{Today’s Date}
DEMAND LETTER FOR
SETTLEMENT PURPOSES ONLY
Sent via facsimile: {(xxx) xxx-xxxx}
{Adjuster’s Name and Title}
{Insurance Company Name}
{Address – Line 1}
{Address – Line 2}
{City, State, Zip}
Re: Our Client/Your Ensured: {Claimant’s Name}
Claim No: {}
Date of Loss: {}
Dear {Adjuster’s Name}:
{Client/claimant’s} has completed {his/her} medical treatment and this letter is to make a claim under {his/her} underinsured motorist policy.
The underlying liability carrier settled for its insured’s [minimum/full] policy limits. Enclosed is a copy of the settlement check, release and declaration page confirming limits and payment by the liability carrier. I am enclosing the demand letter sent to {name of liability carrier}.
Given the offset of ${amount of liability settlement}, we demand tender of the ${difference between the original demand amount and amount paid out by the liability carrier} shortfall.
Thank you for your attention to this matter.
Sincerely,
{YOUR LAW FIRM NAME}
{attorney’s name}
Enclosure