Demand Letter Template Personal Injury Damages (1)
Content
REMEDIES
Spring 2015
Assignment 1
[ADD YOUR NAME]
LAW OFFICE OF [YOUR NAME]
210 South College Street
Suite 1100
Charlotte, NC 28244
[DATE]
[ADJUSTER’S NAME]
Senior Field Adjuster
GEICO Insurance Co.
P.O. Box 12345
Columbia, SC 12345
My Client:
Your Insured:
Your Policy No.:
Your Claim No.
Date of Injury:
[ADD CLIENT’S NAME]
[ADD INSURED/DEFENDANT’S NAME]
[ADD INSURANCE POLICY NUMBER]
[ADD CLAIM NUMBER]
[ADD DATE OF INJURY]
Dear [ADD ADJUSTER’S NAME]:
As you are aware, [ADD PARAGRAPH PROVIDING A FULL DESCRIPTION OF
INCIDENT HERE USING INFORMATION FROM THE COLLISION REPORT]
Below is a summary of the care and treatment Mr. Winston has received.
Injuries and Treatment
[PROVIDE A SUMMARY OF THE INJURIES SUFFERED AND THE MEDICAL CARE
RECEIVED BY MR. WINSTON]
Medical Expenses
[PROVIDE A SUMMARY OF THE MEDICAL EXPENSES MR. WINSTON HAS
INCURRED AS A RESULT OF THE COLLISION – DO NOT ADDRESS ANY ISSUES
ASSOCIATED WITH LIENS/SUBROGATION CLAIMS AT THIS TIME. YOU SHOULD
ASSUME THAT YOU HAVE PREVIOUSLY PROVIDED THE INSURANCE COMPANY A
COPY OF THE MEDICAL RECORDS AND BILLS RELATED TO THIS COLLISION]
Lost Income
[PROVIDE A SUMMARY OF THE INCOME MR. WINSTON HAS LOST AS A RESULT
OF BEING UNABLE TO WORK FOR A PERIOD OF TIME FOLLOWING THE
COLLISION]
[PROVIDE A CONCLUSION PARAGRAPH AND MAKE YOUR DEMAND FOR
SETTLEMENT]
Sincerely,
[ADD YOUR NAME]
Spring 2015
Assignment 1
[ADD YOUR NAME]
LAW OFFICE OF [YOUR NAME]
210 South College Street
Suite 1100
Charlotte, NC 28244
[DATE]
[ADJUSTER’S NAME]
Senior Field Adjuster
GEICO Insurance Co.
P.O. Box 12345
Columbia, SC 12345
My Client:
Your Insured:
Your Policy No.:
Your Claim No.
Date of Injury:
[ADD CLIENT’S NAME]
[ADD INSURED/DEFENDANT’S NAME]
[ADD INSURANCE POLICY NUMBER]
[ADD CLAIM NUMBER]
[ADD DATE OF INJURY]
Dear [ADD ADJUSTER’S NAME]:
As you are aware, [ADD PARAGRAPH PROVIDING A FULL DESCRIPTION OF
INCIDENT HERE USING INFORMATION FROM THE COLLISION REPORT]
Below is a summary of the care and treatment Mr. Winston has received.
Injuries and Treatment
[PROVIDE A SUMMARY OF THE INJURIES SUFFERED AND THE MEDICAL CARE
RECEIVED BY MR. WINSTON]
Medical Expenses
[PROVIDE A SUMMARY OF THE MEDICAL EXPENSES MR. WINSTON HAS
INCURRED AS A RESULT OF THE COLLISION – DO NOT ADDRESS ANY ISSUES
ASSOCIATED WITH LIENS/SUBROGATION CLAIMS AT THIS TIME. YOU SHOULD
ASSUME THAT YOU HAVE PREVIOUSLY PROVIDED THE INSURANCE COMPANY A
COPY OF THE MEDICAL RECORDS AND BILLS RELATED TO THIS COLLISION]
Lost Income
[PROVIDE A SUMMARY OF THE INCOME MR. WINSTON HAS LOST AS A RESULT
OF BEING UNABLE TO WORK FOR A PERIOD OF TIME FOLLOWING THE
COLLISION]
[PROVIDE A CONCLUSION PARAGRAPH AND MAKE YOUR DEMAND FOR
SETTLEMENT]
Sincerely,
[ADD YOUR NAME]
