Demand Letter for Personal Injury

Template

[Your Name]
[Your Address]
[Date]

[Responsible Party / Insurer]
[Address]

Re: Injury claim from incident on [Date] at [Location]

Dear [Name],

On [Date], I was injured when [describe cause and the other party’s negligence]. My medical treatment cost [Amount] and I lost [wages/days]. Enclosed: bills and records.

I demand compensation of [Total Amount] within [Number] days. If not settled, I will file a lawsuit. Please have your insurer respond through counsel.

Sincerely,
[Your Name]

What to fill in

Date and location of the injury
The negligence facts
All medical and wage-loss amounts
Itemized demand total

Legal note

Serious injury claims are high-stakes — consult a licensed attorney before sending. Statutes of limitation are short in some jurisdictions; do not delay.

Templates reviewed by the DemandKit editorial team; not a law firm — see disclaimer.

Demand Letter for Personal Injury

What to fill in

Legal note

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