Posted on Insurance Law Blog / Blog / Free Sample Auto Insurance Demand Letter Template

Page Updated 12/08/2021

Free Sample Auto Insurance Demand Letter Template

After you sustain injuries associated with an auto accident that was another driver’s fault, you may need to take legal action in order to receive compensation for medical expenses and suffering.

One strategy is to develop a solid letter of demand for the at-fault driver’s insurance company.

A demand letter is a formally written memo that becomes the catalyst for settlement negotiation in personal injury cases. Here is what consumers should know according to our battle tested, proven Los Angeles insurance lawyers.

Get Help Paying for Medical Bills and Medical Treatment

Sample Demand Letter

It is important to focus on stone-cold facts rather than hearsay, opinions, and accusations. Facts are supportable and can add advantage and integrity to a personal injury case.

The following must appear in your letter:

1. Describe why you feel the other driver is at fault. Did they run a red traffic light? Or maybe they neglected a stop sign? Whatever the violation or cause may be, please include it in the letter and be sure it is honest and true.

2. Include ALL the injuries you sustained, how you sustained them, and how they are being treated. Also, describe how the injury or wound is healing and the prescribed pain relief medication cost.

3. Mention the cost of medical bills associated with the accident, including information on lost income, work, and any other forms of income.

4. Add information about your IUM claim if you have one. This is when the other person does not have insurance, or their insurance wasn’t enough to cover the medical bills.

The Body of the Letter

Once the introduction of the letter is complete, it is time to move on to the demand section of the auto insurance company. In the demand segment of the letter, there are different sets of guidelines to follow. In this section, be sure to demand compensation for:

1. Medical Expenses:The hospital can provide documents proving your injuries and the treatments that followed. You can also provide bank statements, invoices, and other forms of billing evidence that show the dollar amount associated with the medical attention.

2. Liability: Write about how the accident happened and why the other driver was at fault. Include police reports and witness statements to back up your story. This must include getting a police report filed.

3. Lost Income: Include all information on the total amount of lost wages you incurred as a result of the injury. Describe how the injury affected your ability to work and make money. Include how much time you had to take off from work.

4. Comparative Negligence: Do not write about how you may have been at fault in any way. If the insurer mentions it later on in the process, discuss it then but never mention it in a demand letter.

5. Emotional Distress: Describe the injuries you sustained and how they have affected your mood stability, everyday life, relationships, and more. You should also describe how the accident itself has affected your mental health, and how all of this has caused you suffering and trauma.

Who Will Write Your Letter of Demand?

Demand letters are important ways to begin the negotiation process of a car accident claim. They can be complicated and could possibly make or break your compensation claim altogether. Hiring a professional personal injury attorney to write this letter of demand is strongly advised for anyone involved in a personal injury auto accident case.

Call Ehline Law Firm Personal Injury attorneys near you. Please provide your contact information, and our attorneys will contact you wherever you are for car accident injury claims in California. Explore our website for details about our practice areas and office locations. A professional personal injury attorney is on standby to give you legal advice, free case evaluation, and review of your personal injury claim.

Sample Demand Letter Template

Identify the car accident victim’s return address and declare the date of the demand letter.






Date _________________, 20____

Next, directly address the offending vehicle owner. Then document the accident date and the demand amount.

Recognize this letter as official notice that we are demanding payment for the auto accident that occurred on _________________, 20____. The total demand amount, after calculating all direct payments along with the pain and suffering incurred as a result of the incident, is $______________. 

Next, itemize all dollar amounts contributing to the total demand

The following is a breakdown of the total demand amount: 


OUT-OF-POCKET EXPENSES: $______________ 

LOST WAGES/EARNINGS: $______________ 

PAIN AND SUFFERING: $______________

Then, report the details of the car accident and produce a police report or medical records for each accident expense.


On _________________, 20____, at approximately ____:____ AM / PM, the 

following accident occurred as described: ___________________________________ 



Directly due to the car accident, I had to sustain the following medical treatment: ______ 




As a result of the car accident I was required to come up with the following out-of-pocket 



After the car accident, I lost the following wages and earnings as described: _________ 



In consequence to the described events, I suffered the following: __________________ 


After careful consideration of the issues involved in this claim and a review of the verdicts of the jury and the insurance company settlements with similar fact patterns, I believe the total demand amount represents a fair and equitable settlement amount.

Lastly, close the letter with your signature.



Where to Find Personal Injury Lawyers With Integrity

If you search online, you will find several results, including firms that use paid attorney advertising or attorney listings. However, the information you find on this website is not legal advice, does not constitute a lawyer referral service, and has formed no attorney-client relationship using the site.

Nevertheless, if you need aggressive expert lawyers to handle your settlement negotiations with insurance companies or an insurance adjuster in case of car accidents, contact Ehline Personal Injury Lawyers. Simply doing a zipcode search on this website can help you find contact information for our practice areas nearest to you. 

Ehline Law Firm - Personal Injury Attorneys, APLC
Attorney at Law
Michael P. Ehline Esq,
Downtown Los Angeles Corporate Offices

Downtown Los Angeles Office
633 West 5th Street #2890
Los Angeles, CA 90071

Ehline Law Firm - Personal Injury Attorneys, APLC
Attorney at Law

Michael P. Ehline Esq,

Other Los Angeles County Meeting Places
Long Beach Office

5001 Airport Plaza Dr Ste 210
Long Beach, CA 90815
(562) 731-0668

West Hollywood Office

8752 Holloway Drive Ste 304
West Hollywood, CA 90069
(424) 666-3944

Santa Monica Office

201 Wilshire Blvd. Fl 2
Santa Monica, CA 90404
(310) 237-6218

Torrance/Hermosa Beach Office

3961 CA-1
Torrance, CA 90505
(424) 999-7246

Marina Del Rey Office

4640 Admiralty Way Ste 500
Marina del Rey, CA 90292
(310) 331-8775

Beverly Hills Office

509 S Beverly Dr
Beverly Hills, CA 90212
(424) 666-3967

Glendale Office

655 N Central Avenue
Glendale, CA 91203
(818) 485-2311

Inland Empire Meeting Places

Rancho Cucamonga Office

8333 Foothill Blvd #200
Rancho Cucamonga, CA 91730
(909) 963-0709

Riverside Office

11801 Pierce St, Ste 200
Riverside, CA 92505
(951) 777-2877

San Bernardino Office

198 North Arrowhead Ave. #20
San Bernardino, CA 92408
(909) 693-5417

Orange County Meeting Places

Costa Mesa Office

600 Anton Boulevard #11
Costa Mesa, CA 92626
(949) 891-0357

Laguna Niguel Office

23046 Avenida de la Carlota, Ste 600
Laguna Beach, CA 92651
(949) 371-8350

Irvine Office

9180 Irvine Center Drive
Irvine, CA 92612
(949) 207-7193

Newport Beach Office

5160 Birch St #110
Newport Beach, CA 92660
(949) 891-0127

Orange Office

333 City Blvd. #17
Orange, CA 92868

Other California Meeting Places

Rancho Cucamonga Office

1999 S Bascom Ave, Ste 700
Campbell, CA 95008
(408) 940-3996

San Francisco Office

50 Francisco Street #460
San Francisco, CA 94133
(415) 684-7688

Carlsbad Office

1902 Wright Pl, Ste 200
Carlsbad, CA 95008
(760) 517-9022

Ehline Law Firm - Personal Injury Attorneys, APLC
© 2021 All rights reserved.
Ehline Law Firm Personal Injury Attorneys, APLC