Demand Letter Template

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Demand Letter
Sean Williams
1234 Main Street
Arlington, TX 76010
July 16, 2011
Mr. John Carter
Claims Adjuster
ACME Insurance
25 South Street
Fort Worth, TX 76052
Re: Your Insured, Kevin Nettles
Claimant: John Knox
Claim No.: 123-4567
Date of Loss: June 10, 2011
Dear Mr. Carter,
With regard to our previous conversation on June 20, 2011 I was injured during a bike accident with
Kevin Nettles, your insured. I was riding south along side Grogan’s Mill Road and your insured was
heading north. While going around a bend on the bike path your insured failed to stay in his lane and
ran into me with his bike.
The impact threw me off my bike and into a tree. Hitting the tree while traveling at a high rate of speed
knocked me unconscious and badly bruised. Paramedics arrived and took me to the MD Anderson
Emergency Room where they discovered I had extensive bruising both internally and externally, and x-
rays revealed two broken ribs and a broken left leg and arm.
I was left in casts and ordered to a week of bed rest. Pain medication was also prescribed for all the pain
that I was in.
Sleeping was very difficult while I was bed ridden because the pain kept waking me up at night. After
returning home I still needed to go back to the doctor’s office for multiple follow ups to closely monitor
my injuries from the bike accident.
During my painful recovery time I missed three weeks of work due to being unable to move myself
freely about. When I did get back to work my days were unproductive because of the casts I had to wear
and still being in some pain.
I am still suffering from pain episodes a couple of times a day. My doctor is telling me that the
occasional pain will continue for the next several months.
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