[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Store Name] [Store Address] [City, State, ZIP] Subject: Concerns Regarding Slip and Fall Accident at [Store Name] Dear Store Management, I am writing to express my deep concern and disappointment regarding a slip and fall accident that occurred at your store location in Fairfax, Virginia, on [Date]. As a loyal customer, I have always enjoyed shopping at your store for its wide range of products and excellent customer service. However, this unfortunate incident has left me with a negative impression of the safety measures implemented within your premises. I would like to provide a detailed account of the incident so that you can understand the severity of the situation. On the aforementioned date, I entered your store as a regular customer. As I was walking through aisle [Number/Name], my feet suddenly slipped on a wet and slippery surface near a leaking refrigerator. Despite my best efforts to maintain balance, I fell hard on the floor, resulting in significant physical discomfort and subsequent medical attention. The incident not only caused me immense pain and suffering but also led to medical expenses and time off work for recovery. As a responsible establishment, it is essential for your store to ensure the safety and well-being of customers, preventing such accidents from occurring in the first place. However, it was evident that appropriate measures were not in place to tackle the imminent danger posed by the leaking refrigerator. In light of the incident, I kindly request that you take the following actions: 1. Conduct a thorough investigation of the accident and document the steps being taken to prevent similar incidents from occurring in the future. 2. Address the issue of the leaking refrigerator promptly, ensuring it is repaired or replaced without delay. 3. Review and reinforce your store's safety protocols, including regular inspections, maintenance, and clean-up routines to prevent accidents. 4. Provide me with compensation for the medical expenses incurred as a result of this accident, as well as any lost wages that resulted from this incident. I expect a reasonable and fair resolution to this matter. I believe my expectations are reasonable given the circumstances and the impact this incident has had on my well-being. Nonetheless, I would like to resolve this matter amicably, prioritizing clear communication and accountability. Therefore, I kindly request a response within [reasonable timeframe, e.g., 14 days] of receiving this letter. In the event that satisfactory actions and resolutions are not provided within the specified timeframe, it may become necessary to seek legal advice and escalate the matter further. I sincerely hope it does not come to that, as I value the positive experiences I have had in your store over the years. I look forward to hearing from you soon and resolving this matter promptly. Thank you for your attention to this important concern. 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.