This form is a sample letter in Word format covering the subject matter of the title of the form.
Dear [Insurance Company], I am writing to inform you of a traffic accident that occurred in South Dakota on [date]. I was involved in a collision with your insured party, [Driver's Name], at the intersection of [Street Name] and [Street Name]. The accident occurred due to the negligence of your insured party, which has resulted in damages to my vehicle and injuries sustained by me. I have consulted medical professionals who have examined my injuries and provided me with the necessary treatment. Additionally, I have obtained estimates from reputable auto repair shops to assess the damages to my vehicle. Enclosed with this letter are my medical bills, repair estimates, photographs documenting the accident scene, and a copy of the police report. It is clear from the evidence available that your insured party is at fault for the accident, and as a result, I am entitled to compensation for the damages incurred. Therefore, I am formally demanding payment for the following: 1. Medical Expenses: The medical bills associated with my injuries amount to $[amount]. 2. Vehicle Repairs: The collision caused extensive damage to my vehicle, requiring repairs estimated to be $[amount]. I have enclosed the repair estimate for your reference. 3. Rental Car Expenses: Due to the duration of time required for repairs, I have had to rent a substitute vehicle for commuting purposes, resulting in additional expenses of $[amount]. Please consider reimbursing me for this cost. 4. Pain and Suffering: The accident has caused me significant physical discomfort, emotional distress, and inconvenience. I believe it is reasonable to demand compensation in the amount of $[amount] for my pain and suffering. Considering the circumstances, I expect a prompt and fair settlement offer from your company regarding my claim. Failure to do so may leave me with no choice but to pursue legal action to protect my rights. Please acknowledge receipt of this letter within [number of days] and provide me with a written response outlining your decision. I kindly request that all future correspondence regarding this matter be directed to my attorney, [Attorney's Name], whose contact information is provided below. I am confident that we can reach a mutually beneficial resolution to this matter without resorting to litigation. Thank you for your attention to this matter, and I await your prompt response. Sincerely, [Your Name] [Your Address] [City, State, ZIP Code] [Phone Number] [Email Address] Enclosure: — Medical Bill— - Vehicle Repair Estimates — Photographs of the AccidenSeenen— - Copy of Police Report
Dear [Insurance Company], I am writing to inform you of a traffic accident that occurred in South Dakota on [date]. I was involved in a collision with your insured party, [Driver's Name], at the intersection of [Street Name] and [Street Name]. The accident occurred due to the negligence of your insured party, which has resulted in damages to my vehicle and injuries sustained by me. I have consulted medical professionals who have examined my injuries and provided me with the necessary treatment. Additionally, I have obtained estimates from reputable auto repair shops to assess the damages to my vehicle. Enclosed with this letter are my medical bills, repair estimates, photographs documenting the accident scene, and a copy of the police report. It is clear from the evidence available that your insured party is at fault for the accident, and as a result, I am entitled to compensation for the damages incurred. Therefore, I am formally demanding payment for the following: 1. Medical Expenses: The medical bills associated with my injuries amount to $[amount]. 2. Vehicle Repairs: The collision caused extensive damage to my vehicle, requiring repairs estimated to be $[amount]. I have enclosed the repair estimate for your reference. 3. Rental Car Expenses: Due to the duration of time required for repairs, I have had to rent a substitute vehicle for commuting purposes, resulting in additional expenses of $[amount]. Please consider reimbursing me for this cost. 4. Pain and Suffering: The accident has caused me significant physical discomfort, emotional distress, and inconvenience. I believe it is reasonable to demand compensation in the amount of $[amount] for my pain and suffering. Considering the circumstances, I expect a prompt and fair settlement offer from your company regarding my claim. Failure to do so may leave me with no choice but to pursue legal action to protect my rights. Please acknowledge receipt of this letter within [number of days] and provide me with a written response outlining your decision. I kindly request that all future correspondence regarding this matter be directed to my attorney, [Attorney's Name], whose contact information is provided below. I am confident that we can reach a mutually beneficial resolution to this matter without resorting to litigation. Thank you for your attention to this matter, and I await your prompt response. Sincerely, [Your Name] [Your Address] [City, State, ZIP Code] [Phone Number] [Email Address] Enclosure: — Medical Bill— - Vehicle Repair Estimates — Photographs of the AccidenSeenen— - Copy of Police Report