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Accident Claim Letter

After you have been involved in an accident you need to write a letter to the party that caused the accident and describe in detail what happened and that you would like to talk with their Attorney or Insurance representative. The sample form letter found below will help you get started with this accident resolution process.











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Accident Claim Letter Writing Advice

  • Write an Accident Claim letter as soon as possible after you have taken part in an accident.
  • Be as specific as possible when listing out the details of the accident.
  • Be short and to the point.
  • Consult your Attorney before sending any correspondence.



Accident Claim Worksheet



Accident Claim Letter

Word   PDF  



[Your Name]
[Company Name]
[Address]
[City, State, Zip]

[Date of Letter]

[Recipient's Name]
[Title]
[Company Name]
[Address]
[City, State, Zip]


Dear [Recipient's name],

This letter is being written to let you know that a claim was submitted against you for damages due to the accident that is found below. I believe that you or your representatives are to be held liable.

Accident description:



Accident Date:
Time of Day:
Location:

Please have your insurance agent or attorney contact me immediately in order to reach a solution as quickly as possible. You can reach me at my work phone number (000)000-0000.

Sincerely,


[Sign here]


[Your Name, Title]











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Continuous Improvement

Corrective Action
Workflow Chart
Job Safety Analysis
Risk Analysis Form
Employee Time Study Flow Sheet
Process Improvement Plan
Root Cause Failure Analysis Form

Reporting Accidents
Employee Incident Report
Employee Accident Report
Accident Claim Letter
Accident Claim Worksheet
Injury Report Form
Employee Accident Log
Fire Drill Report



End Of Employment
Employee Termination
Two Week Notice Letter
Resignation Letter
Farewell Letter For Retirement
COBRA Notification
Employment Verification

Exit Interview
Employee Exit Interview
Exit Interview Questions






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