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] Subject: Demand for Payment — Traffic Accident Dear [Recipient's Name], I hope this letter finds you well. My name is [Your Name], and I am writing to you concerning a traffic accident that occurred on [Accident Date] at the intersection of [Intersection Name] in [City, Puerto Rico]. I am the innocent party involved in this incident and would like to formally request compensation for the damages caused to my vehicle and the injuries I sustained. Firstly, I would like to provide a detailed account of the accident. On the aforementioned date, at approximately [Accident Time], while following all traffic rules and regulations, I was proceeding through the green light at the intersection of [Intersection Name]. Suddenly, your vehicle, described as a [Description of the Other Vehicle], collided with mine, causing substantial damage and resulting in significant personal injuries. Following the accident, I immediately contacted the local law enforcement authorities, who arrived at the scene and generated an official accident report. I have attached a copy of this report for your reference. The report clearly states the negligence demonstrated by your vehicle in disregarding the traffic signal and causing the collision. As a direct result of this accident, my vehicle, a [Description of Your Vehicle], suffered severe damage to its front end, including significant engine and frame damage. Repair estimates from reputable auto repair shops amount to [Estimated Repair Cost]. Additionally, I have also incurred medical expenses for the necessary treatment of my injuries, totaling [Medical Expenses]. Medical reports and bills have been included as supporting documents. Based on the evidence provided, it is clear that your negligence caused this accident, resulting in both property damage and personal injuries. Therefore, I kindly demand full and prompt payment for the following: 1. Repairs to my vehicle: [Estimated Repair Cost] 2. Medical expenses: [Medical Expenses] 3. Rental vehicle costs: [Rental Vehicle Expenses] 4. Loss of wages: [Lost Wages] The total amount including all the above-mentioned expenses is [Total Amount]. I expect payment in full within [Payment Timeframe], which would allow us to settle this matter outside of court. Please be aware that if payment is not received within the stated timeframe, I will have no choice but to pursue legal action to recover the damages and associated costs caused by this incident. I genuinely hope that such actions can be avoided, and we can reach a fair resolution amicably. I kindly request that you notify your insurance company of this incident promptly. They can contact me directly using the information provided at the beginning of this letter to discuss the details and initiate the payment process. Thank you for your attention to this matter. I anticipate a favorable and swift resolution to avoid any further complications. If you require any additional information, please do not hesitate to contact me. Yours 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] Subject: Demand for Payment — Traffic Accident Dear [Recipient's Name], I hope this letter finds you well. My name is [Your Name], and I am writing to you concerning a traffic accident that occurred on [Accident Date] at the intersection of [Intersection Name] in [City, Puerto Rico]. I am the innocent party involved in this incident and would like to formally request compensation for the damages caused to my vehicle and the injuries I sustained. Firstly, I would like to provide a detailed account of the accident. On the aforementioned date, at approximately [Accident Time], while following all traffic rules and regulations, I was proceeding through the green light at the intersection of [Intersection Name]. Suddenly, your vehicle, described as a [Description of the Other Vehicle], collided with mine, causing substantial damage and resulting in significant personal injuries. Following the accident, I immediately contacted the local law enforcement authorities, who arrived at the scene and generated an official accident report. I have attached a copy of this report for your reference. The report clearly states the negligence demonstrated by your vehicle in disregarding the traffic signal and causing the collision. As a direct result of this accident, my vehicle, a [Description of Your Vehicle], suffered severe damage to its front end, including significant engine and frame damage. Repair estimates from reputable auto repair shops amount to [Estimated Repair Cost]. Additionally, I have also incurred medical expenses for the necessary treatment of my injuries, totaling [Medical Expenses]. Medical reports and bills have been included as supporting documents. Based on the evidence provided, it is clear that your negligence caused this accident, resulting in both property damage and personal injuries. Therefore, I kindly demand full and prompt payment for the following: 1. Repairs to my vehicle: [Estimated Repair Cost] 2. Medical expenses: [Medical Expenses] 3. Rental vehicle costs: [Rental Vehicle Expenses] 4. Loss of wages: [Lost Wages] The total amount including all the above-mentioned expenses is [Total Amount]. I expect payment in full within [Payment Timeframe], which would allow us to settle this matter outside of court. Please be aware that if payment is not received within the stated timeframe, I will have no choice but to pursue legal action to recover the damages and associated costs caused by this incident. I genuinely hope that such actions can be avoided, and we can reach a fair resolution amicably. I kindly request that you notify your insurance company of this incident promptly. They can contact me directly using the information provided at the beginning of this letter to discuss the details and initiate the payment process. Thank you for your attention to this matter. I anticipate a favorable and swift resolution to avoid any further complications. If you require any additional information, please do not hesitate to contact me. Yours sincerely, [Your Name]