Overpayment Letter To Insurance Company In Dallas
Category:
State:
Multi-State
County:
Dallas
Control #:
US-0041LTR
Format:
Word;
Rich Text
Instant download
Description
This form is a sample letter in Word format covering the subject matter of the title of the form.
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More info
We have identified the following overpayment and are in good faith voluntarily refunding all monies collected in error. Overpayment or underpayment.Contact My Office And Take The First Step Toward Resolving Your Issue. Dallas, TX 75284-1004. Please complete the form below and include it with your refund check to ensure it is accurately applied in our system in a timely manner. Please download the form, complete each field and print. Include the form with your refund so we can properly apply the refund and record the receipt. The new remittance addresses will be listed on the remittance form you receive in the mail with claim refund requests.
