DATE- 26/02/2024

To
The Branch Manager,
Life Insurance Corporation of India (LIC)
Bidar Branch Office-585401

Subject: Request for Issuance of Death Claim for Late Submission

Dear Sir/Madam,
I hope this letter finds you in good health. I am writing to bring to your attention the unfortunate
demise of my wife, Ashwini, who was insured under Policy number [709014016]. I am Bhimrao s/o
Narsingh Gajare, residing in Balat K.

I regret to inform you that I received the LIC bond quite late, which led to a delay in submitting the
required documents for the death claim. Due to this delay, I kindly request your assistance in
processing the death claim at the earliest convenience.

Details of the deceased:

Name: Ashwini w/o Bhimrao Gajare
Policy Number: [709014016]
I have enclosed all the necessary documents, including the death certificate and other relevant
paperwork, for your perusal and processing of the death claim. I sincerely apologize for any
inconvenience caused due to the delayed submission and appreciate your understanding in this matter.
Please find attached:
1. Death Certificate
2. LIC Bond

I kindly request you to consider my situation sympathetically and expedite the processing of the death
claim. Your prompt action in this matter will be highly appreciated.

Thank you for your understanding and cooperation. I look forward to a positive response from your end.

Yours sincerely,
Bhimrao s/o Narsingh Gajare
Taluka : kamalnagar
District: Bidar