The document provides two sample request letters asking for financial assistance to pay hospital bills. To write a letter requesting help with hospital bills, start with a polite greeting and introduce yourself, mentioning your situation briefly.This is a letter that I may use if I represent a client who is injured in an accident and I want to get his or her hospital bills reduced. Review the Financial Assistance Policy. Please fill out the form Request for Confidentiality - Clerk of Courts and send it to: Clerk of Courts 22 NW 1st Street Miami, FL 33128. Other. Copy of enrollment form or letter from employer with effective date of coverage. Utility Bill, change in address form, lease, mortgage agreement. Ask for a copy of the policy. Hello, I just received a letter in the mail stating that my hospital is suing me for unpaid medical bills. Your Rights and Protections Against Surprise Medical Bills.