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Arizona Pre-Litigation Documents

This portion of our website is dedicated to providing personal injury lawyers with example documents that may assist in handling personal injury claims The resource center provides exemplar complaints, pleadings, and other documents. The information provided in the center and on this website may not be up-to-date and is not a substitute for original and independent legal work on the part of a qualified lawyer.

If you are the victim of a personal injury matter, please visit our homepage for more information on how Lamber Goodnow attorneys or co-counsel lawyers can assist you without any out-of-pocket cost to you.


Sample Arizona Personal Injury Demand Letters

Lamber Goodnow attorneys helps injury victims obtain compensation for their losses through insurance settlements and litigation. However, most personal injury claims settle with or without the need for litigation.

If you are the victim of a personal injury action and there is enough time to negotiate a settlement before the time period expires to file a lawsuit, then you or your attorney will need to write a demand letter and provide a Demand Packet to support your claim. The more supporting documentation you have to support your claims will make the insurance adjuster’s job easier to evaluate your claim and gives it good potential to settle before the need to file a lawsuit.

The demand letter and packet are sent to the insurance carrier’s adjuster for consideration in making a counteroffer the demand amount that is spelled out in the demand letter. You may also make your demand time-sensitive requesting the adjuster respond within a certain time period.

We have provided some examples of personal injury demand letters in various personal injury areas we have handled for your use.

While these sample personal injury demand letters are available for your use, we strongly suggest that you contact an experienced personal injury attorney before writing or submitting your demand letter to an insurance adjuster. These sample demand letters provide a framework for you to address the liability of the other party as well as the types of damages that may be available to you as a result of your accident.

Sample Car Accident Demand Letter – Liability Carrier

Sample Car Accident Demand Letter – Underinsured Carrier

Sample Trucking Accident Demand Letter

Sample Motorcycle Accident Demand Letter

Sample Wrongful Death Accident Demand Letter

Sample Slip and Fall Demand Letter

Sample Bicycle Accident Demand Letter

Sample Dog Bite Demand Letter


Sample Arizona Personal Injury Demand Packet

The demand packet is the documentation that is attached to your Demand Letter. The types of documentation you should include in your demand packet are:

  • Accident Report
  • Photographs of Injuries, Accident Scene, and Vehicle Damage
  • Vehicle Repair Estimates (including teardown and secondary estimates showing the force of impact)
  • Hospital and Medical Records
  • Hospital and Medical Provider Itemized Billing Statements
  • Lost Wage/Income Documentation
  • Future Care Letters from a Qualified Physician or Expert

We have provided an example of personal injury demand packet index for your use. Please note that the items listed in this example demand packet index are not exhaustive and should contain any additional supporting documentation to support your demand. Insurance adjusters are looking for this supporting information before they can evaluate the claim and make an offer.

Sample Demand Packet Index


Sample Arizona Personal Injury Letter of Representation to Insurance Company

If you were involved and injured in a car accident due to someone else’s fault, you should contact an experienced personal injury lawyer to evaluate your potential claim or case. When you hire an attorney to handle your claim or case, that attorney will notify the at-fault party’s insurance carrier if they have motor vehicle or liability coverage.

You many also have insurance benefits with your own insurance company if the responsible party was uninsured or does not have adequate coverage to compensation you for your injuries. Your attorney will send letters to both insurance companies notifying them that you are represented. Once the insurance companies are notified in writing that you are represented, all communications regarding your claim or case will be directed to your attorney.

By having the proper representation early on, will allow you to seek and focus on the necessary treatment you need to get better instead of dealing with the insurance companies directly. Your attorney may use the form letters below or you may contact Lamber Goodnow attorneys for a free case evaluation.

Sample Letter of Representation Insurance Company – At-Fault Carrier

Sample Letter of Representation Insurance Company– Underinsured Carrier


Sample Documents To Order Accident Victim’s Medical Records

Before you write your Demand Letter or prepare a Demand Packet, you or your attorney will need to order your accident related medical records and itemized billing statements. To best facilitate this process, you will need to provide a HIPAA complaint medical records release along with a request for the records and statements.

If you order your own medical records or billing statements, you can many times obtain a free copy. However, a formal request made through an attorney will allow the attorney to obtain, review, analyze and build a complete picture of your medical treatment before and after the accident to best present your claim to an insurance adjuster.

Below are some examples of how these medical records and billing requests are made by an attorney:

Sample HIPAA Compliant Medical Records Release

Sample Hospital Letter Requesting Release of Hospital Records

Sample Doctor Letter Requesting Release of Medical Records


Sample Arizona Wage Loss Request To Accident Victim’s Employer

If you are a victim of a personal injury accident, you are entitled to recover for your injuries including medical expenses and wage loss. You could have missed time off work due to your injuries, such as:

  • Missed time due to being hospitalized
  • Missed time due to appointments for ongoing medical treatment
  • Missed time due to days missed while recovering from your accident injuries

Arizona generally allows for double recovery when it comes to wage loss. This may be true even if your employer paid you for the missed time off work. If you are self-employed, you should document any lost or missed opportunities due to accident related recovery and preserve any documentation that shows your income has decreased while recovering from your accident.

You should keep a record of your accident related missed time from work as well as a mileage log for any doctor or physical therapy appointments as this can be included as an incidental expense in your demand letter

Below are some forms you or your attorney can send to your employer to document and verify your accident related missed time and wage loss.

Sample Wage Loss Request Cover Letter To Employer

Sample Wage Loss Request Form


Sample Arizona Client Intake Forms

An experienced personal injury lawyer will need to obtain information from you regarding details of your accident as well as some historical information before being able to provide an accurate evaluation of your potential claim or case. You may not be able to answer or know all of the information requested. However, the more information you can provide will help the intake attorney give an accurate initial case evaluation.

Some of the information obtained from your intake form that is useful to the intake attorney to estimate the value of your claim or case includes:

  • Detailed claim, insurance and adjuster information of both parties to expedite the claims handling process regarding your accident.
  • Past and current medical history and treatment to begin building the damages portion of your claim.
  • Personal identifying information, which will assist in ordering medical records and billing statements.
  • Details about the other party’s liability or casualty insurance, details about your own insurance company and obtaining a detailed description of your accident and claimed injuries.

Listed below are some examples of personal injury intake forms that clients can fill out to provide to a personal injury attorney for the initial case evaluation.

Sample Car Accident Client Intake Form

Sample Motorcycle Accident Client Intake Form

Sample Slip and Fall Client Intake Form

Sample Dog Bite Client Intake Form

Sample Pedestrian Accident Client Intake Form

Sample Wrongful Death Client Intake Form


Sample Arizona Letter of Declination

There are times a law firm is unable to take on a personal injury matter. Reasons for a law firm not to take a personal injury case can include:

  • The attorney already has a heavy case volume.
  • The attorney has lack of resources to handle your case.
  • The attorney does not have the expertise in the specific area of personal injury law that your case requires.

In these instances, the attorney should inform the accident injury victim that they will not be representing them or giving them legal advice concerning their personal injury claim or case.

If an attorney chooses not to represent you in your personal injury matter, that does not necessarily mean you do not have a claim or case. It is not uncommon for a personal injury victim to contact a few or sometimes more attorneys before finding a good fit.

A law firm that is unable to take your claim or case should notify you in writing that they are not going to be representing you. This is to avoid any confusion as to whether there is an attorney/client relationship. If any attorney declines to take your case, you should continue to obtain representation.

The personal injury attorneys at Lamber Goodnow are highly experienced and help injury victims obtain compensation for their losses through insurance settlements and litigation. They are dedicated to maximizing their client’s financial recovers for their losses due to someone else’s negligence. If you are a law firm who is unable to take on a personal injury matter, feel free to use the sample letter of declination below:

Sample Letter of Declination With Referral