The facts of every injury claim are different. This demand letter example deals with a restaurant injury caused by employee negligence. It's meant to serve as a guide to help you construct your own demand letter. Substitute your specific claim information where relevant.
Click on the buttons to better understand the reasoning behind the wording used, and the importance of each section in settlement negotiations.
Learn more about restaurant injury claims here.
June 4, 2014
Doncair Insurance Company
Ms. Noa Peigh
125 Charles Street, Suite A
Seattle, WA 98129
FOR SETTLEMENT PURPOSES ONLY
Dear Ms. Peigh:
Please let this letter serve as my formal demand for compensation in the above-referenced claim. As you are aware, I am currently not represented by an attorney. My continuing hope is to avoid litigation by bringing this matter to a prompt and amicable resolution.
As you know, I was injured on May 28, 2014, when your insured's employee dropped several plates on our table while attempting to serve us food. When the plates fell onto our table, two of them shattered. Some of the shattered pieces were projected into my face and neck, causing bruising and lacerations.
My husband notified the manager and then drove me to the emergency room for treatment. As a direct and proximate result of the employee's negligence, I incurred medical bills, out-of-pocket expenses, lost wages, severe discomfort, anxiety, and pain and suffering.
I want to make clear from the outset I never asked for any of this to happen. Since the injury I have not been able to eat at restaurants without fear the server will drop the plates and re-injure me.
I am a victim of your insured's employee's negligence. Under the legal doctrine of respondeat superior, your insured is liable for the negligent actions of an employee while the employee is acting within the scope of his or her employment. Clearly your insured's server was acting within the scope of his employment at the time he injured me.
On May 28, 2014, at approximately 7:30 p.m., my husband Alex and I were dining at your insured's restaurant at 2510 Maple Avenue in Spokane, WA. We both ordered onion soup, fried calamari, and iced tea. Several minutes later, employee John Swift brought our food to the table. As he was lowering our plates to the table, he dropped a bowl of onion soup and a plate of fried calamari on the table.
When the bowl and plate struck the table, they smashed into several pieces and I was struck by flying shards. The shards lacerated and bruised the right side of my neck and my right cheek. I began to bleed from both areas. My husband immediately came to my side of the table and applied several napkins to the injured areas. He also asked our server to have the manager come to our table.
Several moments later your insured's manager, Susan Penn came to our table. She saw the blood underneath the napkins, as well as blood that had dripped onto my blouse. Ms. Penn apologized and asked if we wanted her to call an ambulance. We declined and left the restaurant. My husband immediately drove me to the hospital for treatment.
INJURIES, TREATMENT AND RECOVERY
To properly treat my wounds and to see if the wounds required stitches, my husband Alex drove me to the Holyoke Hospital emergency room. I was still quite upset, anxious, and in great discomfort. After waiting almost an hour, we were able to see the emergency room doctor, Cynthia Rodriguez.
After looking at my wounds, she said I would not require stitches, but would need to keep the wounds clean and freshly bandaged. Doctor Rodriguez prescribed 800mg of Ibuprofen, #15 and 10mg of Xanax, #12.
The doctor told me to take a couple of days off from work to be sure the wounds healed properly, and because she didn't want me to be driving while taking Xanax.
After taking me home, my husband went to CVS pharmacy and had my prescriptions filled. The next morning I called in sick to work. I told my supervisor what had happened and told her the doctor ordered me to take several days off. Following doctor's orders, I remained home for three days while continuing to take my prescribed medicine.
Unfortunately, I am an hourly employee. When I'm not able to work, I am not paid. My husband and I also paid out-of-pocket for hospital parking and for the medications. Because of your insured's negligence, I was unable to spend the type and amount of intimacy my husband and I usually share for a week after my injuries.
I am a 34-year-old female with an unremarkable medical history. My prior medical treatment includes a brief hospitalization in 2011 for a serious case of the flu. At the time of the incident made the basis of this claim, I was fully recovered and not suffering from any medical malady.
I have been employed since June 15, 2012, as front lobby hotel clerk at the Hite Regent hotel in Spokane, WA. As a front lobby clerk, my duties include greeting hotel guests and assisting them with their reservations. It is important for all Hite Regent lobby clerks to be dressed in our uniforms and immaculately groomed. Tattoos, apparent scars, and body piercings are forbidden.
Because of the lacerations and bandages to my face, my supervisor temporarily reassigned me to the Hotel's call center, out of sight of hotel guests. Because my injury did not occur on the job, I wasn't able to receive workers' compensation benefits. That meant from May 28, 2014 through May 30, 2014, I received no pay.
The following represents my medical bills and other out-of-pocket expenses. I have attached copies of representative bills and receipts, as well as a letter from my employer confirming the amount of my lost wages.
After careful consideration of liability and damages, and an in-depth review of standard settlements for injury cases with similar fact patterns, I am convinced a fair and reasonable settlement inclusive of my pain and suffering is $3,027.00.
I look forward to hearing from you.
23 Gary Street
Spokane, WA 99207
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