Writing a Waiver Letter [Free Samples]

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waiver letter is required for people who want to waive one of their rights, of if they would like to request that one of their obligations is waived.

For example, if a family is vacationing by a lake on private property, they may need to sign a waiver letter stating that they will not hold the owner of the property responsible if there is any accident that causes injury to a family member while on the property.

An example of waiving an obligation is if a person is having serious personal financial difficulties and cannot meet payments on a loan, he or she can request that the interest be waived for a specified period of time.

Waiver Of Financial Responsibility

A request for waiver of financial responsibility is not a guarantee that the request will be granted, but if the letter is professionally composed, gives good reasons and is polite, there is a chance the receiver will help.

Before writing the letter, the person requesting waiver should read the loan contract to make sure they comply with any terms or conditions connected to waiving payments.

A letter many also be sent to an insurance company requesting a waiver of providing a list of items destroyed in an event that is covered by insurance such as natural disaster or fire.

First Sentence

The letter should state its purpose in the first sentence. If monetary amounts are given, they should be accurate and not exaggerated. The sender should include any documents that support their request such as medical reports, doctor’s letters, photographs or insurance figures.

Below are sample waiver letters to request that an obligation be waived. It should be written in formal business style and sent by certified mail.

Sample 1 - Waiver Letter To Request Obligation Be Waived

Your Name
Your Address
City, State, Zip Code


RE: Bank or Loan Account Number

To Whom It May Concern:

This letter is a formal request to have my monthly payments of $150 on my car loan frozen for six months from DATE to DATE. 

I am currently in financial difficulty because of an injury I received in a car accident through no fault of mine. Since I work for minimum wage, I have no resources to maintain my payments.

I will be undergoing physical therapy for the next four months and hope to be able to find a job after that. I have met my loan obligation regularly for the past one year and have every intention of paying it off.

I have enclosed my medical report and doctor’s letter as proof of my condition. If you have any questions, I can be reached at Phone Number or at Email Address.

Thank you for considering my request.


Signature of Sender
Printed Name of Sender
List of Enclosures: Medical Reports

Sample 2 - Waiver For Waiving Personal Rights

Your Name
Your Address
City, State, Zip Code


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

Dear Name of Receiver:

You are welcome to spend two weeks camping on the shores of Clear Lake with your family. Since the lake is on my personal property, I request that you sign the following waiver.

I, Name of Receiver, hereby agree that:

Name of Property Owner and his family are not responsible for any accidents that occur while I, my wife and two sons are camping on his property. This includes accidents because of my negligence as well as from natural disasters.

If any accident does occur, I cannot bring a lawsuit against Name of Sender or his family members, nor can my family bring a lawsuit in the event of my death.

Signature of Receiver

There are two copies of this letter. Kindly sign them both and send one to me by certified mail and keep the other for your records.

If you have any questions, I can be reached at Phone Number or at Email Address. I hope you enjoy your camping vacation by Clear Lake.


Your Name

List of Enclosures: one copy of the letter

Waiver Of Personal Rights

Waiver letters are often given by travel businesses and service providers to their customers. 

The businesses do not want the customer to blame the travel business if there is an airline, train or bus tour cancellation. 

This letter is the same type as a letter requesting a person to waive his or her personal rights.

A letter requesting waiver of personal rights should mention the dangers involved in signing the letter. This should make the situation clear, so the signee knows exactly what is involved.

Here is a sample waiver letter for waiving personal rights. Since it is a legal document, it should also be in formal business style and sent by certified mail. The sender should request the signed waiver be returned by certified mail.

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