Sample Notice of Claim

Below is an example of a simple notice you could send to your insurance carrier:

NOTICE OF CLAIM
Name of Homeowner(s)/Insured(s):
Policy Number:
Date of Loss:
Phone Number(s):
Property Address:
Insurance Company:
To Whom It May Concern:

Please consider this letter to be formal written "notice of claim" for the property listed above pursuant to the Texas Insurance Code, Section 542. The property described above has received damage, and we request that you immediately begin an investigation to explore the extent of that damage to that property. It is further requested that you open a claim and acknowledge receipt of this notice of claim

Thank you for your cooperation, and please contact me to discuss any documentation or statements you may need.