Hello, My Landlord cancelled my lease agreement with the agent because I would sign the debit order clause. Understand your options when the insurance company makes a lowball injury settlement offer, and see a claimant's sample response letter.Edit, sign, and share letter to decline offer online. No need to install software, just go to DocHub, and sign up instantly and for free. The Request for Dismissal did not specify that it was a dismissal with prejudice, and therefore it was not a dismissal with prejudice. 20. An example of a without prejudice save as to costs settlement offer letter from a claimant (with drafting notes), also known as a claimant's Calderbank offer. This forms asks the court to dismiss the case. The form says "with prejudice" or "without prejudice.