TO WHOM IT MAY CONCERN
This is to verify that JOHN SMITH Carried vehicle insurance with ABC INSURANCE LTD under policy number ABC123
Automobile insurance has been in force from (dd, mm, yyyy) to (dd, mm, yyyy).
Automobile insurance has been in force for named Drivers (if any): MARY SMITH from (dd, mm, yyyy) to (dd, mm, yyyy)
The following Third Party and/or Collision claims has been paid and/or are outstanding:
Date of Loss / Claim Number / Type of Loss / Total Amount / Driver
SIGNATURE
NAME
POSITION
T ELEPHONE NUMBER / FAX NUMBER / EMAIL