How to write an application for reducing social security late fees?

Xxx insurance office:

My name is xx, and I'm a party to insurance No. xx。 In recent days, because (you make up an excuse for late payment, you can ask the person who knows it as the reason for your application), my family has personal economic and financial difficulties, so it is difficult to live together, so I didn't pay the insurance premium in time, and now I apply for a waiver of late payment. I hope it can be approved.

I hope!

Applicant: xxx

Date, year and month

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.