[Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Store Name] [Store Address] [City, State, ZIP Code] Subject: Concern regarding Slip and Fall Accident at [Store Name] Dear Store Manager, I hope this letter finds you well. First and foremost, let me extend my wishes of good health and prosperity to you and your staff during these challenging times. However, the primary purpose of this correspondence is to bring to your attention an unfortunate incident that transpired at your store, specifically a slip and fall accident that I experienced on [date] at approximately [time]. Allow me to provide a detailed account of what transpired. On the mentioned date, I visited your store as a regular customer. As I entered the premises, I noticed the presence of a wet floor sign near the entrance, suggesting a recent cleaning or spill. I proceeded with caution, being mindful of the potential hazards associated with the wet floor. To my dismay, despite being mindful of my steps, I unexpectedly slipped and fell due to the lack of proper maintenance or warning signs in the store aisles. As a result of the incident, I sustained injuries to [specify any injuries you sustained], which necessitated medical attention and subsequent treatment. While accidents can happen, it is imperative that stores like yours prioritize customer safety by taking necessary precautions. Unfortunately, the incident I endured reflects a disregard for basic safety measures, which is highly concerning. It is vital to mitigate potential hazards promptly and provide clear warning signs to avoid such incidents. Considering the distress and physical pain I endured, I kindly request that you take appropriate action to rectify the situation. I urge you to conduct a thorough investigation into the incident and implement necessary changes to prevent similar accidents from occurring in the future. Moreover, I request reimbursement for any medical expenses incurred and the compensation for my pain, suffering, and inconvenience caused. I trust in your commitment to customer satisfaction and safety, and I hope that you will address my concerns promptly and adequately. I believe that it is in the best interest of both parties to resolve this matter amicably without resorting to legal action. Enclosed with this letter, you will find copies of relevant medical documents, receipts, and photographs as evidence of the incident and the subsequent consequences. I urge you to treat this matter with utmost seriousness, and I anticipate hearing from you within [reasonable timeframe] to discuss a suitable resolution. Thank you for your attention to this matter. I hope that we can promptly resolve this incident and restore my faith in the safety standards upheld by your esteemed store. I kindly request acknowledgment of receipt of this letter. 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.