Sample Medical Reimbursement Letter To Employer

Learn how to write a medical reimbursement letter to employer. Use our sample medical reimbursement letter to employer as a template for your medical reimbursement letter.

Medical Reimbursement Letter To Employer

Name of Employee
Address of Employee
City, State, Zip Code

Name of Employer
Address of Employer
City, State, Zip Code


Dear [Name of Employer],

I am sending this letter to request reimbursement for the applicable medical expenses I have incurred due to pneumonia. I was admitted to the [Name of Hospital], for five days.

I am enclosing all medical records pertaining to my treatment and hospitalization as well as the amount I am requesting for reimbursement for your perusal.

I hope to hear from you within 10 business days. If you need more information, you may reach me at [555 123 4567] or at []. I will be happy to supply any more information you require.

I appreciate your time and support.



Name of Employee
List of enclosures