This form is a sample letter in Word format covering the subject matter of the title of the form.
[Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Address] [City, State, ZIP Code] Re: Traffic Accident — Demand for Payment Dear [Recipient's Name], I hope this letter finds you in good health. I am writing regarding the traffic accident that occurred on [Accident Date] in [Location/Intersection], involving myself and [Other Party's Name]. I am hereby presenting a formal demand for the payment of damages incurred as a result of this accident. The accident occurred when [describe the events leading to the accident, including any relevant details about the road conditions, traffic signals, or any negligence or violation committed by the other party]. As a direct consequence of the aforementioned accident, I have suffered the following damages: 1. Property Damage: [Provide a detailed description of the damage caused to your vehicle, including any repairs required and estimated cost.] 2. Medical Expenses: [List the medical treatments you received post-accident, including any hospitalization costs, diagnostic tests, medication expenses, and rehabilitation fees.] 3. Lost Wages: [Specify the period of time you were unable to work due to the accident, along with your average weekly or monthly income. Calculate the total lost wages accordingly.] 4. Pain and Suffering: [Describe the physical pain, emotional distress, and any other non-economic damages you experienced as a result of the accident. Be sure to mention any ongoing discomfort or limitations.] 5. Other Expenses: [Include any additional expenses directly related to the accident, such as transportation costs, rental vehicle fees, or necessary home modifications during your recovery.] Considering the above, I demand a total payment of [amount] to compensate for the damages incurred. This demand covers all past, present, and future damages resulting from the accident. Please note that this amount reflects a fair assessment of my losses and is inclusive of any deductible amount under my insurance policy. I kindly request that the payment be made within [reasonable timeframe, e.g., 30 days] from the date of this letter. Failure to comply may result in legal action being pursued to recover the compensation owed. To facilitate the payment process, please reply to this letter via certified mail or email. Upon reaching an agreement, I am open to discussing an alternative payment arrangement that suits both parties. I have enclosed the necessary supporting documents, including photographs of the accident scene, medical bills, repair estimates, and any other relevant evidence. If you require any further documentation or information to process this claim, please notify me promptly. In conclusion, I hope we can swiftly resolve this matter without the need for further legal action. I look forward to receiving your prompt response and amiable resolution to this claim. Thank you for your attention, and I anticipate your cooperation. Sincerely, [Your Name]
[Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Address] [City, State, ZIP Code] Re: Traffic Accident — Demand for Payment Dear [Recipient's Name], I hope this letter finds you in good health. I am writing regarding the traffic accident that occurred on [Accident Date] in [Location/Intersection], involving myself and [Other Party's Name]. I am hereby presenting a formal demand for the payment of damages incurred as a result of this accident. The accident occurred when [describe the events leading to the accident, including any relevant details about the road conditions, traffic signals, or any negligence or violation committed by the other party]. As a direct consequence of the aforementioned accident, I have suffered the following damages: 1. Property Damage: [Provide a detailed description of the damage caused to your vehicle, including any repairs required and estimated cost.] 2. Medical Expenses: [List the medical treatments you received post-accident, including any hospitalization costs, diagnostic tests, medication expenses, and rehabilitation fees.] 3. Lost Wages: [Specify the period of time you were unable to work due to the accident, along with your average weekly or monthly income. Calculate the total lost wages accordingly.] 4. Pain and Suffering: [Describe the physical pain, emotional distress, and any other non-economic damages you experienced as a result of the accident. Be sure to mention any ongoing discomfort or limitations.] 5. Other Expenses: [Include any additional expenses directly related to the accident, such as transportation costs, rental vehicle fees, or necessary home modifications during your recovery.] Considering the above, I demand a total payment of [amount] to compensate for the damages incurred. This demand covers all past, present, and future damages resulting from the accident. Please note that this amount reflects a fair assessment of my losses and is inclusive of any deductible amount under my insurance policy. I kindly request that the payment be made within [reasonable timeframe, e.g., 30 days] from the date of this letter. Failure to comply may result in legal action being pursued to recover the compensation owed. To facilitate the payment process, please reply to this letter via certified mail or email. Upon reaching an agreement, I am open to discussing an alternative payment arrangement that suits both parties. I have enclosed the necessary supporting documents, including photographs of the accident scene, medical bills, repair estimates, and any other relevant evidence. If you require any further documentation or information to process this claim, please notify me promptly. In conclusion, I hope we can swiftly resolve this matter without the need for further legal action. I look forward to receiving your prompt response and amiable resolution to this claim. Thank you for your attention, and I anticipate your cooperation. Sincerely, [Your Name]