TEMPLATE NAME: Change Request Acknowledgement

SUBJECT:  Request for policy change

MESSAGE:

RE:  	Company:  <<Pol_Company>> 
	Policy Number:  <<Pol_PolNum>>


Dear <<Cli_FirstNames:PC>>,

Per your recent telephone conversation and per your request, we are making changes to your policy.  The changes are outlined in the attached change request form. 

To verify this request, sign where indicated and return it to our office for our record keeping.  If this information is incorrect please call us immediately to make the corrections.

As in the past, you will receive an amendment from the company.  Review it carefully.  If there are any further changes or additions, please advise us at once.


Sincerely,


<<User Name>>
<<Agncy_Name>>
Phone:  <<Agncy_Phone>>