Date

Director
Division of Commercial Licensing & Regulation / Auto Body Section
233 Richmond Street
Providence, RI 02903

Dear Sir or Madam,

I am writing to file a complaint against <insert insurance company name, address, phone number and name of person you dealt with here>. My name is <insert name> and I have paid insurance premiums to this company for <xx> years. Now, when I am filing a claim to get my vehicle restored to the condition it was in prior to the collision, the insurance company is trying to interfere with my right to choose the collision repair facility that I trust to make the proper and necessary repairs  and to use only quality parts.

I know it is illegal for the insurance company to intimidate me or try to dissuade me from making this choice rather than using their “direct repair shops.” However, on <insert date> this is what exactly happened.

<Briefly explain what occurred including specific phrases or words you recall being used by the insurance company representative. It is also helpful to attach copies of any documents that support your complaint.>

I would appreciate your looking into this matter and getting back to me. I can be reached at <telephone number>. Thank you in advance for your efforts.

Sincerely,

Your name

Your address