Writing an attention letter requires research about the intended recipient. You need to find the correct name or company address.Be sure to state what your claim is and include the type of information shown on the sample that follows. How to Fill Out Complaint for Money Owed. The CMPD Crime Prevention Unit has put together a few tips on various ways to protect yourself in given situations. In the sample complaint form, note the choices of boxes the plaintiff may use. You can check a box and fill in the information on the line next to the box. This letter tells how you will get your medical care in the Medicaid program. If not, consider ordering a birth, death or marriage certificate from the Register of Deeds in the county of the event. The Attention Line is placed above the Recipient Line, that is, above the name of the firm to which the mailpiece is directed.