Date Consumer Name Address

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Date
Consumer Name
Address
City, State Zip Code
Re:
Subject Name: SUBJECT NAME
DFS Case Number: CS000000/CA000000
Dear Consumer:
We have received your correspondence concerning [SUBJECT NAME] and a case has been
opened. Please be assured that we will thoroughly investigate this matter and take the appropriate
action if it is determined that a law within our jurisdiction has been violated.
An important part of our investigation is your personal knowledge of the insurance transaction with
[SUBJECT NAME]. Therefore, it may be necessary for us to obtain specific documentation from
you and/or take your sworn statement to substantiate such allegation(s). In the meantime, contact
me with any questions, additional information, or to discuss your concerns.
If you are contacted by <SUBJECT NAME>, you do not have to answer any questions or furnish
them any information.
Thank you for your cooperation in this matter.
Sincerely,
Investigator Name
FLORIDA DEPARTMENT OF FINANCIAL SERVICES
Investigator  Special Investigator
Division of Agent & Agency Services  Bureau of Investigation
Address  City, State, Zip Code  Tel. (555)555-5555  Fax (555)555-5555
Email  Investigator.Name@MyFloridaCFO.com
AFFIRMATIVE ACTION  EQUAL OPPORTUNITY EMPLOYER
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