Write a Letter Notifying your Insurance Company of an auto claim.

Hello,

Re: Policy No. <Policy number>

This is to inform that I would like to make a claim on the above-referenced policy of insurance. On <date>, I was in an automobile accident with <name(s)> at <location of accident>. <name(s)> <is/are> insured as follows:

<name of driver>
<name of their insurer>
<their policy number>

A police report <was/was not> obtained at the time of the accident. The report is number <report number> and can be obtained through <name of agency that took the report> <report of any injuries>.

I would, therefore, request that <company name> adjust any claims arising out of this accident. In case you need any additional information, feel free to contact me. I shall look forward to hearing from you at the earliest.

Regards,