Insurance Claim Letter for Car Accident (Free Sample)
Use this sample insurance claim letter for car accident as a template for your formal claim letter.
Last updated on January 17th, 2019
Sample Insurance Claim Letter for a Car Accident
Name of Claimant
Address of Claimant
City, State, Zip Code
DATE
Name of Insurance Adjuster
Name of Insurance Company
Address of Insurance Company
City, State, Zip Code
RE: Claim letter for car accident for claimant number INSURANCE NUMBER
Dear Name of Agent:
This letter accompanies my formal claim to cover the cost of repairing my car MAKE, MODEL AND YEAR, after a car, MAKE MODEL AND YEAR ran into my parked car damaging the rear end. My car was parked by the curb in front of my house at the above address, when NAME OF DRIVER failed to stop and crashed into the back of my car.
I bought my new car last year and planned to keep it for at least 10 years. I called the police and have included their accident report with my claim request forms.
I am hoping to get a financial settlement from the at-fault driver’s insurance company, but I need my car for work, so I had it repaired as soon as I could. In spite of this, I still missed five days of work.
I have included the bills for repair and request that you pay out the amount of $5,000 for the repairs and loss of pay. When I receive compensation from the other insurance company, I will repay the amount.
Please respond within 30 days after receiving this letter. I can be reached at Phone Number or at Email Address.
Sincerely,
Signature of Claimant
Printed name of Claimant
List of Enclosures: police report, repair bills
By Andre Bradley
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