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REMEDIES Spring 2015 Assignment 1 [ADD YOUR NAME]

Demand Letter Template Personal Injury Damages (1)

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Sample Template to write a Demand Letter for Personal Injury

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Page 1: Demand Letter Template Personal Injury Damages (1)

REMEDIESSpring 2015

Assignment 1

[ADD YOUR NAME]

Page 2: Demand Letter Template Personal Injury Damages (1)

LAW OFFICE OF [YOUR NAME]210 South College Street

Suite 1100Charlotte, NC 28244

[DATE]

[ADJUSTER’S NAME]Senior Field AdjusterGEICO Insurance Co.P.O. Box 12345Columbia, SC 12345

My Client: [ADD CLIENT’S NAME]Your Insured: [ADD INSURED/DEFENDANT’S NAME]Your Policy No.: [ADD INSURANCE POLICY NUMBER]Your Claim No. [ADD CLAIM NUMBER]Date of Injury: [ADD DATE OF INJURY]

Dear [ADD ADJUSTER’S NAME]:

As you are aware, [ADD PARAGRAPH PROVIDING A FULL DESCRIPTION OF INCIDENT HERE USING INFORMATION FROM THE COLLISION REPORT]

Below is a summary of the care and treatment Mr. Winston has received.

Injuries and Treatment

[PROVIDE A SUMMARY OF THE INJURIES SUFFERED AND THE MEDICAL CARE RECEIVED BY MR. WINSTON]

Medical Expenses

[PROVIDE A SUMMARY OF THE MEDICAL EXPENSES MR. WINSTON HAS INCURRED AS A RESULT OF THE COLLISION – DO NOT ADDRESS ANY ISSUES ASSOCIATED WITH LIENS/SUBROGATION CLAIMS AT THIS TIME. YOU SHOULD ASSUME THAT YOU HAVE PREVIOUSLY PROVIDED THE INSURANCE COMPANY A COPY OF THE MEDICAL RECORDS AND BILLS RELATED TO THIS COLLISION]

Page 3: Demand Letter Template Personal Injury Damages (1)

Lost Income

[PROVIDE A SUMMARY OF THE INCOME MR. WINSTON HAS LOST AS A RESULT OF BEING UNABLE TO WORK FOR A PERIOD OF TIME FOLLOWING THE COLLISION][PROVIDE A CONCLUSION PARAGRAPH AND MAKE YOUR DEMAND FOR SETTLEMENT]

Sincerely,

[ADD YOUR NAME]