Insurance Claim Authorization Letter

Tammi Cummings
789 Pine Street
Lakewood, NJ 08701
Email: [email protected]
Phone: (555) 987-6543
Date: October 15, 2023

Claims Department
SafeGuard Insurance Co.
123 Insurance Lane
Harbor City, NJ 08701

Dear Claims Department,

I, Tammi Cummings, holding the policy number 123456789 with SafeGuard Insurance Co., am writing to authorize my brother, Nathan Cummings, to act on my behalf regarding my recent insurance claim. Due to unforeseen circumstances, I am currently unable to manage the necessary communications and follow-ups required for the claim process.

Nathan Cummings, residing at 456 Oak Avenue, Lakewood, NJ 08701, will have the full authority to act on my behalf. This includes, but is not limited to, submitting required documents, receiving claim status updates, making inquiries, and endorsing claim settlement checks for deposit as needed to expedite the resolution of my claim.

This authorization is given freely and without coercion, and it will remain in effect until the claim is fully resolved or until I provide written notice to revoke this authorization.

I trust that Nathan will handle all matters related to my claim with the utmost diligence and care, ensuring that the process is conducted smoothly and efficiently. Please direct all correspondence and communications regarding my claim to him during this period.

Should you require any further verification or have any questions, please feel free to contact me directly at the phone number or email address listed above. Your cooperation and assistance in facilitating this request are greatly appreciated.

Thank you for your attention to this matter.


Tammi Cummings

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