Fleet Insurance Claim
Fleet Insurance Claim
Incident Details
On the 15th of October, 2060, two vehicles from our fleet were involved in a traffic accident at the intersection of Elm Street and Maple Avenue. The incident occurred at approximately 3:45 PM and involved the following vehicles:
|
Vehicle |
Plate |
|---|---|
|
2055 Ford Transit |
ABC-1234 |
|
2057 Freightliner Cascadia |
DEF-5678 |
Damages Incurred
|
Vehicle |
Description of Damages |
Estimated Repair Cost |
|---|---|---|
|
2055 Ford Transit |
Front bumper damaged, left headlight broken, front grill cracked |
$3,000 |
|
2057 Freightliner Cascadia |
The rear left taillight is broken, rear bumper dented |
$1,500 |
Compensation Requested
We are requesting compensation for the total costs incurred due to the damages stated above, along with additional costs for towing and temporary vehicle rental:
-
Repair Costs: $4,500
-
Towing Fees: $300
-
Temporary Vehicle Rental: $600
Total Compensation Requested: $5,400
Contact Information
|
Name: |
Ethan Brooks |
|
Contact Number: |
(123) 456-7890 |
|
Address: |
123 Business Blvd, Suite 456, Metropolis, CA 90210 |
Declaration
I, Ethan Brooks, declare that the information provided in this Fleet Insurance Claim is true and accurate to the best of my knowledge. I understand that providing false information may result in the denial of the claim and potential legal consequences.
[YOUR NAME]
[DATE]
