Date: [Date]
Sent Via: ☐ Email ☐ Certified mail ☐ Online portal ☐ Other: [Method]
Claim Number (If Known): [Claim #]
Policy Number (If Known): [Policy #]
To (Insurance Company / Claims Adjuster):
[Insurance Company Name]
Attn: [Adjuster Name / Claims Department]
[Address]
[Email/Phone]
Additional Recipient (Optional):
[Trucking Company Name]
Attn: [Safety/Claims Contact]
[Address]
[Email/Phone]
From (Claimant/Vehicle Owner): [Your Full Name]
Address: [Your Address]
Phone/Email: [Phone] / [Email]
Re: Property Damage Demand — Truck Accident on [Accident Date] at [Location]
Dear [Adjuster Name or “Claims Department”],
1. Purpose of This Letter
1.1 I am submitting this property damage demand for the truck accident on [Accident Date] at [Location] involving your insured driver/vehicle.
2. Accident Summary and Liability
2.1 Date/Time: [Date/Time]
2.2 Location: [Street/City/State]
2.3 Vehicles:
-
My vehicle: [Year/Make/Model], VIN (last 6 optional): [______]
-
Truck: [Company], unit/plate #: [__] (if known)
My vehicle: [Year/Make/Model], VIN (last 6 optional): [______]
Truck: [Company], unit/plate #: [__] (if known)
2.4 Liability Summary (Brief): The truck driver is responsible because: [Unsafe lane change/failure to yield/rear-end/etc.].
2.5 Police Report (If Available): [Agency + report #] (attached if available).
3.1 Repair Estimate / Total Loss (Select One):
☐ Repair estimate: $[Amount] from [Shop] dated [Date]
☐ Total loss valuation: $[Amount] from [Insurer/Valuation] dated [Date]
3.2 Towing: $[Amount] (invoice attached).
3.3 Storage Fees: $[Amount] (dates: [**]).
3.4 Rental Car / Loss of Use: $[Amount] (dates: [**]).
3.5 Other Out-of-Pocket Costs: $[Amount] (list: [__]).
3.6 Diminished Value (Optional): $[Amount] (basis: [DV estimate/comparable sales], if applicable).
3.7 Total Property Damage Demand: $[Total Demand]
4. Settlement Demand and Payment Instructions
4.1 I demand payment of $[Total Demand] to resolve this property damage claim.
4.2 Payment should be made payable to: [Name] and sent to: [Address] (or payment instructions: [__]).
5. Deadline and Response
5.1 Please respond in writing by [Deadline Date].
5.2 If you need any additional documentation, please list it in writing before the deadline.
6. Attachments
6.1 ☐ Police report
6.2 ☐ Photos of damage
6.3 ☐ Repair estimate or total loss valuation
6.4 ☐ Towing and storage invoices
6.5 ☐ Rental receipts
6.6 ☐ Proof of ownership/registration (if needed)
6.7 ☐ Other: [List]
Sincerely,
[Your Full Name]
Signatures
Signature: ___________________________
Printed Name: [Your Full Name]
Date: [Date]