ACCIDENT CLAIM NOTICE
Date
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To
_______________________________________
_______________________________________
_______________________________________
Dear
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You are hereby notified of a claim against you for damages arising from the following accident or injury, to which I believe you and/or your agents are liable.
Description of Accident
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Date
_____________________________________________
Time
_____________________________________________
Location
_____________________________________________
Please ask your insurance company or solicitor to contact me as soon as possible.
Yours sincerely
Name
_____________________________________________
Address
_____________________________________________
_____________________________________________
Telephone
_____________________________________________