Formal notice to an insurer for payment of a claim Quebec

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Free template to adapt to your situation: replace the sample information (names, addresses, dates, amounts, references) with your own.

FreeDemand letter (formal notice)Word · PDF · No sign-up

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[Your name]
[Address]
Policy no. [___]

[City], [date]

FORMAL NOTICE – BY REGISTERED MAIL

[Insurer’s name]
[Claims department]
[Address]

Re: Claim no. [___] – Loss of [date]

Sir or Madam,

On [date], I suffered a loss covered by my policy no. [___]: [describe: water damage / theft / fire / ___]. I notified you on [date] and sent you my proof of loss and supporting documents on [date].

More than 60 days have passed and you have [not paid the indemnity / refused coverage without valid reason / offered an insufficient amount of $___].

Under article 2473 of the Civil Code of Québec, the insurer must pay the indemnity within 60 days of receiving the statement of loss. I therefore put you on notice to pay the sum of $[amount] within 10 days, failing which I will institute proceedings for the indemnity, interest and damages, without further notice [and file a complaint with the Autorité des marchés financiers].

[Signature]
[Name]

Free, no sign-up. Replace the sample information with your own.

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Drafting notes

  • The insurer must pay within 60 days after receiving the statement of loss or the information it requested (art. 2473 C.C.Q.).
  • Any clause depriving the insured of rights granted by the Code’s insurance provisions is null (art. 2414 C.C.Q.).
  • Insurers must have a complaint policy; unresolved complaints may be transferred to the AMF.

How to use this template

  1. Download the letter in Word or PDF with the button above.
  2. Adapt it to your situation: your contact information, the recipient’s, the facts, dates and amounts.
  3. Send it with proof of delivery (registered mail or bailiff) and keep a copy.
Sonia Pin

About the author

Sonia Pin Legal counsel, business law

Sonia Pin is a legal professional specializing in business law and commercial litigation. She drafts and updates the contract and letter templates published on Avocat Montréal, with a focus on Quebec civil law (Civil Code of Québec) and the practical requirements of the courts and administrative tribunals.

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