Request for Information (RFI) — Universal Base

Adjuster-reviewed template with required components, jurisdiction notes, and adjuster guidance.

coverage investigationCoverage Investigation

We Need More Information About Your Claim

Claim Number: {{claim_number}}

Dear {{claimant_name}},

We are currently reviewing your claim. To help us finish our review, we need some additional information from you.

What We Need

Please provide the following items:

  • {{item_1_description}}
  • {{item_2_description}}
  • {{item_3_description}}

How to Send This Information

You can send these items to us by:

  1. Email: Send digital copies to {{adjuster_email}}.
  2. Mail: Send physical copies to {{company_address}}.
  3. Online Portal: Upload files to our portal at {{claims_portal_url}}.

Why We Need This

We need this information to better understand the details of your loss and to determine what coverage applies under your policy.

Please send these items by {{due_date}}. If you need more time, please let us know as soon as possible.

If you have any questions, you can reach your adjuster, {{adjuster_name}}, at {{adjuster_phone}}.

Thank you for your help.

Sincerely,

{{company_name}} {{adjuster_name}}

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Last reviewed: March 30, 2026