This part of the booklet explains where to sue, which complaint form to use, how to fill in the proper legal forms, how to file the claim, and how to get the. A sample confirming letter is shown below.You can follow this format for almost any important (or seemingly important) piece of information. Ready to Apply for NC Medicaid? Find Local Rules and Forms that provide procedures and guidelines for courts in Mecklenburg County. Medicare—Supplementary Medical. Sample of a Cash Settlement Letter. The letter should explain how and where they can pick up their file and should give a time deadline for doing this.