Insurance Claim Demand Letter

---

September 25, 2050

Dawson Insurance Company
456 Insurance Blvd
Springfield, IL 62701

Subject: Demand for Insurance Claim Payment – Policy No. 987654321

Dear Claims Department,

I am writing to formally submit a demand for payment regarding my insurance claim (Claim No. 123456), which was filed on August 15, 2050. The claim pertains to the incident that occurred on August 10, 2050, involving a car accident.

As per the terms of my policy, I believe I am entitled to compensation for the following damages:

1. Medical Expenses:

   • Emergency Room Visit: $2,500

   • Follow-up Doctor’s Visit: $200

   • Physical Therapy (6 sessions): $600

2. Property Damage:

   • Car Repair Estimate: $5,000 (attached estimate from XYZ Auto Repair)

3. Loss of Income:

   • Two weeks of missed work: $1,000 (attached pay stubs for verification)

4. Other Costs:

   • Rental Car Costs (10 days at $30/day): $300

Enclosed with this letter are copies of all relevant documentation, including medical reports, repair estimates, and receipts, that substantiate my claim. The total amount I am requesting for damages is $9,600, which includes all applicable costs outlined above.

I would appreciate a prompt response to this demand, ideally within 30 days, so we can resolve this matter quickly and amicably. If you require any further information or documentation to facilitate this claim, please do not hesitate to contact me directly at [Your Phone Number] or [Your Email].

Thank you for your attention to this matter. I look forward to your timely response.

Sincerely,

[Your Name]

Letter Templates @ Templat.net