Template For Letter Of Claim printable pdf download

Template For Letter Of Claim

TEMPLATE FOR LETTER OF CLAIM

To: - Defendant

Dear Sirs

Re:

Claimant’s full name

Claimant’s full address

Claimant’s National Insurance Number

Claimant’s Date of Birth

Claimant’s Clock or Works Number

Claimant’s Employer (name and address)

We are instructed by the above named to claim damages in connection with a claim for: -

Specify occupational disease

We are writing this letter in accordance with the pre-action protocol for disease and illness

claims.

Please confirm the identity of your insurers. Please note that your insurers will need to see this

letter as soon as possible and it may affect your insurance cover if you do not send this to

them.

The Claimant was employed by you (if the claim arises out of public or occupiers’ liability

give appropriate details) as job description from date to date. During the relevant period of

his employment he worked: -

description of precisely where the Claimant worked and what he did to include a description

of any machines used and details of any exposure to noise or substances

The circumstances leading to the development of this condition are as follows: -

Give chronology of events

The reason why we are alleging fault is: -

Details should be given of contemporary and comparable employees who have suffered

from similar problems if known; any protective equipment provided; complaints; the

supervisors concerned, if known.

Our client’s employment history is attached.

We have also made a claim against: -

Insert details

Their insurers’ details are: -

Insert if known

Template For Letter Of Claim