1234, Main Street
Boston, MA 02123
06 April, 2005
<Recipient Address Goes Here>
Re: <insert case name>
Case No. <case number>
On <date you were served>, I was served with a Summons and Complaint in the above-referenced matter. Copies of these documents are enclosed for your review. As you will see from a review of the documents, this matter stems from <description>. It is my understanding that my <type of policy> policy of insurance should cover such an incident, and therefore, <name of your insurance company> is obligated to defend me in this matter. Accordingly, I hereby tender my defense in the above-referenced matter to <name of your insurance company>.
Please advise if I should select my own attorney or if you will be appointing one to my case. I look forward to hearing from you on this matter.
encl: <List of enclosed items goes here>