Printable Business Form Templates
Accident Claim letter Business Form Template

123 Main St.
Anytown, CA 95928
(555) 555-1212

August 14, 2010

Andy Anderson
345 Any Place.
Anytown, CA 95928

Dear Mr. Anderson:

This letter is to notify you of a claim submitted against you for damages as a result of the accident and/or injury described below. I believe that you or your agents/representatives are liable.

Accident description:
Time of Day:

Please make sure that your insurance agent or attorney contacts me immediately, so that we can reach a speedy resolution. I can be reached via cell phone at (555) 555-1212.


Danny Daniels

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