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Request for new employee insurance coverage


Dear __________

Enclosed please find an enrollment form for the above captioned individual. ___________________ (employee) is a transfer from ___________________ (specify). It is the ______________________ (name of firm) desired to waive the waiting period. We are requesting immediate coverage on this employee.

Your consideration in this matter will be appreciated.





Request for name change on charge card


Dear___________

My charge account with your company is currently held in my maiden name. Since I have recently married, I would appreciate it if you would change the name and address on my account to the following:

Account Number: ________________________________

Name: ________________________________

Address: ________________________________

City, State, Zip: ________________________________

Telephone: ________________________________

I would also appreciate receiving a new charge card with the imprint reflecting this name change. Upon the receipt of same, I will either destroy the old card or forward it to you, as per your request.

Thank you for your prompt attention to this matter.