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Demand Packet

DEMAND PACKET

 

 

Date_____

Attn:  Insurance Adjuster
Insurance company
Insurance company address

 

The Client:

Date of Injury:

The Insured:

Claim:

RE:

 

STOWERS DEMAND FOR SETTLEMENT

Dear Insurance adjuster:

    Standard paragraph which every law firm use as per their suitability.

  1. BACKGROUND
    (REAR- END CASE)   

    This claim arises from a motor vehicle collision occurring on February 29, 2008 because of the negligent and reckless driving of the Insured. As my Clients’ came to a careful stop, the insured negligently and recklessly failed to control his speed and his vehicle and violently rear- ended my client’s vehicle.
    My client’s acts upon the roadway did not contribute to this collision, and there damages are significant and more troubling. Due to the nature and severity of there injuries, they underwent an extensive regiment of conservative treatment and rehabilitation
    Citation/ Determining Factors to the Insured.

    Eg 545.351 Maximum Speed Requirements
         545.062 Following Distance

  2. PRIOR MEDICAL CONDITION
    Mr. X
    is 36-years old male. Prior to the collision, he did not suffer with constant neck pain…………. (Details of his prior medical conditions).
  3. INJURIES
    Mr. X:  General Medical procedure:
    • EMS transporting to nearest Medical Hospital
    1. Chiropractor Consultation: Physical Therapy Sessions               
    •  
      • Diagnoses and recommendations               
    • Diagnostic Evaluation: X-ray reports, MRI examination, CT-Scan
    • Pain Management Sessions                                   
      • Epidural Steroid Injections / Trigger Point Injections / Facet Block Injections                              
    • Surgery
    • Post-Operative Medical Treatment
  4. CURRENT CONDITIONS
    Mr. X:
    The current condition and its negative consequences that will affect Mr. X’s life for long term………….
  5. MEDICAL RECORDS/REPORTS AND EXPENSES
    I am enclosing for your review the medical records/reports and medical invoices of the following health care providers:  (See attached Exhibits “A”).

    Medical records of the doctors            =           $0,000.00                           

    Total Current and Future Medical Expenses for Mr. X  (Exhibit “A”):   
        Description                                               Expenses
    Current medical costs to date:                        $00,000.00
    Future Medical Expenses:                               $00,000.00
                ____________________________________________________________
    Total                        $

  6. OTHER ELEMENTS OF RECOVERY IN A PERSONAL INJURY CLAIM
    • Physical Pain: 
    • Mental Anguish:
    • Physical Impairment/Loss of Enjoyment of Life: 
    • Future Medical Expenses: 
    • Disfigurement:
  7. EVALUATION
    Liability
    : The liability factors are adverse to the Insured.  As such, a jury verdict will rule in all reasonable probability for my clients’ as to the liability issue. 

    Damages: The amount we have collectively determined would compensate my Clients’ for their Damages amounts to:
     
    Ms. X:          $000,000.00 or the policy limits

  8. APPLICABILITY OF STOWERS DOCTRINE
  9. CONCLUSION
    I look forward to hearing from you very soon. 
    Your professional courtesy with this matter is greatly appreciated.
                                                                                                         Very Truly Yours,
                                                                                                         XYX LAW GROUP,

                                                                                                         Mr. Y
                                                                                                         For the Firm                   
    Enclosures

                                               EXHIBIT “A”
                                               Police report

                                              

                                               EXHIBIT “B”
                            Medical Reports and Expenses for Mr. X

                                              

                                               EXHIBIT “B”
                           Medical Reports and Expenses for Mr. X   

       

  516-515-3722
+91.886.004.3400

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