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{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

 

 

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