Insurance companies can utilize this letter template to seek reimbursement from the person or entity legally responsible for a loss. No information is available for this page.To file a claim against the County please complete the form below, print, sign and send to the address listed on the form. You have no legal obligations to respond to a subrogation letter. The Insurer will reimburse the Insured Entity for Breach. The Plaintiff, above named, complaining of Defendants, above named, alleges and says as follows: 1. If you are your business are facing an insurance coverage issue, contact our Orange County offices today at 949-679-9909. Please fill out and include the local vendor preference form and include the necessary documents if your organization qualifies. V City of San Jose (1982) 127 CA3d 730. The Superior Court of San Bernardino County, E047207 (Super.