Auto Insurance Claim Letter (Free Sample)
Use this sample auto insurance claim letter as a template for your formal claim letter.
Last updated on September 27th, 2021
Sample Auto Insurance Claim Letter
7600 Old Church Way
Cleveland, Ohio 49875
2399 Slate Ridge Blvd.
Reynoldsburg, Ohio 43068
To Whom It May Concern;
Our 2012 Honda Accord was in an accident on DATE. My wife, Susan, was driving at the time. She was traveling Eastbound on Brice Rd. in Reynoldsburg when a man ran a red light and smashed into the back end of our car. She had to be taken to the ER where she suffered a broken right arm and whiplash.
The repair estimate to fix our car is $5,498. The medical bills from Susan's injuries are $3,980. Together with her pain and suffering, we are asking for a lump sum of $12,000 to settle this matter.
Susan will have to take some time off work to heal and this has been a horrible event for her to deal with. Depending on how the arm does, we could be looking at surgery.
Our goal is to settle this matter quickly and efficiently. We have attached the police report, as well as supporting statements from 2 witnesses. Susan was not at fault and was driving along minding her own business. We look forward to solving this matter quickly.
By Andre Bradley