Free Sample Demand Letter for Personal Injury (slip and fall)

Here I will share with you a sample demand letter for a personal injury claim (slip and fall)

This slip and fall demand letter will give you an idea of how to arrange the facts to cover the relevant legal issue, to press your demand, and notify the other party of the future legal action you expect to take.

I have already covered the importance and how to prepare a demand letter. 

I have also shared the sample of a demand letter from an attorney.

Make sure you have ascertained the value of your personal injury claim in monetary form to make your demand clear and justifiable.

According to Injury Claim Coach, the value of your slip and fall injury is largely based on the total of your “hard costs” like medical bills and lost wages, with an amount added to account for your pain and suffering.

Louis W. Grande a personal injury attorney, is advising that

Immediately after a slip and fall, try to document everything…Take photographs of the scene, the area where you slipped, and what caused the injury…When you seek medical treatment, make it clear that your injuries resulted from the incident, and describe the incident in detail.

Sample 1: Sample Demand Letter for slip and fall


Jullian Kenzo
116 Sunset Grove
Fontana Beach, FL 00000

December 01, 2021

William Smith
Claims Adjuster
Eco Risk Insurance Company
1000 Causeway Boulevard
Miami, FL 00000

Re: Your Insured, Timberland workshop Investments

Claimant: Jullian Kenzo

Claim No.: T11111 PX

Date of Loss: May 27, 2021

Dear Mr. smith

Accept this letter as my official request for compensation following my slip and fall at your insured, Timberland workshop Investments Store, as per our earlier correspondence on May 30, 2021.

The accident occurred on  May 27, 2021, around 6:00 pm when I existed your insured store located at 6000 Palm Avenue, Miami. Outside the front door, I fell on a huge patch of black ice on the sidewalk.

Timberland workshop Investments is accountable for the accident and any bodily and financial stress that resulted from it due to their disdain for the pipe that caused the ice, their absence of a slip-resistant entryway mat, and their failure to warn consumers of the hazard.

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My lower back, sacrum, and left wrist were all in excruciating pain as a result of the incident.

I was rushed by Ambulances to Miami Hospital after the accident because I was unable to walk. Dr. John Mark assessed me.

A fractured tailbone and a hairline fracture in my left wrist were discovered. To allow my injuries to heal, I was ordered to stay at home for a month.

My medical bills are attached, which show the expense of my treatments in further detail.

Ambulance: $329.00

Miami: $476.00

Dr. John Mark: $610.00

X-Rays: $622.00

Prescription Pain Medication: $198.00

Follow-Up Visits: $576.00

TOTAL: $2,811.00

I was in a lot of agony and suffering during my month off from work, so I had to go to the doctor a lot.

I was not only lost $5720.00 in income, but I was also unable to live a regular life due to the physical constraints imposed by my broken tailbone.

As a consequence, I am seeking $21,000 in damages.

I hope to receive a timely response no later than 30 days from the date of receiving this correspondence.

[Signature]

Jullian Kenzo

Free Sample Demand Letter for Personal Injury (slip and fall), slip and fall demand letter, slip and fall demand letter sample

Sample 2 Sample Demand Letter for slip and fall template

[Your Name]
[Your Address]
[Your City, State, and Zip Code]

[The Date]

[Name of the Claims Adjuster]
[His or Her Job Title]
[Address of the Insurance Company]
[City, State, and Zip Code of the Insurance Company]

Re: Your Insured, [Name of the Defendant]

Claimant: [Your Full Legal Name]

Claim Number: (Include this only if you have previously been assigned a claim number and have received correspondence regarding the matter.)

Date of Loss: [the date when the accident or incident that resulted in your injuries happened]

Dear Mr./Ms. [Name of Claims Adjuster]

Accept this letter as my official request for reimbursement following my slip and fall at your insured, [place where you get injured], as per our earlier correspondence on [date of your previous correspondences].

I’ve recently finished recovering from the injuries I incurred after my slip and fall during the last two months. As you know I was departing the [name and place of injury] when I slipped on a large patch of black ice on the pavement outside the front door. [name of the defendant] is accountable for the accident and any bodily and financial stress that resulted from it due to their disdain for the pipe that caused the ice, their absence of a slip-resistant entryway mat, and its failure to warn consumers of the hazard.

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I was leaving the [name and place of injury] with my purchases on [time and date]. My feet slipped on [how did you slip] just a few steps outside the front door, and I collapsed. Despite the fact that the [object that caused yuu slip] was only a few feet from the door, there was no warning sign, no slip-resistant mat, and no other indication of the danger. My lower back, sacrum, and left wrist were all in excruciating pain as a result of the incident.

I was carried by [name of the transportation] to [name of the hostipatl] after the accident because I was unable to walk. Dr. Cheryl Albright assessed me. Following [insert medical examination conducted]. A [outcome of the examination] were discovered. I was ordered to stay at home for [time to recover] to enable my injuries to heal, and [name the medicine] was prescribed for the discomfort.

My medical bills are attached, which detail the expense of my treatments in further detail.

  1. add trasport costs
  2. add mediacal examinatin costs
  3. add readttendnce costs
  4. add mediacl ppfesinal expenses
  5. any other costs

Total expenses [insert figure]

[add any other loss of expectaion for being ijured for example: I was in a lot of agony and suffering during my month off from work, so I had to go to the doctor a lot. I was not only deprived [insert amount] in salary, but I was also unable to live a regular life due to the physical limitations imposed by my broken tailbone. As a result of these factors, I am seeking [insert amount] in damages.]

I anticipate receiving a quick response within 30/45/60 days of the date of my correspondence.

[Signature]

[your name]

Sample 3: Sample Demand Letter for slip and fall at a store

LETTERHEAD

Date…………

Brown Bob
Claims Adjuster
Risky Insurance Company
1000 Saint St.
Miami, FL 11000

RE: DEMAND LETTER FOR PAYMENT OF USD: 12,000,000 TO MR …………….

We act on behalf of Miss AB (Our client) has instructed us to demand from you as we hereby do and address you in the following terms:

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1. That our client on ……………….. the first Sunday of last month, she suffered a serious accident after she fell on the hard shop floor and broke her jaw, her left arm, her right leg, her face, and her left eye.

2. That our client alleges that she fell on the hard shop and was injured because of the shop the floor was slippery because there was no sign in the shop that could warn her nature of the floor.

3. That our client said her pretty face is gone, she will not be contesting in any pageants anymore and it is very doubtful that she will be able to continue with modeling which causes her future to be very bleak.;

4. That our client, in fact, several big commercial brands have issued a notice of termination of their advertising contracts on the ground of ‘incapacity’ and ‘frustration’ of the contracts.

5. That our client DEMANDS from you USD 12,000,000= as compensation for the injury suffered and for the loss of expected income.[particulars of Damages suffered is annexed and form part of this demand letter]

Take note that should you fail, neglect, ignore, disregard, overlook or otherwise refuse,  to heed to this demand notice and the contents herein within 30 (thirty) days from the date of service of this notice, rigorous legal proceedings shall be preferred against you at your peril and risk and related subsequent costs arising wherefrom, without further notice.

Respectively,

…………….Advocate.

CC.  Client.

NB: All correspondences should be directed to the above address.

Documents To Attach With Your slip and fall Demand Letter

Following is a list of supporting documents you should submit with your demand letter after a slip and fall. These documents can be extremely beneficial to your case and boost your chances of obtaining a favorable settlement.

  1. Medical expenses
  2. Records of medical care
  3. A doctor’s note describing the long-term effects of the injuries
  4. Proof of lost pay and time off from work
  5. Notes reflecting a potential loss of earnings in the future
  6. Statements of witnesses
  7. Reports of accidents
  8. Images of the accident scene and injuries that were evident

See also Legal opinion letter sample

Isack Kimaro

Editor-in-chief and founder of sherianajamii.com. Holder of Bachelor of Laws (LL.B) from Mzumbe University and Post Graduate Diploma in Legal Practice from the Law school of Tanzania. Lawyer by profession and blogger by passion.

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