Car Accident Insurance Demand Letter

Date:

To:
Insurance Company Name
Adjuster Name
Address
City, State, Zip Code

Re: Claim Number:
Policy Number:
Date of Accident:

Dear Sir or Madam,

I am writing to formally present my demand for compensation regarding the car accident that occurred on the above date. I am insured under the referenced policy and submit this letter to outline my losses and request a fair settlement.

Accident Description

Injury and Treatment Summary

Damages and Expenses

• Medical Expenses:
• Property Damage:
• Lost Wages:
• Other Relevant Expenses:

Settlement Demand

Based on the above, I am demanding the amount of $ for the full and final settlement of my claim. Please find attached all relevant documentation supporting my claim, including medical bills, repair estimates, and proof of lost income.

I expect a response to this letter within 30 days. Please contact me at your earliest convenience to discuss this matter.