[NAME]
[ADDRESS]
[PHONE]
[DATE]
[NO FAULT ADJUSTER]
[YOUR INSURANCE COMPANY ADDRESS]
Re: [YOUR NAME]
D/A: [DATE OF ACCIDENT]
Policy Number: [YOUR POLICY NUMBER]
Claim Number: [YOUR CLAIM NUMBER]
Your insured: [NAME OF POLICY HOLDER]
Dear Sir/Madam:
Please be advised that [NAME OF INJURED PERSON] sustained serious personal injuries in the above-mentioned collision.
Enclosed herewith please find a completed no-fault application. Furthermore, this letter is to serve as notice of the intention to pursue an uninsured/underinsured motorists claim.
I would like to thank you for your anticipated cooperation in the future. Your attention to this matter is greatly appreciated.
Respectfully,
[YOUR NAME]
Enclosure(s) [SEND WITH NO FAULT APPLICATION]
