PERSONAL INJURY DEMAND LETTER — MONTANA
FOR SETTLEMENT PURPOSES ONLY — FEDERAL RULE OF EVIDENCE 408 / MONT. R. EVID. 408
PRIVILEGED AND CONFIDENTIAL SETTLEMENT COMMUNICATION
Date: [__/__/____]
VIA CERTIFIED MAIL — RETURN RECEIPT REQUESTED
SENDER (Attorney/Law Firm)
| Field | Details |
|---|---|
| Attorney Name | [________________________________] |
| Law Firm | [________________________________] |
| Montana Bar Number | [________________________________] |
| Address | [________________________________] |
| City, State, ZIP | [________________________________], Montana [____] |
| Telephone | ([____]) [____]-[________] |
| Facsimile | ([____]) [____]-[________] |
| [________________________________] |
RECIPIENT (Insurance Adjuster/Claims Department)
| Field | Details |
|---|---|
| Adjuster Name | [________________________________] |
| Insurance Company | [________________________________] |
| Claims Department | [________________________________] |
| Address | [________________________________] |
| City, State, ZIP | [________________________________] |
| Claim Number | [________________________________] |
| Policy Number | [________________________________] |
| Date of Loss | [__/__/____] |
| Insured (Tortfeasor) | [________________________________] |
CLAIMANT INFORMATION
| Field | Details |
|---|---|
| Claimant Name | [________________________________] |
| Date of Birth | [__/__/____] |
| Address | [________________________________] |
| City, State, ZIP | [________________________________], Montana [____] |
| SSN (Last 4) | XXX-XX-[____] |
| Health Insurance | [________________________________] |
I. INTRODUCTION AND PURPOSE
Dear [________________________________]:
This office represents [________________________________] ("Claimant") in connection with personal injuries sustained in a [☐ motor vehicle collision ☐ slip and fall ☐ premises liability incident ☐ product liability ☐ other: ________________________________] that occurred on [__/__/____] in [________________________________], Montana. This letter constitutes a formal demand for settlement of all liability claims against your insured, [________________________________] ("Tortfeasor/Defendant"), arising from the above-referenced incident.
This demand is made pursuant to and in accordance with Montana tort law. Montana is a traditional tort state (not a no-fault state) applying modified comparative negligence under Mont. Code Ann. § 27-1-702. This communication is intended solely for settlement purposes and is protected under Mont. R. Evid. 408 and Federal Rule of Evidence 408. Nothing herein shall be construed as a waiver of any rights, claims, or causes of action.
Claimant has authorized this office to negotiate and settle all claims. A signed letter of representation is enclosed.
II. STATUTORY FRAMEWORK — MONTANA LAW
Key Provisions Applicable to This Claim
1. Modified Comparative Negligence (Mont. Code Ann. § 27-1-702) — Montana follows modified comparative negligence with a 51% bar. Contributory negligence does not bar recovery if the plaintiff's negligence was not greater than the negligence of the defendant(s) combined. If the plaintiff is 51% or more at fault, recovery is completely barred.
2. No Cap on Compensatory Damages — Montana does NOT impose a statutory cap on economic or non-economic compensatory damages in general personal injury cases.
3. Modified Collateral Source Rule (Mont. Code Ann. § 27-1-307 et seq.) — Montana has modified the traditional collateral source rule. Evidence of payments from collateral sources may be admissible, and the court has discretion to reduce a damage award by amounts paid from collateral sources in certain circumstances. Counsel should be aware of this provision when preparing damages calculations.
4. Punitive Damages Cap (Mont. Code Ann. § 27-1-220) — Available upon clear and convincing evidence of actual fraud or actual malice. Capped at the lesser of $10 million or 3% of defendant's net worth (except in class actions).
III. FACTUAL BACKGROUND
A. The Incident
On [__/__/____], at approximately [____:____ ☐ AM ☐ PM], Claimant was [________________________________] at or near [________________________________] (exact location), in [________________________________], [________________________________] County, Montana.
At that time, Tortfeasor was operating a [____] [________________________________] [________________________________] (year/make/model), bearing Montana license plate number [________________________________], traveling [☐ northbound ☐ southbound ☐ eastbound ☐ westbound] on [________________________________].
Description of the incident:
[________________________________]
[________________________________]
[________________________________]
[________________________________]
[________________________________]
B. Emergency Response
| Detail | Information |
|---|---|
| 911 Call Time | [____:____ ☐ AM ☐ PM] |
| Responding Agency | [________________________________] |
| Police Report Number | [________________________________] |
| Responding Officer(s) | [________________________________], Badge #[____] |
| EMS/Ambulance | [________________________________] |
| Transport Destination | [________________________________] Hospital |
| Claimant Transported | ☐ Yes, by ambulance ☐ Yes, by Life Flight ☐ Yes, by private vehicle ☐ No |
C. Police Report Summary
The police report [☐ does ☐ does not] indicate that Tortfeasor was cited for [________________________________] under Montana Code Annotated § [________________________________].
Contributing factors noted in report:
☐ Failure to yield right of way (Mont. Code Ann. § 61-8-339)
☐ Following too closely (Mont. Code Ann. § 61-8-329)
☐ Improper lane change
☐ Running red light/stop sign (Mont. Code Ann. § 61-8-308)
☐ Excessive speed (Mont. Code Ann. § 61-8-303)
☐ Distracted driving / Texting while driving (Mont. Code Ann. § 61-8-802)
☐ DUI (Mont. Code Ann. § 61-8-401)
☐ Reckless driving (Mont. Code Ann. § 61-8-301)
☐ Careless driving (Mont. Code Ann. § 61-8-302)
☐ Failure to signal
☐ Animal collision (wildlife/livestock on roadway)
☐ Other: [________________________________]
D. Witness Information
| Witness | Contact Information | Summary |
|---|---|---|
| [________________________________] | [________________________________] | [________________________________] |
| [________________________________] | [________________________________] | [________________________________] |
| [________________________________] | [________________________________] | [________________________________] |
E. Scene Evidence
☐ Photographs of the accident scene
☐ Photographs of vehicle damage
☐ Video/dashcam footage
☐ Surveillance camera footage
☐ Traffic signal data
☐ Skid mark measurements
☐ Accident reconstruction report
☐ Weather and road condition reports (MDT records)
☐ Property damage estimates/repair records
☐ Event data recorder (EDR/"black box") data
IV. LIABILITY ANALYSIS
A. Montana Negligence Standard
Under Montana law, negligence is the failure to use that degree of care that a reasonable and prudent person would use under the same or similar circumstances. Mont. Code Ann. § 27-1-701. To recover, a plaintiff must prove: (1) the defendant owed a legal duty to the plaintiff; (2) the defendant breached that duty; (3) the breach was an actual and proximate cause of the plaintiff's injuries; and (4) the plaintiff suffered damages. Fisher v. Swift Transportation Co., 181 P.3d 601, 605 (Mont. 2008).
B. Tortfeasor's Negligence
Your insured was negligent in the following respects:
☐ Failed to maintain a proper lookout
☐ Failed to yield the right of way in violation of Mont. Code Ann. § [________________________________]
☐ Operated the vehicle at an excessive speed in violation of Mont. Code Ann. § 61-8-303
☐ Followed too closely in violation of Mont. Code Ann. § 61-8-329
☐ Failed to obey a traffic control device in violation of Mont. Code Ann. § 61-8-308
☐ Operated the vehicle while intoxicated in violation of Mont. Code Ann. § 61-8-401
☐ Engaged in distracted driving/texting in violation of Mont. Code Ann. § 61-8-802
☐ Drove recklessly in violation of Mont. Code Ann. § 61-8-301
☐ Drove carelessly in violation of Mont. Code Ann. § 61-8-302
☐ Failed to use due care and caution under the circumstances
☐ Negligent maintenance of premises (premises liability)
☐ Other: [________________________________]
C. Montana Comparative Negligence (Mont. Code Ann. § 27-1-702)
Montana applies modified comparative negligence with a 51% bar. Under this statute:
"Contributory negligence shall not bar recovery in an action by any person or the person's legal representative to recover damages for negligence resulting in death or in injury to person or property, if such negligence was not greater than the negligence of the person or the combined negligence of all persons against whom recovery is sought, but any damages allowed shall be diminished in the proportion to the amount of negligence attributable to the person recovering."
In practical terms:
- If Claimant is 50% or less at fault, Claimant recovers, but damages are reduced by Claimant's percentage of fault
- If Claimant is 51% or more at fault, Claimant is completely barred from recovery
Claimant bears no fault for this incident. The evidence establishes that Tortfeasor was solely responsible:
[________________________________]
[________________________________]
[________________________________]
D. Joint Liability (Mont. Code Ann. § 27-1-703)
Montana follows a system of several liability for most tort cases:
- Each defendant is liable only for the portion of damages attributable to that defendant's percentage of fault
- Fault of all parties, including nonparties, may be considered by the trier of fact
- Exceptions may apply for concerted action or other specific circumstances
V. INJURIES AND MEDICAL TREATMENT
A. Initial Emergency Treatment
Date: [__/__/____]
Facility: [________________________________] Hospital/Emergency Department
Treating Physician(s): [________________________________], M.D.
Chief Complaints Upon Presentation:
[________________________________]
[________________________________]
Emergency Diagnosis:
☐ Concussion / Traumatic brain injury (TBI)
☐ Cervical spine strain/sprain (whiplash)
☐ Thoracic spine strain/sprain
☐ Lumbar spine strain/sprain
☐ Herniated/bulging disc(s) at [________________________________]
☐ Fracture(s): [________________________________]
☐ Dislocation: [________________________________]
☐ Ligament tear(s): [________________________________]
☐ Meniscus/cartilage tear
☐ Rotator cuff tear
☐ Contusions/abrasions
☐ Lacerations requiring sutures
☐ Internal organ injury
☐ Rib fracture(s)
☐ Hypothermia/frostbite (weather-related)
☐ Post-traumatic stress disorder (PTSD)
☐ Other: [________________________________]
Diagnostic Studies Performed:
☐ X-ray: [________________________________]
☐ CT Scan: [________________________________]
☐ MRI: [________________________________]
☐ Ultrasound: [________________________________]
☐ EEG/EMG/NCV: [________________________________]
Emergency Treatment Provided:
☐ Immobilization (cervical collar, splint, brace)
☐ Wound closure (sutures, staples, adhesive)
☐ Medications administered
☐ Admitted to hospital for [____] days
☐ Air transport/Life Flight to [________________________________]
☐ Discharged with prescriptions and follow-up instructions
B. Hospitalization (If Applicable)
| Detail | Information |
|---|---|
| Admission Date | [__/__/____] |
| Discharge Date | [__/__/____] |
| Length of Stay | [____] days |
| Ward/Unit | [________________________________] |
| Attending Physician | [________________________________], M.D. |
| Procedures/Surgeries | [________________________________] |
C. Surgical Intervention (If Applicable)
| Surgery | Details |
|---|---|
| Date | [__/__/____] |
| Facility | [________________________________] |
| Surgeon | [________________________________], M.D. |
| Procedure | [________________________________] |
| Anesthesia Type | ☐ General ☐ Regional ☐ Local |
| Duration | [____] hours |
| Outcome | [________________________________] |
D. Follow-Up Medical Treatment
Primary Care Physician:
- Name: [________________________________], M.D.
- Dates of Treatment: [__/__/____] through [__/__/____]
- Number of Visits: [____]
- Treatment Summary: [________________________________]
Orthopedic Specialist:
- Name: [________________________________], M.D.
- Dates of Treatment: [__/__/____] through [__/__/____]
- Number of Visits: [____]
- Treatment Summary: [________________________________]
Neurologist/Neurosurgeon:
- Name: [________________________________], M.D.
- Dates of Treatment: [__/__/____] through [__/__/____]
- Number of Visits: [____]
- Treatment Summary: [________________________________]
Pain Management:
- Name: [________________________________], M.D.
- Dates of Treatment: [__/__/____] through [__/__/____]
- Number of Visits: [____]
- Treatment Summary: [________________________________]
- Procedures: ☐ Epidural injections ☐ Facet joint injections ☐ Nerve blocks ☐ Trigger point injections ☐ Radiofrequency ablation ☐ Spinal cord stimulator
Chiropractic Care:
- Name: [________________________________], D.C.
- Dates of Treatment: [__/__/____] through [__/__/____]
- Number of Visits: [____]
- Treatment Summary: [________________________________]
Physical Therapy:
- Name/Facility: [________________________________]
- Dates of Treatment: [__/__/____] through [__/__/____]
- Number of Sessions: [____]
- Treatment Summary: [________________________________]
Psychological/Psychiatric Treatment:
- Name: [________________________________], [☐ Ph.D. ☐ Psy.D. ☐ M.D. ☐ LCSW ☐ LCPC]
- Dates of Treatment: [__/__/____] through [__/__/____]
- Number of Sessions: [____]
- Diagnoses: ☐ PTSD ☐ Anxiety disorder ☐ Depression ☐ Adjustment disorder ☐ Other: [________________________________]
E. Current Condition and Prognosis
Claimant's current condition as of [__/__/____]:
☐ Claimant has reached Maximum Medical Improvement (MMI)
☐ Claimant continues to require ongoing medical treatment
☐ Claimant has permanent impairment rated at [____]% whole person
Permanent Restrictions/Limitations:
[________________________________]
[________________________________]
Future Medical Treatment Anticipated:
☐ Continued physical therapy: estimated [____] sessions at $[____] per session
☐ Additional surgery: [________________________________], estimated cost $[________________________________]
☐ Long-term pain management: estimated $[____] per year for [____] years
☐ Long-term medication: estimated $[____] per month
☐ Assistive devices/DME: $[________________________________]
☐ Home modification: $[________________________________]
☐ Future diagnostic imaging: $[________________________________]
☐ Life care plan prepared by [________________________________], estimated lifetime cost: $[________________________________]
Note regarding rural Montana: Due to the limited availability of medical specialists in rural Montana, Claimant has incurred [☐ has incurred ☐ may incur] additional travel expenses for treatment at [________________________________] (nearest specialist center). Travel costs of $[________________________________] are included in the damages calculation below.
VI. DAMAGES CALCULATION
A. Economic Damages (Past)
Note: Montana imposes NO statutory cap on economic or non-economic compensatory damages in general personal injury cases.
| Category | Provider/Description | Amount |
|---|---|---|
| Emergency Room/Hospital | [________________________________] | $[________________________________] |
| Air Transport/Life Flight | [________________________________] | $[________________________________] |
| Surgical Costs | [________________________________] | $[________________________________] |
| Physician/Specialist Visits | [________________________________] | $[________________________________] |
| Diagnostic Imaging | [________________________________] | $[________________________________] |
| Physical Therapy | [________________________________] | $[________________________________] |
| Chiropractic Treatment | [________________________________] | $[________________________________] |
| Pain Management | [________________________________] | $[________________________________] |
| Psychological Treatment | [________________________________] | $[________________________________] |
| Prescription Medications | [________________________________] | $[________________________________] |
| Medical Equipment/Supplies | [________________________________] | $[________________________________] |
| Ambulance/Transport | [________________________________] | $[________________________________] |
| Travel for Medical Treatment | [________________________________] | $[________________________________] |
| Total Past Medical Expenses | $[________________________________] |
| Category | Description | Amount |
|---|---|---|
| Lost Wages/Income | [________________________________] | $[________________________________] |
| Lost Employment Benefits | [________________________________] | $[________________________________] |
| Lost Overtime/Bonuses | [________________________________] | $[________________________________] |
| Lost Ranching/Farming Income | [________________________________] | $[________________________________] |
| Replacement Services/Hired Labor | [________________________________] | $[________________________________] |
| Property Damage | [________________________________] | $[________________________________] |
| Out-of-Pocket Expenses | [________________________________] | $[________________________________] |
| Total Past Economic Losses | $[________________________________] |
B. Economic Damages (Future)
| Category | Description | Amount |
|---|---|---|
| Future Medical Treatment | [________________________________] | $[________________________________] |
| Future Surgery | [________________________________] | $[________________________________] |
| Future Physical Therapy | [________________________________] | $[________________________________] |
| Future Medications | [________________________________] | $[________________________________] |
| Future Pain Management | [________________________________] | $[________________________________] |
| Future Wage Loss/Diminished Earning Capacity | [________________________________] | $[________________________________] |
| Life Care Plan Costs | [________________________________] | $[________________________________] |
| Future Travel for Medical Care | [________________________________] | $[________________________________] |
| Total Future Economic Damages | $[________________________________] |
C. Non-Economic Damages
Montana imposes NO statutory cap on non-economic compensatory damages in general personal injury cases.
| Category | Description | Amount |
|---|---|---|
| Physical Pain and Suffering (past) | [________________________________] | $[________________________________] |
| Physical Pain and Suffering (future) | [________________________________] | $[________________________________] |
| Mental and Emotional Distress | [________________________________] | $[________________________________] |
| Loss of Enjoyment of Life | [________________________________] | $[________________________________] |
| Physical Impairment/Disability | [________________________________] | $[________________________________] |
| Disfigurement/Scarring | [________________________________] | $[________________________________] |
| Loss of Consortium (spouse) | [________________________________] | $[________________________________] |
| Aggravation of Pre-Existing Condition | [________________________________] | $[________________________________] |
| Total Non-Economic Damages | $[________________________________] |
D. Collateral Source Considerations (Mont. Code Ann. § 27-1-307 et seq.)
Montana's modified collateral source rule may permit the introduction of evidence regarding payments from collateral sources. The following collateral source payments have been made:
| Source | Amount | Subrogation/Lien |
|---|---|---|
| Health Insurance | $[________________________________] | ☐ Yes: $[________________________________] ☐ No |
| Medicare/Medicaid | $[________________________________] | ☐ Yes: $[________________________________] ☐ No |
| Workers' Compensation | $[________________________________] | ☐ Yes: $[________________________________] ☐ No |
| Disability Insurance | $[________________________________] | ☐ Yes: $[________________________________] ☐ No |
| Other | $[________________________________] | ☐ Yes: $[________________________________] ☐ No |
Note: The collateral source issue does not reduce Claimant's compensatory damages demand. Subrogation claims and liens must be resolved from settlement proceeds.
E. Damages Summary
| Category | Amount |
|---|---|
| Past Economic Damages | $[________________________________] |
| Future Economic Damages | $[________________________________] |
| Non-Economic Damages | $[________________________________] |
| TOTAL COMPENSATORY DAMAGES | $[________________________________] |
VII. INSURANCE COVERAGE ANALYSIS
A. Tortfeasor's Liability Coverage
| Coverage | Details |
|---|---|
| Carrier | [________________________________] |
| Policy Number | [________________________________] |
| Bodily Injury Limits | $[________________________________]/$[________________________________] |
| Property Damage Limits | $[________________________________] |
| Umbrella/Excess Policy | ☐ Yes: $[________________________________] ☐ No ☐ Unknown |
Montana Minimum Requirements (Mont. Code Ann. § 61-6-103):
- $25,000 per person / $50,000 per accident (bodily injury)
- $20,000 property damage
B. Claimant's UM/UIM Coverage
| Coverage | Details |
|---|---|
| Carrier | [________________________________] |
| Policy Number | [________________________________] |
| UM/UIM Limits | $[________________________________]/$[________________________________] |
| Stacking Available | ☐ Yes ☐ No |
☐ UM/UIM claim is being made or reserved
☐ UM/UIM claim is not applicable at this time
C. MedPay/Additional Coverage
| Coverage | Details |
|---|---|
| MedPay Limits | $[________________________________] |
| MedPay Benefits Paid | $[________________________________] |
| Health Insurance Coverage | [________________________________] |
| Health Insurance Lien/Subrogation | $[________________________________] |
VIII. PREJUDGMENT INTEREST (Mont. Code Ann. § 25-9-205; § 27-1-211)
Under Montana law, interest on money judgments accrues from the date of the verdict or decision. The rate of interest is set by statute.
Key Provisions:
- Mont. Code Ann. § 25-9-205: Interest on judgments
- Mont. Code Ann. § 27-1-211: Interest as damages
- Rate: 10% per annum as set by statute, unless otherwise provided
Should this matter proceed to litigation, Claimant will seek prejudgment interest in accordance with Montana law.
Projected prejudgment interest:
| Period | Rate | Estimated Interest |
|---|---|---|
| Date of verdict/decision through satisfaction | 10% | $[________________________________] |
| Total Estimated Prejudgment Interest | $[________________________________] |
IX. PUNITIVE DAMAGES (Mont. Code Ann. § 27-1-220)
☐ Not applicable — The facts do not support a claim for punitive damages.
☐ Applicable — The following conduct supports a claim for punitive damages.
Under Mont. Code Ann. § 27-1-220, punitive damages may be awarded when the defendant is guilty of actual fraud or actual malice, proven by clear and convincing evidence.
Montana Punitive Damages Cap (Mont. Code Ann. § 27-1-220(3)):
- The lesser of $10,000,000 or 3% of the defendant's net worth
- Exception: no cap in class action cases
Description of conduct supporting punitive damages:
☐ DUI (Mont. Code Ann. § 61-8-401)
☐ Excessive speed creating extreme danger
☐ Conscious disregard of known safety risks (actual malice)
☐ Texting while driving at high speed
☐ Hit and run/leaving the scene
☐ Fraudulent concealment of dangerous condition
☐ Other: [________________________________]
[________________________________]
[________________________________]
X. SETTLEMENT DEMAND
A. Demand Amount
Based upon the injuries sustained, the medical treatment required, the economic losses incurred, the non-economic damages suffered, and all applicable provisions of Montana law, Claimant hereby demands the sum of:
$[________________________________]
in full and final settlement of all liability claims against your insured arising from the [__/__/____] incident.
B. Demand Components
| Component | Amount |
|---|---|
| Past Economic Damages | $[________________________________] |
| Future Economic Damages | $[________________________________] |
| Non-Economic Damages (no cap) | $[________________________________] |
| Prejudgment Interest (estimated) | $[________________________________] |
| Total Demand | $[________________________________] |
C. Response Deadline
This demand shall remain open for thirty (30) calendar days from the date of receipt. If your office fails to respond with a reasonable settlement offer within this period, Claimant will proceed with filing a civil action in the appropriate Montana District Court without further notice.
D. Settlement Conditions
Any settlement is contingent upon:
☐ Full payment of the demanded amount
☐ Release of Claimant's claims against Tortfeasor only
☐ No admission of liability clause acceptable
☐ Resolution of all applicable liens (Medicare, Medicaid, health insurance subrogation)
☐ Other: [________________________________]
XI. RESERVATION OF RIGHTS
Claimant expressly reserves all rights, claims, and causes of action not specifically addressed in this demand, including but not limited to:
☐ Claims against additional tortfeasors or responsible parties
☐ UM/UIM claims against Claimant's own carrier
☐ Punitive damage claims (Mont. Code Ann. § 27-1-220)
☐ Wrongful death claims (Mont. Code Ann. § 27-1-513), if applicable
☐ Claims under Montana Unfair Trade Practices Act (Mont. Code Ann. § 33-18-201)
☐ Claims for additional damages discovered after this demand
☐ Any and all rights to proceed with litigation, including jury trial
NOTICE REGARDING STATUTE OF LIMITATIONS: The statute of limitations for this personal injury claim is three (3) years from the date of injury under Mont. Code Ann. § 27-2-204. The statute expires on [__/__/____]. Claimant will file suit prior to expiration if settlement is not reached.
XII. ENCLOSED DOCUMENTS AND EXHIBITS INDEX
Medical Records and Bills
☐ Emergency room records and billing — [________________________________]
☐ Hospital admission/discharge records — [________________________________]
☐ Air transport/Life Flight records — [________________________________]
☐ Surgical records and operative reports — [________________________________]
☐ Primary care physician records — [________________________________]
☐ Orthopedic specialist records — [________________________________]
☐ Neurological records — [________________________________]
☐ Pain management records — [________________________________]
☐ Chiropractic records — [________________________________]
☐ Physical therapy records — [________________________________]
☐ Psychological/psychiatric records — [________________________________]
☐ Diagnostic imaging reports (X-ray, MRI, CT) — [________________________________]
☐ Prescription records/pharmacy printout — [________________________________]
☐ Medical bills summary — [________________________________]
☐ Life care plan — [________________________________]
Liability/Investigation Documents
☐ Police/crash report — Report #[________________________________]
☐ Photographs of accident scene
☐ Photographs of vehicle damage
☐ Photographs of injuries
☐ Witness statements
☐ Accident reconstruction report
☐ Video/dashcam footage (available upon request)
☐ Traffic citation(s)
☐ MDT road condition/weather data
Income/Employment Documentation
☐ Employer verification of lost wages letter
☐ Tax returns ([____], [____], [____])
☐ Pay stubs (pre-accident and post-accident)
☐ Ranch/farm income documentation
☐ Vocational assessment/rehabilitation report
☐ Disability determination
Insurance Documentation
☐ Declarations page — Tortfeasor's policy
☐ Declarations page — Claimant's UM/UIM policy
☐ Health insurance Explanation of Benefits (EOBs)
☐ Medicare/Medicaid conditional payment letter
☐ Workers' compensation records (if applicable)
Other
☐ Letter of representation
☐ HIPAA authorization
☐ Signed medical releases
☐ Property damage estimate/repair invoice
☐ Rental car receipts
☐ Travel expense documentation (medical treatment)
☐ Other: [________________________________]
XIII. SIGNATURE AND CERTIFICATION
I certify that the information provided in this demand letter is true and accurate to the best of my knowledge and belief, based upon the medical records, documentation, and information obtained during our investigation of this matter.
Respectfully submitted,
______________________________________
[________________________________], Esq.
Attorney for Claimant
State Bar of Montana No. [________________________________]
[________________________________] (Firm Name)
[________________________________] (Address)
[________________________________], Montana [____]
Tel: ([____]) [____]-[________]
Fax: ([____]) [____]-[________]
Email: [________________________________]
Date: [__/__/____]
XIV. SOURCES AND REFERENCES
Montana Statutes
- Mont. Code Ann. § 25-9-205 — Interest on Judgments
- Mont. Code Ann. § 27-1-211 — Interest as Damages
- Mont. Code Ann. § 27-1-220 — Punitive Damages; When Allowed; Limitations
- Mont. Code Ann. § 27-1-307 — Collateral Source Rule (Definitions)
- Mont. Code Ann. § 27-1-308 — Introduction of Collateral Source Evidence
- Mont. Code Ann. § 27-1-513 — Wrongful Death Actions
- Mont. Code Ann. § 27-1-701 — Negligence Standard
- Mont. Code Ann. § 27-1-702 — Comparative Negligence (Modified, 51% Bar)
- Mont. Code Ann. § 27-1-703 — Joint Liability Allocation
- Mont. Code Ann. § 27-2-204 — Statute of Limitations (3-Year Personal Injury)
- Mont. Code Ann. § 61-6-103 — Motor Vehicle Liability Minimum Limits
- Mont. Code Ann. § 61-8-401 — DUI Offenses
Key Montana Cases
- Fisher v. Swift Transportation Co., 181 P.3d 601 (Mont. 2008) — Elements of negligence
Montana Resources
- Montana Legislature: https://leg.mt.gov
- Montana Judicial Branch: https://courts.mt.gov
- Montana Commissioner of Securities and Insurance: https://csimt.gov
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