Free Insurance Demand Letter Format Template
Insurance Demand Letter Format
November 10, 2050
OmniTrick
Salvador Green
Claims Adjuster
Scottsdale, AZ 85250
Dear Mr. GreenGreen,
I am writing to formally submit my demand for compensation regarding the claim filed under policy number ABC123456 for damages resulting from the car accident on October 15, 2050.
Incident Details
On October 15, 2050, I was involved in a motor vehicle accident caused by your insured party, Mr. Tom Walter. The incident occurred at the intersection of Main Street and 2nd Avenue, and the police report number is PR123456. The damages incurred as a result of this incident are significant.
List of Damages
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Vehicle Repair – Estimated cost: $3,500
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Medical Bills – Emergency room visit: $1,200
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Lost Wages – Time off work (2 weeks): $2,000
Total Amount Requested
Based on the aforementioned damages, I am requesting a total compensation of $6,700. I have included supporting documentation, such as repair estimates, medical bills, and the police report, for your review.
Conclusion
I urge you to review this demand promptly, as I believe it is a fair representation of the damages I have incurred due to your insured's negligence. I am open to discussing this matter further and hope to resolve it amicably. Please respond within 30 days to avoid further action.
Thank you for your attention to this matter.
Sincerely,
[Your Name]
[Your Email]
