[DATE]

[Your Name]
[Your Address]
[City, State, Zip]

[XYZ Insurance Company]
[Address of Company]
[City, State, Zip]

ATT: Customer Service

RE: Renewal of Insurance Policy: [policy number]

My name is, [Your Name] I hold an insurance policy with your company with the following policy number: [policy number].

I would like to let you know that the renewal date for my insurance policy is approaching. As a result, I respectfully ask that you renew my policy.

Thank you in advance.

Sincerely, 

Signature
[Your Name]
Enclosures:

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