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] [Email Address] [Phone Number] [Date] [Insurance Company Name] [Insurance Company Address] [City, State, ZIP] Subject: Traffic Accident — Refusal to Pay Requested Damages Dear [Insurance Company Name], I hope this letter finds you well. I am writing to address the current situation regarding a traffic accident that occurred on [Date] involving myself, [Your Name], and your insured driver, [Driver's Name]. Firstly, I would like to express my gratitude for promptly handling this matter so far. However, I regret to inform you that I am disappointed with the response received from your company regarding the requested damages resulting from the accident. To provide some background information, the accident took place on [Date] at approximately [Time] at the intersection of [Intersection] in [City], Wyoming. At the time of the incident, I was traveling eastbound on [Street Name], while your insured driver was proceeding southbound on [Street Name]. Unfortunately, your insured driver failed to yield the right-of-way at the intersection and collided with the front left side of my vehicle. Following the accident, I promptly contacted the authorities, and a police report was filed detailing the incident. I received medical attention for the injuries sustained and have attached all relevant medical documentation supporting my claim. As demanded by the state laws of Wyoming, I have obtained multiple repair estimates from trusted auto repair shops. The estimated repair costs amount to $[Amount] for the damages caused to my vehicle, identified as [Make, Model, and Year]. Additionally, I incurred $[Amount] in medical expenses, including hospital bills, diagnostics, and prescribed medications related to the injuries I sustained due to the accident. I understand that an adjuster from your company assessed the damages, but the settlement offer provided does not fully cover the necessary repairs and medical expenses. This offer falls significantly short of the actual costs involved in fully restoring my vehicle and covering all medical expenses incurred. To resolve this matter, I kindly request that you reconsider your evaluation of the claim and provide a fair and reasonable settlement amount that adequately compensates for the damages and medical expenses I have suffered. I expect your immediate attention to this matter and a response within [Timeframe — e.g., 14 days] from the date of this letter. Please be aware that if an agreement cannot be reached within the specified timeframe, I will have no choice but to pursue legal action in order to protect my rights and seek the appropriate compensation through appropriate legal channels. I hope it does not come to that, and we can find a mutually agreeable resolution. I have attached copies of all relevant documents, including the accident report, medical bills, repair estimates, and photographs of the damages incurred in the accident. Should you require any further information or documentation to support my claim, please do not hesitate to contact me. I look forward to your prompt and fair response. Thank you for your immediate attention to this matter. Yours sincerely, [Your Name]
[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Insurance Company Name] [Insurance Company Address] [City, State, ZIP] Subject: Traffic Accident — Refusal to Pay Requested Damages Dear [Insurance Company Name], I hope this letter finds you well. I am writing to address the current situation regarding a traffic accident that occurred on [Date] involving myself, [Your Name], and your insured driver, [Driver's Name]. Firstly, I would like to express my gratitude for promptly handling this matter so far. However, I regret to inform you that I am disappointed with the response received from your company regarding the requested damages resulting from the accident. To provide some background information, the accident took place on [Date] at approximately [Time] at the intersection of [Intersection] in [City], Wyoming. At the time of the incident, I was traveling eastbound on [Street Name], while your insured driver was proceeding southbound on [Street Name]. Unfortunately, your insured driver failed to yield the right-of-way at the intersection and collided with the front left side of my vehicle. Following the accident, I promptly contacted the authorities, and a police report was filed detailing the incident. I received medical attention for the injuries sustained and have attached all relevant medical documentation supporting my claim. As demanded by the state laws of Wyoming, I have obtained multiple repair estimates from trusted auto repair shops. The estimated repair costs amount to $[Amount] for the damages caused to my vehicle, identified as [Make, Model, and Year]. Additionally, I incurred $[Amount] in medical expenses, including hospital bills, diagnostics, and prescribed medications related to the injuries I sustained due to the accident. I understand that an adjuster from your company assessed the damages, but the settlement offer provided does not fully cover the necessary repairs and medical expenses. This offer falls significantly short of the actual costs involved in fully restoring my vehicle and covering all medical expenses incurred. To resolve this matter, I kindly request that you reconsider your evaluation of the claim and provide a fair and reasonable settlement amount that adequately compensates for the damages and medical expenses I have suffered. I expect your immediate attention to this matter and a response within [Timeframe — e.g., 14 days] from the date of this letter. Please be aware that if an agreement cannot be reached within the specified timeframe, I will have no choice but to pursue legal action in order to protect my rights and seek the appropriate compensation through appropriate legal channels. I hope it does not come to that, and we can find a mutually agreeable resolution. I have attached copies of all relevant documents, including the accident report, medical bills, repair estimates, and photographs of the damages incurred in the accident. Should you require any further information or documentation to support my claim, please do not hesitate to contact me. I look forward to your prompt and fair response. Thank you for your immediate attention to this matter. Yours sincerely, [Your Name]