New Hampshire Personal Injury Demand Letter
PERSONAL INJURY DEMAND LETTER — NEW HAMPSHIRE
FOR SETTLEMENT PURPOSES ONLY — FEDERAL RULE OF EVIDENCE 408 / N.H. 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 | [________________________________] |
| New Hampshire Bar Number | [________________________________] |
| Address | [________________________________] |
| City, State, ZIP | [________________________________], New Hampshire [____] |
| 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 | [________________________________], New Hampshire [____] |
| 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 [________________________________], New Hampshire. 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 New Hampshire tort law. New Hampshire is a traditional tort state (not a no-fault state) applying modified comparative fault with a 51% bar under RSA 507:7-d. This communication is intended solely for settlement purposes and is protected under N.H. 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 — NEW HAMPSHIRE LAW
Key Provisions Applicable to This Claim
1. Modified Comparative Fault (RSA 507:7-d) — New Hampshire follows modified comparative fault with a 51% bar. Contributory fault does not bar recovery if the plaintiff's fault was not greater than the fault of the defendant(s). If the plaintiff is more than 50% at fault, recovery is completely barred. If recovery is permitted, damages are diminished in proportion to the plaintiff's fault.
2. No Cap on Compensatory Damages — New Hampshire imposes no statutory cap on economic or non-economic damages in general personal injury cases. (The only cap is $150,000 for loss of companionship/society in wrongful death cases under RSA 556:12.)
3. No Traditional Punitive Damages — New Hampshire does not allow traditional punitive damages unless authorized by statute. However, courts may award enhanced compensatory damages when the defendant's conduct was wanton, malicious, or oppressive. These are compensatory in nature, reflecting the aggravating circumstances of the defendant's conduct.
4. Unique: No Mandatory Auto Insurance — New Hampshire is the only state in the nation that does not require drivers to carry automobile insurance. However, financial responsibility requirements apply after an accident, and UM/UIM coverage is required on all policies that are issued (RSA 264:15).
III. FACTUAL BACKGROUND
A. The Incident
On [__/__/____], at approximately [____:____ ☐ AM ☐ PM], Claimant was [________________________________] at or near [________________________________] (exact location), in [________________________________], [________________________________] County, New Hampshire.
At that time, Tortfeasor was operating a [____] [________________________________] [________________________________] (year/make/model), bearing [☐ New Hampshire ☐ Other state: ________________________________] 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 DHART air ambulance ☐ Yes, by private vehicle ☐ No |
C. Police Report Summary
The police report [☐ does ☐ does not] indicate that Tortfeasor was cited for [________________________________] under New Hampshire RSA § [________________________________].
Contributing factors noted in report:
☐ Failure to yield right of way (RSA 265:29)
☐ Following too closely (RSA 265:25)
☐ Improper lane change
☐ Running red light/stop sign (RSA 265:9)
☐ Excessive speed (RSA 265:60)
☐ Distracted driving / Texting while driving (RSA 265:79-c)
☐ DWI (RSA 265-A:2)
☐ Reckless driving (RSA 265:79)
☐ Operating without insurance (financial responsibility)
☐ Failure to signal
☐ Weather/road conditions (ice, snow, black ice)
☐ Wildlife collision (moose, deer)
☐ 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/camera data
☐ Skid mark measurements
☐ Accident reconstruction report
☐ Weather and road condition reports (NHDOT records)
☐ Property damage estimates/repair records
☐ Event data recorder (EDR/"black box") data
IV. LIABILITY ANALYSIS
A. New Hampshire Negligence Standard
Under New Hampshire law, to establish negligence, a plaintiff must prove: (1) the defendant owed a duty of care to the plaintiff; (2) the defendant breached that duty; (3) the breach was the proximate cause of the plaintiff's injury; and (4) the plaintiff suffered damages. Bader v. Cerri, 96 N.H. 190, 192 (1950); Mahan v. N.H. Dep't of Admin. Servs., 141 N.H. 747, 751 (1997).
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 RSA [________________________________]
☐ Operated the vehicle at an excessive speed in violation of RSA 265:60
☐ Followed too closely in violation of RSA 265:25
☐ Failed to obey a traffic control device in violation of RSA 265:9
☐ Operated the vehicle while impaired in violation of RSA 265-A:2
☐ Engaged in distracted driving/texting in violation of RSA 265:79-c
☐ Drove recklessly in violation of RSA 265:79
☐ Failed to maintain financial responsibility (no insurance)
☐ Failed to use due care and caution under the circumstances
☐ Negligent maintenance of premises (premises liability)
☐ Other: [________________________________]
C. New Hampshire Comparative Fault (RSA 507:7-d)
New Hampshire applies modified comparative fault with a 51% bar. The statute provides:
"Contributory fault shall not bar recovery in an action by any plaintiff or the plaintiff's legal representative to recover damages for fault resulting in death, or in personal injury or property damage, if such fault was not greater than the fault of the defendant, or the combined fault of defendants to the action, but the damages awarded shall be diminished in proportion to the amount of fault attributed to the plaintiff by general verdict."
In practical terms:
- If Claimant's fault is 50% or less, Claimant recovers damages reduced by that percentage
- If Claimant's fault is more than 50%, Claimant is completely barred from recovery
- Fault of all persons is apportioned, whether or not they are parties to the action
Claimant bears no fault for this incident. The evidence establishes that Tortfeasor was solely responsible:
[________________________________]
[________________________________]
[________________________________]
D. Joint and Several Liability (RSA 507:7-e)
New Hampshire applies a hybrid system for joint and several liability:
- Defendants found to be more than 50% at fault: Subject to joint and several liability for the entire judgment
- Defendants found to be 50% or less at fault: Subject to several liability only — liable only for their proportionate share
- Exception — Knowing harm: Any party whose fault arose from an act or failure to act with the purpose of causing harm, or with knowledge that their act or failure to act was substantially certain to cause harm, shall be jointly and severally liable, regardless of their percentage of fault
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/cold-related injury (seasonal)
☐ 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 (DHART) 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. ☐ LICSW ☐ LCMHC]
- 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: $[________________________________]
VI. DAMAGES CALCULATION
A. Economic Damages (Past)
Note: New Hampshire imposes NO statutory cap on economic or non-economic damages in general personal injury cases. New Hampshire does not allow traditional punitive damages, making full compensatory recovery essential.
| Category | Provider/Description | Amount |
|---|---|---|
| Emergency Room/Hospital | [________________________________] | $[________________________________] |
| Air Transport (DHART) | [________________________________] | $[________________________________] |
| Surgical Costs | [________________________________] | $[________________________________] |
| Physician/Specialist Visits | [________________________________] | $[________________________________] |
| Diagnostic Imaging | [________________________________] | $[________________________________] |
| Physical Therapy | [________________________________] | $[________________________________] |
| Chiropractic Treatment | [________________________________] | $[________________________________] |
| Pain Management | [________________________________] | $[________________________________] |
| Psychological Treatment | [________________________________] | $[________________________________] |
| Prescription Medications | [________________________________] | $[________________________________] |
| Medical Equipment/Supplies | [________________________________] | $[________________________________] |
| Ambulance/Transport | [________________________________] | $[________________________________] |
| Total Past Medical Expenses | $[________________________________] |
| Category | Description | Amount |
|---|---|---|
| Lost Wages/Income | [________________________________] | $[________________________________] |
| Lost Employment Benefits | [________________________________] | $[________________________________] |
| Lost Overtime/Bonuses | [________________________________] | $[________________________________] |
| Replacement Services | [________________________________] | $[________________________________] |
| 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 | [________________________________] | $[________________________________] |
| Total Future Economic Damages | $[________________________________] |
C. Non-Economic Damages
New Hampshire imposes NO statutory cap on non-economic 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. 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 |
New Hampshire Financial Responsibility Requirements (RSA 259:61; RSA 264):
- $25,000 per person / $50,000 per accident (bodily injury)
- $25,000 property damage
IMPORTANT NOTE: New Hampshire is the only state that does not mandate automobile insurance. However, drivers who cause accidents must demonstrate financial responsibility. If Tortfeasor was uninsured, Claimant's UM coverage becomes the primary source of recovery.
☐ Tortfeasor was insured at the time of the accident
☐ Tortfeasor was uninsured — UM claim is being pursued against Claimant's carrier
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
Note: Under RSA 264:15, every automobile liability policy issued in New Hampshire must include uninsured motorist (UM) and underinsured motorist (UIM) coverage. Given that New Hampshire does not mandate auto insurance, UM/UIM coverage is critically important.
C. MedPay/Additional Coverage
| Coverage | Details |
|---|---|
| MedPay Limits | $[________________________________] |
| MedPay Benefits Paid | $[________________________________] |
| Health Insurance Coverage | [________________________________] |
| Health Insurance Lien/Subrogation | $[________________________________] |
VIII. PREJUDGMENT INTEREST (RSA 524:1-d)
Under RSA 524:1-d, prejudgment interest accrues from the date of the writ or complaint (i.e., from the date the action is commenced).
Key Provisions:
- Accrual Date: Date of the writ or complaint
- Rate: The annual simple rate of interest on judgments, including prejudgment interest, is the prevailing discount rate of interest on 26-week United States Treasury bills at the last auction preceding the last day of September each year, plus 2 percentage points, rounded to the nearest tenth of a percentage point (RSA 336:1)
- The rate is adjusted annually
Should this matter proceed to litigation, Claimant will seek prejudgment interest from the date of filing through judgment satisfaction.
Projected prejudgment interest:
| Period | Rate | Estimated Interest |
|---|---|---|
| Filing date through trial (estimated) | T-bill + 2% ([____]%) | $[________________________________] |
| Total Estimated Prejudgment Interest | $[________________________________] |
IX. ENHANCED COMPENSATORY DAMAGES
☐ Not applicable — The facts do not support enhanced compensatory damages.
☐ Applicable — The following conduct supports enhanced compensatory damages.
New Hampshire does not allow traditional punitive damages unless authorized by a specific statute. However, New Hampshire courts have recognized the award of enhanced compensatory damages when the defendant's conduct was wanton, malicious, or oppressive.
Enhanced compensatory damages are compensatory in nature, reflecting the aggravating circumstances of the defendant's conduct. They compensate the plaintiff for the enhanced injury caused by particularly egregious behavior.
Description of wanton, malicious, or oppressive conduct:
☐ DWI (RSA 265-A:2)
☐ Extreme reckless driving (RSA 265:79)
☐ Conscious and deliberate disregard for safety
☐ Texting while driving at high speed
☐ Hit and run/leaving the scene (RSA 264:25)
☐ Driving with known vehicle defect
☐ Operating without any insurance or financial responsibility
☐ 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 New Hampshire 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) | $[________________________________] |
| Enhanced Compensatory Damages (if applicable) | $[________________________________] |
| 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 New Hampshire Superior 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, ERISA, 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 (jointly and severally liable if >50% at fault)
☐ UM/UIM claims against Claimant's own carrier
☐ Enhanced compensatory damages claims
☐ Wrongful death claims (RSA 556:7), if applicable
☐ Claims under the New Hampshire Consumer Protection Act (RSA 358-A)
☐ Claims for bad faith insurance practices
☐ 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 RSA 508:4. 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 (DHART) 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)
☐ NHDOT road condition/weather data
Income/Employment Documentation
☐ Employer verification of lost wages letter
☐ Tax returns ([____], [____], [____])
☐ Pay stubs (pre-accident and post-accident)
☐ Vocational assessment/rehabilitation report
☐ Disability determination
Insurance Documentation
☐ Declarations page — Tortfeasor's policy (or confirmation of no insurance)
☐ Declarations page — Claimant's UM/UIM policy
☐ Health insurance Explanation of Benefits (EOBs)
☐ Medicare/Medicaid conditional payment letter
☐ ERISA lien documentation
Other
☐ Letter of representation
☐ HIPAA authorization
☐ Signed medical releases
☐ Property damage estimate/repair invoice
☐ Rental car receipts
☐ 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
New Hampshire Bar Association Number [________________________________]
[________________________________] (Firm Name)
[________________________________] (Address)
[________________________________], New Hampshire [____]
Tel: ([____]) [____]-[________]
Fax: ([____]) [____]-[________]
Email: [________________________________]
Date: [__/__/____]
XIV. SOURCES AND REFERENCES
New Hampshire Statutes (RSA)
- RSA 259:61 — Motor Vehicle Liability Policy Definition
- RSA 264:15 — Uninsured/Hit-and-Run Motorist Coverage
- RSA 264:25 — Leaving Scene of Accident
- RSA 265:25 — Following Too Closely
- RSA 265:60 — Speed Regulations
- RSA 265:79 — Reckless Driving
- RSA 265:79-c — Use of Mobile Electronic Devices While Driving
- RSA 265-A:2 — DWI Offenses
- RSA 336:1 — Rate of Interest on Judgments
- RSA 358-A — Consumer Protection Act
- RSA 507:7-d — Comparative Fault (Modified, 51% Bar)
- RSA 507:7-e — Joint and Several Liability
- RSA 508:4 — Statute of Limitations (3-Year Personal Injury)
- RSA 524:1-d — Prejudgment Interest
- RSA 556:7 — Wrongful Death Actions
- RSA 556:11 — Wrongful Death Statute of Limitations
- RSA 556:12 — Wrongful Death Damages ($150,000 Companionship Cap)
Key New Hampshire Cases
- Bader v. Cerri, 96 N.H. 190 (1950) — Elements of negligence
- Mahan v. N.H. Dep't of Admin. Servs., 141 N.H. 747 (1997) — Negligence standard
New Hampshire Resources
- New Hampshire General Court (Legislature): https://www.gencourt.state.nh.us
- New Hampshire Judicial Branch: https://www.courts.nh.gov
- New Hampshire Insurance Department: https://www.insurance.nh.gov
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