ACCOUNT_FIRST_NAME ACCOUNT_LAST_NAME

ACCOUNT_JOB_COMPANY

Current Date: 22 December 2024

Dear Sirs/Madam,

POLICY NO NUMBER

Our foreman, NAME, met with an accident on DATE. PARTICULARS. At the time we did not think the accident was serious enough to report: however, after an absence of x weeks he/she has returned to his work and is still unable to carry on his normal duties.

We, therefore, wish to make a claim under the above policy. Please send the necessary claim form to me as soon as possible.

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