Consent Letter
Consent Letter
Consent Letter
After the mutual discussion and negotiation I have voluntarily accepted full & final settlement of my Theft
claim
I have agreed to accept the sum of Rs. ___________/- less policy excess Rs.50/- = Rs.________/- as a
mutually negotiated full & final settlement for my theft of vehicle subject to policy cancellation from the
date of loss. I undertake that I will never raise an issue, or litigate on this settlement. My Insurers are not at
all liable for any other Expenses.
This consent letter has been voluntarily given and I am aware that the same is a condition precedent for the
mutually agreed mode of settlement.
Date:.
Signature of Insured
Signature of Witness