Date]
Claimant Information
|
Policyholder Name |
[Your Name] |
|---|---|
|
Policy Number |
[Policy Number] |
|
Email Address |
[Your Email] |
Description of Incident
|
Date of Incident |
October 1, 2050 |
|---|---|
|
Cause of Incident |
Burst pipe causing a significant water leak |
|
Impact |
Damage and loss of several personal property items covered under the renter's insurance policy. |
|
Location of Property |
123 Elm Street, Apartment 4B, Anytown, USA |
Items Affected
|
Item |
Description |
Condition Before Incident |
Estimated Value |
|---|---|---|---|
|
Laptop |
MacBook Pro 13-inch, 2020 model |
Excellent |
$1,299 |
|
Sofa |
3-seater, grey fabric, IKEA |
Good |
$499 |
|
Bookshelf |
Wooden, 5-tier, from Wayfair |
Good |
$150 |
|
Television |
Samsung 55-inch 4K UHD |
Excellent |
$699 |
Total Estimated Cost: $2,647
Supporting Documentation
-
Photos of the damaged items and affected areas
-
Original purchase receipts for the laptop and television
-
Statements from the landlord and plumber regarding the incident
-
Policy documentation
Conclusion
I am requesting compensation for the loss and damage to my personal property as outlined in the above table. Enclosed with this claim are all supporting documents that verify the value and condition of the affected items. Please process my claim at your earliest convenience. If you require any further information or documentation, please do not hesitate to contact me.
Thank you for your prompt attention to this matter.
Sincerely,
[Your Name]
