Iowa Personal Injury Demand Letter
PERSONAL INJURY DEMAND LETTER — STATE OF IOWA
PRIVILEGED AND CONFIDENTIAL
FOR SETTLEMENT PURPOSES ONLY — PURSUANT TO IOWA R. EVID. 5.408
ATTORNEY / FIRM INFORMATION
| Field | Details |
|---|---|
| Attorney Name | [________________________________] |
| Bar Number | [________________________________] |
| Firm Name | [________________________________] |
| Street Address | [________________________________] |
| City, State, ZIP | [________________________________], IA [__________] |
| Telephone | [________________________________] |
| Facsimile | [________________________________] |
| [________________________________] |
CLAIM INFORMATION
| Field | Details |
|---|---|
| Date of Letter | [__/__/____] |
| Sent Via | ☐ Certified Mail, Return Receipt Requested ☐ Email ☐ Facsimile |
| Insurance Company | [________________________________] |
| Claims Adjuster | [________________________________] |
| Adjuster Phone | [________________________________] |
| Adjuster Email | [________________________________] |
| Claim Number | [________________________________] |
| Policy Number | [________________________________] |
| Date of Loss | [__/__/____] |
| Insured (At-Fault Party) | [________________________________] |
| Claimant | [________________________________] |
| Claimant DOB | [__/__/____] |
RE: Personal Injury Claim of [________________________________] v. [________________________________]
Claim No.: [________________________________]
Date of Loss: [__/__/____]
Dear [________________________________]:
1. INTRODUCTION AND PURPOSE
This firm represents [________________________________] ("Claimant") in connection with personal injuries sustained on [__/__/____] as a direct and proximate result of the negligence of your insured, [________________________________] ("Insured" or "Tortfeasor"). This letter constitutes a formal demand for settlement of all claims arising from the above-referenced incident.
This demand is made pursuant to Iowa Rule of Evidence 5.408 and is intended solely for settlement negotiation purposes. Nothing herein shall constitute an admission or waiver of any rights or claims. Claimant expressly reserves all rights to pursue litigation, including but not limited to claims for compensatory damages, exemplary (punitive) damages under Iowa Code § 668A.1, prejudgment interest under Iowa Code § 668.13, costs, and any other relief available under Iowa law.
Under Iowa's modified comparative fault system (Iowa Code § 668.3), our client is entitled to full recovery reduced only by any percentage of fault attributable to the Claimant, provided the Claimant's fault does not exceed the combined fault of all defendants. Iowa imposes no statutory caps on compensatory damages in general personal injury cases.
Please direct all communications regarding this claim to this office. Do not contact our client directly.
2. IOWA STATUTORY FRAMEWORK
2.1 Negligence and Comparative Fault
- Iowa Code § 668.3 — Modified Comparative Fault (51% Bar):
- Contributory fault shall not bar recovery unless the claimant bears a greater percentage of fault than the combined percentage of fault attributed to the defendants, third-party defendants, and persons who have been released
- If the claimant is more than 50% at fault (i.e., 51% or more), recovery is completely barred
- Any damages allowed shall be diminished in proportion to the amount of fault attributable to the claimant
- The trier of fact assigns fault percentages to all parties
2.2 Statute of Limitations
- Iowa Code § 614.1(2) — Personal injury: 2 years from date of injury
- The date of loss in this matter is [__/__/____], making the filing deadline [__/__/____]
- Iowa applies the discovery rule in certain cases where the injury was not immediately apparent
2.3 No Caps on Compensatory Damages
- Iowa does NOT impose statutory caps on compensatory damages (economic or non-economic) in general personal injury actions
- The full value of all losses — including pain and suffering, emotional distress, and loss of enjoyment of life — is recoverable without statutory limitation
2.4 Punitive / Exemplary Damages
- Iowa Code § 668A.1 — Punitive damages require proof by a "preponderance of clear, convincing, and satisfactory evidence" that the defendant's conduct constituted "willful and wanton disregard for the rights or safety of another"
- The jury must answer special interrogatories
- 75% of punitive damages are paid to the Civil Reparations Trust Fund administered by the State Court Administrator
- 25% of punitive damages go to the plaintiff
2.5 Several Liability
- Iowa Code § 668.4 — Iowa has abolished joint and several liability. Each defendant is liable only for their percentage of fault as determined by the trier of fact. This is several liability only. The fault of settling parties and non-parties may still be considered.
2.6 Prejudgment Interest
- Iowa Code § 668.13 — Prejudgment interest is available on damages awarded. The rate is set under Iowa Code § 535.3 (currently 5% per annum). Interest accrues from the date of the commencement of the action or from the date of loss.
2.7 Collateral Source Rule
- Iowa Code § 668.14 — Iowa applies a modified collateral source rule. The court shall reduce the judgment by the amount of collateral source payments received, except for amounts for which a right of subrogation exists.
3. FACTUAL BACKGROUND
3.1 The Incident
On [__/__/____], at approximately [____] [a.m./p.m.], the Claimant was [________________________________] at or near [________________________________] (the "Incident Location") in [________________________________], Iowa.
At that time and place, your insured, [________________________________], negligently [________________________________].
As a direct and proximate result of your insured's negligence, the Claimant sustained serious personal injuries as described below.
3.2 Scene and Conditions
| Factor | Details |
|---|---|
| Location | [________________________________] |
| City / County | [________________________________], Iowa |
| Date | [__/__/____] |
| Time | [________________________________] |
| Weather Conditions | [________________________________] |
| Road / Surface Conditions | [________________________________] |
| Lighting | ☐ Daylight ☐ Dusk ☐ Dark — Street Lights ☐ Dark — No Lights |
| Traffic Conditions | [________________________________] |
| Speed Limit | [____] mph |
3.3 Law Enforcement Response
| Field | Details |
|---|---|
| Responding Agency | ☐ Iowa State Patrol ☐ [City] Police ☐ [County] Sheriff ☐ Other: [________] |
| Report Number | [________________________________] |
| Investigating Officer | [________________________________] |
| Badge Number | [________________________________] |
| Citations Issued To | ☐ Insured ☐ Claimant ☐ Third Party ☐ None |
| Citation(s) | [________________________________] |
| Fault Determination | [________________________________] |
3.4 Witness Information
| # | Name | Contact | Summary of Statement |
|---|---|---|---|
| 1 | [________________________________] | [________________________________] | [________________________________] |
| 2 | [________________________________] | [________________________________] | [________________________________] |
| 3 | [________________________________] | [________________________________] | [________________________________] |
3.5 Narrative Summary
[________________________________]
[________________________________]
[________________________________]
4. LIABILITY ANALYSIS
4.1 Duty of Care
Your insured owed the Claimant a duty of reasonable care under Iowa law. Specifically, your insured had a duty to [________________________________].
4.2 Breach of Duty
Your insured breached this duty of care by:
☐ Operating a motor vehicle in a negligent manner
☐ Failing to maintain a proper lookout
☐ Failing to yield the right-of-way (Iowa Code § 321.319 et seq.)
☐ Following too closely in violation of Iowa Code § 321.307
☐ Exceeding the posted speed limit in violation of Iowa Code § 321.285
☐ Operating while under the influence (Iowa Code § 321J.2)
☐ Distracted driving / texting while driving (Iowa Code § 321.276)
☐ Running a red light or stop sign (Iowa Code § 321.257)
☐ Reckless driving (Iowa Code § 321.277)
☐ Failure to maintain control of vehicle
☐ Failing to maintain premises in a safe condition
☐ [________________________________]
☐ [________________________________]
4.3 Causation
The Claimant's injuries were the direct and proximate result of your insured's breach of duty. But for your insured's negligent conduct, the Claimant would not have sustained these injuries. The injuries were a foreseeable consequence of the insured's negligence.
4.4 Comparative Fault Analysis (Iowa Code § 668.3)
Under Iowa's modified comparative fault system, the Claimant is barred from recovery only if the Claimant's fault is greater than the combined fault of all defendants (i.e., 51% or more at fault).
| Party | Alleged Fault % |
|---|---|
| Your Insured | [____]% |
| Claimant | [____]% |
| Third Party (if applicable) | [____]% |
Our position is that your insured bears [____]% fault for this incident. The Claimant's fault, if any, is well below the 51% threshold.
SEVERAL LIABILITY NOTE (Iowa Code § 668.4): Iowa has abolished joint and several liability. Your insured is liable only for their proportionate share of fault. However, where your insured is the sole or primary tortfeasor, your insured bears liability for a substantial majority of the total damages.
5. INJURIES AND MEDICAL TREATMENT
5.1 Summary of Injuries
Primary Diagnoses:
☐ Traumatic brain injury (TBI) / Concussion
☐ Cervical spine injury (herniation, bulge, fracture)
☐ Thoracic spine injury
☐ Lumbar spine injury (herniation, bulge, fracture)
☐ Shoulder injury (rotator cuff tear, labral tear, dislocation)
☐ Knee injury (ACL, MCL, meniscus tear)
☐ Hip injury / fracture
☐ Rib fractures
☐ Wrist / hand fractures
☐ Ankle / foot fractures
☐ Facial lacerations / scarring
☐ Internal organ damage
☐ Soft tissue injuries (sprains, strains, contusions)
☐ Post-traumatic stress disorder (PTSD)
☐ Depression / anxiety
☐ [________________________________]
ICD-10 Codes:
| Code | Description |
|---|---|
| [________] | [________________________________] |
| [________] | [________________________________] |
| [________] | [________________________________] |
| [________] | [________________________________] |
5.2 Chronological Treatment History
Emergency / Acute Care
| Date | Provider / Facility | Treatment | Cost |
|---|---|---|---|
| [__/__/____] | [________________________________] | [________________________________] | $[________] |
| [__/__/____] | [________________________________] | [________________________________] | $[________] |
Primary Care / Follow-Up
| Date(s) | Provider / Facility | Treatment | # Visits | Cost |
|---|---|---|---|---|
| [__/__/____] – [__/__/____] | [________________________________] | [________________________________] | [____] | $[________] |
Specialist Care
| Date(s) | Provider / Facility | Specialty | Treatment | # Visits | Cost |
|---|---|---|---|---|---|
| [__/__/____] – [__/__/____] | [________________________________] | [________________________________] | [________________________________] | [____] | $[________] |
Physical Therapy / Rehabilitation
| Date(s) | Provider / Facility | Treatment | # Sessions | Cost |
|---|---|---|---|---|
| [__/__/____] – [__/__/____] | [________________________________] | [________________________________] | [____] | $[________] |
Surgical Procedures
| Date | Provider / Facility | Procedure | Cost |
|---|---|---|---|
| [__/__/____] | [________________________________] | [________________________________] | $[________] |
Diagnostic Imaging
| Date | Provider / Facility | Study | Findings | Cost |
|---|---|---|---|---|
| [__/__/____] | [________________________________] | ☐ X-Ray ☐ MRI ☐ CT ☐ EMG/NCS | [________________________________] | $[________] |
Mental Health Treatment
| Date(s) | Provider | Treatment Type | # Sessions | Cost |
|---|---|---|---|---|
| [__/__/____] – [__/__/____] | [________________________________] | [________________________________] | [____] | $[________] |
Prescription Medications
| Medication | Prescribing Provider | Duration | Cost |
|---|---|---|---|
| [________________________________] | [________________________________] | [________________________________] | $[________] |
| [________________________________] | [________________________________] | [________________________________] | $[________] |
5.3 Current Condition and Prognosis
[________________________________]
Treating physician's prognosis:
☐ Full recovery expected
☐ Permanent partial impairment — rated at [____]% whole person impairment
☐ Permanent total impairment
☐ Ongoing treatment required (estimated duration: [________________________________])
☐ Future surgery likely or recommended
☐ Maximum medical improvement (MMI) reached on [__/__/____]
☐ MMI not yet reached
5.4 Impact on Daily Living
[________________________________]
6. DAMAGES CALCULATION
6.1 Summary of Economic Damages
A. Past Medical Expenses
| # | Provider | Dates of Service | Amount Billed | Amount Paid | Balance Due |
|---|---|---|---|---|---|
| 1 | [________________________________] | [__/__/____] – [__/__/____] | $[________] | $[________] | $[________] |
| 2 | [________________________________] | [__/__/____] – [__/__/____] | $[________] | $[________] | $[________] |
| 3 | [________________________________] | [__/__/____] – [__/__/____] | $[________] | $[________] | $[________] |
| 4 | [________________________________] | [__/__/____] – [__/__/____] | $[________] | $[________] | $[________] |
| 5 | [________________________________] | [__/__/____] – [__/__/____] | $[________] | $[________] | $[________] |
| 6 | [________________________________] | [__/__/____] – [__/__/____] | $[________] | $[________] | $[________] |
| TOTAL PAST MEDICAL EXPENSES | $[________] |
IOWA COLLATERAL SOURCE NOTE (Iowa Code § 668.14): Iowa applies a modified collateral source rule. The court may reduce the judgment by collateral source payments, except for amounts subject to subrogation rights. The amounts shown include both billed and paid amounts for transparency.
B. Future Medical Expenses
| Treatment / Service | Provider | Estimated Duration | Estimated Cost |
|---|---|---|---|
| [________________________________] | [________________________________] | [________________________________] | $[________] |
| [________________________________] | [________________________________] | [________________________________] | $[________] |
| TOTAL FUTURE MEDICAL EXPENSES | $[________] |
C. Past Lost Wages / Income
| Employer | Position | Pay Rate | Period Missed | Amount Lost |
|---|---|---|---|---|
| [________________________________] | [________________________________] | $[________]/[____] | [__/__/____] – [__/__/____] | $[________] |
| TOTAL PAST LOST WAGES | $[________] |
D. Future Lost Earning Capacity
| Basis | Details | Estimated Loss |
|---|---|---|
| Vocational assessment by | [________________________________] | $[________] |
| Economist's present value calculation | [________________________________] | $[________] |
| TOTAL FUTURE LOST EARNING CAPACITY | $[________] |
E. Property Damage
| Item | Description | Amount |
|---|---|---|
| Vehicle damage | [________________________________] | $[________] |
| Diminished value | [________________________________] | $[________] |
| Personal property | [________________________________] | $[________] |
| Rental / substitute transportation | [________________________________] | $[________] |
| TOTAL PROPERTY DAMAGE | $[________] |
F. Out-of-Pocket Expenses
| Expense | Description | Amount |
|---|---|---|
| Mileage to/from medical appointments | [____] miles × $[____]/mile | $[________] |
| Prescription co-pays | [________________________________] | $[________] |
| Medical equipment / devices | [________________________________] | $[________] |
| Household help / services | [________________________________] | $[________] |
| [________________________________] | [________________________________] | $[________] |
| TOTAL OUT-OF-POCKET EXPENSES | $[________] |
6.2 Total Economic Damages
| Category | Amount |
|---|---|
| Past Medical Expenses | $[________] |
| Future Medical Expenses | $[________] |
| Past Lost Wages | $[________] |
| Future Lost Earning Capacity | $[________] |
| Property Damage | $[________] |
| Out-of-Pocket Expenses | $[________] |
| TOTAL ECONOMIC DAMAGES | $[________] |
6.3 Non-Economic Damages
☐ Physical pain and suffering (past and ongoing)
☐ Mental and emotional distress
☐ Loss of enjoyment of life
☐ Loss of consortium (spouse: [________________________________])
☐ Disfigurement and scarring
☐ Inconvenience
☐ Permanent impairment
☐ Loss of function / bodily integrity
☐ [________________________________]
Non-Economic Damages Claimed: $[________]
IOWA LAW NOTE: Iowa does NOT impose statutory caps on non-economic damages in general personal injury actions. The full value of pain and suffering, emotional distress, and all other non-economic losses is recoverable without statutory limitation.
6.4 Total Compensatory Damages
| Category | Amount |
|---|---|
| Total Economic Damages | $[________] |
| Total Non-Economic Damages | $[________] |
| TOTAL COMPENSATORY DAMAGES | $[________] |
7. INSURANCE COVERAGE ANALYSIS
7.1 Tortfeasor's Liability Coverage
| Coverage | Limits |
|---|---|
| Bodily Injury — Per Person | $[________] |
| Bodily Injury — Per Accident | $[________] |
| Property Damage — Per Accident | $[________] |
| Umbrella / Excess Liability | $[________] |
7.2 Claimant's Coverage
| Coverage | Limits | Carrier |
|---|---|---|
| UM/UIM — Per Person | $[________] | [________________________________] |
| UM/UIM — Per Accident | $[________] | [________________________________] |
| MedPay | $[________] | [________________________________] |
| Collision / Comprehensive | $[________] | [________________________________] |
IOWA INSURANCE NOTE: Iowa requires minimum auto liability coverage of $20,000/$40,000/$15,000 (Iowa Code § 321A.21). These are among the lowest minimums in the nation. Iowa is a traditional tort state — there is no PIP requirement. UM/UIM coverage is required by Iowa law unless the insured signs a written rejection form. Insurers must offer UM/UIM at the same level as liability coverage.
PENDING LEGISLATION NOTE: Iowa lawmakers have proposed increasing the minimum liability requirements from 20/40/15 to 50/100/25. Practitioners should verify the current requirements at the time of use.
7.3 Coverage Adequacy Assessment
☐ Claimant's damages are within tortfeasor's policy limits
☐ Claimant's damages exceed tortfeasor's policy limits — excess exposure
☐ Tortfeasor carried only minimum coverage ($20,000) — substantial gap
☐ UM/UIM claim may be necessary
☐ Umbrella/excess policy may be implicated
8. PREJUDGMENT INTEREST (Iowa Code § 668.13)
Pursuant to Iowa Code § 668.13, the Claimant is entitled to prejudgment interest on any damages awarded.
Applicable interest rate: 5% per annum (Iowa Code § 535.3)
Date of loss / interest accrual: [__/__/____]
Estimated prejudgment interest through date of demand: $[________]
NOTE: Failure to promptly resolve this claim will result in continued accrual of prejudgment interest at 5% per annum from the date of loss, substantially increasing the total exposure.
9. PUNITIVE / EXEMPLARY DAMAGES (Iowa Code § 668A.1)
☐ Punitive damages are applicable to this claim.
Under Iowa law, punitive damages require proof by a "preponderance of clear, convincing, and satisfactory evidence" that the defendant's conduct constituted "willful and wanton disregard for the rights or safety of another."
The conduct of your insured warrants punitive damages because:
☐ Willful and wanton disregard for the rights or safety of others
☐ Operating under the influence of alcohol or drugs (Iowa Code § 321J.2)
☐ Reckless driving (Iowa Code § 321.277)
☐ Conscious disregard of known risks
☐ [________________________________]
IOWA PUNITIVE DAMAGES NOTE: The jury must answer special interrogatories regarding whether the defendant's conduct met the willful and wanton standard. If punitive damages are awarded, 75% goes to the Civil Reparations Trust Fund (administered by the State Court Administrator) and 25% goes to the plaintiff (after deduction of attorney's fees on the full amount).
Punitive damages claimed: $[________]
☐ Punitive damages are NOT sought at this time. Claimant reserves the right to seek punitive damages in litigation.
10. SETTLEMENT DEMAND
10.1 Demand Amount
Based on the foregoing analysis, the Claimant hereby demands the total sum of:
$[________]
to fully and finally resolve all claims arising from the incident of [__/__/____].
| Component | Amount |
|---|---|
| Past Medical Expenses | $[________] |
| Future Medical Expenses | $[________] |
| Past Lost Wages / Income | $[________] |
| Future Lost Earning Capacity | $[________] |
| Non-Economic Damages | $[________] |
| Property Damage | $[________] |
| Out-of-Pocket Expenses | $[________] |
| Prejudgment Interest (5%) | $[________] |
| TOTAL DEMAND | $[________] |
10.2 Response Deadline
This demand shall remain open for thirty (30) calendar days from the date of this letter, expiring on [__/__/____].
10.3 Consequences of Non-Response
- Filing of a petition in the Iowa District Court, [________________________________] County
- Pursuit of all available damages, including compensatory, punitive, prejudgment interest at 5%, costs, and attorney's fees where applicable
- Continued accrual of prejudgment interest under Iowa Code § 668.13
- Potential bad faith claim for failure to reasonably evaluate and settle within policy limits
- Excess judgment exposure for the insured personally if damages exceed policy limits
11. RESERVATION OF RIGHTS
☐ To amend or supplement this demand based on additional information
☐ To file suit at any time prior to expiration of the statute of limitations
☐ To seek punitive damages under Iowa Code § 668A.1
☐ To seek prejudgment interest under Iowa Code § 668.13
☐ To pursue claims against additional parties
☐ To file a UM/UIM claim against Claimant's own insurer
☐ To seek costs and attorney's fees as permitted by law
☐ All other rights and remedies available under Iowa law
12. ENCLOSED DOCUMENTS AND EXHIBITS INDEX
Medical Records and Bills
☐ Emergency room records and bills — [________________________________]
☐ Hospital admission/discharge records — [________________________________]
☐ Primary care physician records — [________________________________]
☐ Specialist consultation records — [________________________________]
☐ Physical therapy / rehabilitation records — [________________________________]
☐ Surgical records and operative reports — [________________________________]
☐ Diagnostic imaging reports — [________________________________]
☐ Mental health treatment records — [________________________________]
☐ Pharmacy / prescription records — [________________________________]
☐ Life care plan — [________________________________]
Liability Documentation
☐ Police / incident report — Report No. [________________________________]
☐ Photographs of accident scene
☐ Photographs of vehicle / property damage
☐ Photographs of injuries
☐ Witness statements
☐ Surveillance / dashcam footage
☐ Expert accident reconstruction report
Financial Documentation
☐ Employer verification of lost wages
☐ Tax returns (prior [____] years)
☐ Vocational assessment / economic loss report
☐ Property damage estimate / repair invoice
☐ Out-of-pocket expense receipts
Insurance Documentation
☐ Declaration page — Tortfeasor's policy
☐ Declaration page — Claimant's policy
☐ Proof of UM/UIM coverage
13. SIGNATURE AND CERTIFICATION
Respectfully submitted,
______________________________________
[Attorney Name]
[Firm Name]
Iowa Bar No. [________________________________]
[Street Address]
[City], Iowa [ZIP]
Telephone: [________________________________]
Email: [________________________________]
Date: [__/__/____]
14. SOURCES AND REFERENCES
Iowa Statutes
- Iowa Code § 321.277 — Reckless Driving
- Iowa Code § 321.285 — Speed Restrictions
- Iowa Code § 321.307 — Following Too Closely
- Iowa Code § 321A.21 — Motor Vehicle Financial Responsibility (20/40/15)
- Iowa Code § 321J.2 — Operating While Intoxicated
- Iowa Code § 516A.1 — Mandatory Auto Insurance
- Iowa Code § 535.3 — Legal Rate of Interest (5%)
- Iowa Code § 611A — Wrongful Death
- Iowa Code § 613.15A — Collateral Source Payments
- Iowa Code § 614.1(2) — Statute of Limitations (2 years — personal injury)
- Iowa Code § 668.3 — Comparative Fault (Modified — 51% Bar)
- Iowa Code § 668.4 — Several Liability (Joint Liability Abolished)
- Iowa Code § 668.13 — Interest on Judgments / Prejudgment Interest
- Iowa Code § 668.14 — Collateral Source Rule (Modified)
- Iowa Code § 668A.1 — Punitive or Exemplary Damages
Key Iowa Case Law
- Goetzman v. Wichern, 327 N.W.2d 742 (Iowa 1982) — Comparative fault principles
- Schmitz v. Colfax Comm. Sch. Dist., 811 N.W.2d 413 (Iowa 2012) — Negligence standard
- Iowa Comprehensive Petroleum Underground Storage Tank Fund Bd. v. Mobil Oil Corp., 606 N.W.2d 359 (Iowa 2000) — Punitive damages standard
- Seastrom v. Farm Bureau Life Ins. Co., 601 N.W.2d 339 (Iowa 1999) — Insurance bad faith
Regulatory Resources
- Iowa Insurance Division — https://iid.iowa.gov/
- Iowa Judicial Branch — https://www.iowacourts.gov/
This template is designed for use by licensed Iowa attorneys. It must be customized for each individual case. All statutory citations should be verified against current law before use. This document does not constitute legal advice.
About This Template
Personal injury cases are brought by people who were hurt because of someone else's carelessness: car crashes, slip and falls, defective products, and more. Demand letters, settlement agreements, and court filings in these cases have to document the injuries, the medical treatment, the lost income, and the exact legal basis for holding the other side responsible. Well-prepared paperwork is what drives higher settlements and forces insurers to take the claim seriously.
Important Notice
This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Last updated: March 2026