Subject: Seeking Remedy for Slip and Fall Incident at [Store Name] in Pennsylvania [Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Store Name] [Store Address] [City, State, ZIP Code] Dear [Store Name] Manager, I am writing to bring to your attention a troubling incident that occurred at your establishment on [Date], resulting in a slip and fall accident. I trust that by addressing this matter, we can work together to find a fair and amicable resolution. On the mentioned date, I visited your store as a loyal customer in search of [specific product/service]. However, due to an unforeseen hazardous condition on the premises, I slipped and fell, sustaining injuries and distress. This incident has impacted me both physically and emotionally, requiring immediate medical attention and subsequent ongoing treatment. The hazardous condition that led to my accident was [describe the situation in detail, such as a wet floor, lack of warning signs, uneven pavement, etc.]. I wish to emphasize that this dangerous circumstance could have been easily prevented with proper care and maintenance. As a customer, I trust that your store prioritizes the safety and well-being of its patrons. However, the unfortunate mishap I encountered raises concerns regarding the negligence in maintaining a safe shopping environment. It is crucial to ensure that future incidents are promptly addressed and prevented to avoid any potential harm to others. In light of the incident, I kindly request the following: 1. Compensation for my medical expenses, including any treatment, medications, or therapy related to my injuries. 2. Full reimbursement for any loss of earnings resulting from my inability to work during the recovery period. 3. Adequate compensation for the physical pain, emotional distress, and inconvenience caused by the slip and fall accident. 4. Assurance that immediate action will be taken to rectify the hazardous condition that led to my fall, and to prevent similar incidents in the future. 5. A prompt response to this letter, addressing each of the aforementioned points, within [mention a reasonable time frame] days. I remain hopeful that we can resolve this matter cordially and without resorting to legal action. However, please be advised that if my concerns are not properly addressed, I may have no choice but to seek legal counsel to protect my rights and ensure accountability. I have attached copies of all relevant documents, including medical records, bills, and any evidence that supports my claims. Please review these thoroughly to understand the seriousness of the situation. Thank you for your immediate attention to this matter. I look forward to your prompt response. Kindly respond to the provided email address or phone number, whichever is more convenient for you. Yours sincerely, [Your Name]
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.