[Responsible Party Name]
[Street Address]
[City, State ZIP]
[Today's Date]
RE: Subrogation Demand
| Insured: [Insured's Name] Our Claim No.: [Client Claim Number] Date of Loss: [Date of Loss] Loss Location: [Loss Address] | Paid Damages: $[Amount Paid by Client] Deductible: $[Insured's Deductible] Total Demand: $[Paid Damages + Deductible] Policy No.: ______________________ Claim No.: ______________________ |
Dear [Responsible Party Name]:
On [Date of Loss], a loss occurred at [Loss Location] involving [your vehicle / your property / work you performed]. [Client Name] paid its insured, [Insured's Name], for the resulting damage. [Your Company Name] is the recovery agent for [Client Name], and the enclosed documents, including [the police, fire, or expert report], show how the loss occurred.
Because of its payment to [Insured's Name], [Client Name] has the right to recover the amount it paid from the party responsible for the loss. This is called subrogation. We are requesting payment of $[Total Demand]. This includes the $[Amount Paid by Client] paid by our client and [Insured's Name]'s $[Insured's Deductible] deductible.
Please review the enclosed documents supporting this request. If anything is missing or a file cannot be opened, please let our office know and we will send it promptly.
Please respond by [Date, 30 days out]. We would like to work with you to resolve this matter, and payment arrangements may be discussed.
Payment instructions
Make payment payable to [Your Company Name] as agent for [Client Name], and include our claim number, [Client Claim Number], with your payment.
Mail to: [Your Company Address]
Enclosures
- Proof of payment to the insured
- Estimates and invoices
- Photographs
- [Police, fire, or expert report]
- Declarations page showing the deductible
If you have insurance
If you have insurance that may cover this loss, please send a copy of this letter and all enclosed documents to your insurance carrier or agent right away, and ask them to contact our office. Please also write your policy number and any claim number in the blanks above and send a copy back to us.
Many property and liability policies, including homeowner's, renter's, auto, and business policies, include coverage for damage you accidentally cause to someone else's property. Some exclusions may apply, so your insurance carrier will decide what your policy covers. Reporting this loss to them promptly helps protect your coverage.
If you do not have insurance, or if you believe this letter reached you in error, please contact our office.
Sincerely,
[Name]
[Title]
[Company]
[Address]
[Phone] · [Email]