_________________________, 20___
							(Date of Letter)



______________________________
(Insurance Company Name)
______________________________
(Claims Department)
______________________________
(Street Address)
______________________________
(City, State and Zip Code)

RE: 	_________________________________________
      	(Name of Insured)
	_________________________________________
	(Claim Number)
	_________________________________________
	(Date of Loss)
	_________________________________________
	(Uninsured/Underinsured)
	
	
Dear Claims Department:

	Please accept this letter as notice of an uninsured/underinsured
(strike one) insurance claim under the above-referenced policy.  The above-
referenced policy is in the name of ________________________________ (name of
insured) and was issued on the _____ day of _________________, _____(year).
The policy is current and all premiums have been paid.  This notice of claim
relates to _________________________________________________________________
___________________________(identify insured or member of insured's family or
household making the claim).

	On the _____ day of __________________________, _____(year), a vehicular
accident occurred at _________________________________________________________
(location of accident), wherein the vehicle operated by ____________________
(tort-feasor) was involved in a collision in which ___________________ (insured
or member of insured's family or household) was injured.  It has been determined
that the tort-feasor does/does not (strike one) have liability insurance.  The
coverage/non-coverage (strike one) has created the need for coverage under the
uninsured/underinsured (strike one) provisions of the above-referenced policy.

	Pursuant to the policy language and the requirements thereunder, the
undersigned is providing this notice of claim for the uninsured/underinsured
(strike one).  Kindly acknowledge receipt of this notice whereupon appropriate
pleadings, demand letters to the tort-feasor, information relative to the tort-
feasor's insurance coverage, information relative to the tort-feasor's financial
status, accident report, photographs, medical bills, other related expenses, etc.,
will be provided as evidence of the basis for the claim made in this matter.
Based upon the coverage/non-coverage (strike one) of the tort-feasor and based
upon the damages presently documented as a result of the collision described above,
$__________ represents the dollar amount of damages for which this notice applies.
Additional damages either have been made or will be incurred from this point forward
as a result of the aforementioned collision, and those damages will be documented
when appropriate.
	
	Kindly indicate your company's interest in the resolution of this matter, along
with the company's authority for the undersigned to proceed on behalf of the
__________________________ (insured or member of insured's family or household).
Since time is of the essence, it would be appreciated if your response could be
provided within ten days of the date of this letter.  Thank you for your courtesies.

							Very truly yours,


							______________________________
							(Signature)
							______________________________
							(Address)
							______________________________
							(City, State and Zip Code)
							______________________________
							(Phone Number)

LAWCHEK, LTD. LETTER PRO Samples, Copyright 2006
This is not a substitute for legal advice.  An attorney must be consulted.