West Virginia Personal Injury Demand Letter
PERSONAL INJURY DEMAND LETTER — WEST VIRGINIA
FOR SETTLEMENT PURPOSES — EVIDENTIARY USE SUBJECT TO W. VA. R. EVID. 408
HEADER INFORMATION
SENT VIA CERTIFIED MAIL, RETURN RECEIPT REQUESTED
Date: [__/__/____]
FROM:
[________________________________]
Attorney at Law
[________________________________]
[________________________________]
[________________________________]
Telephone: [________________________________]
Facsimile: [________________________________]
Email: [________________________________]
West Virginia State Bar No.: [________________________________]
TO:
[________________________________]
Claims Adjuster / Claims Department
[________________________________] Insurance Company
[________________________________]
[________________________________]
RE: PERSONAL INJURY DEMAND
| Field | Detail |
|---|---|
| Claimant: | [________________________________] |
| Claimant DOB: | [__/__/____] |
| Date of Loss: | [__/__/____] |
| Claim Number: | [________________________________] |
| Policy Number: | [________________________________] |
| Insured/Tortfeasor: | [________________________________] |
| Location of Incident: | [________________________________], West Virginia |
| Police Report No.: | [________________________________] |
| Investigating Agency: | [________________________________] |
I. INTRODUCTION AND PURPOSE
This letter constitutes a formal demand for compensation on behalf of our client, [________________________________] ("Claimant"), for personal injuries and damages sustained as a direct and proximate result of the negligence of your insured, [________________________________] ("Tortfeasor"), on [__/__/____] in [________________________________], West Virginia.
This firm represents Claimant in all claims arising from this incident. All communications should be directed exclusively to this office.
If and to the extent this demand constitutes compromise negotiations concerning a disputed claim, W. Va. R. Evid. 408 limits specified uses to prove or disprove the claim's validity or amount or a party's liability, or to impeach by a prior inconsistent statement or contradiction. The rule preserves other-purpose use and otherwise discoverable evidence, and does not itself make this ordinary demand confidential or privileged.
WEST VIRGINIA COMPARATIVE FAULT: Under W. Va. Code §§ 55-7-13a and 55-7-13c, a plaintiff is barred only when plaintiff fault is greater than the combined fault of all other responsible persons; equality does not bar recovery. Compensatory liability is generally several, subject to the statute's conspiracy, joint-and-several, and reallocation provisions.
II. FACTUAL BACKGROUND
A. Pre-Incident Conditions
On [__/__/____], at approximately [____] [a.m./p.m.], Claimant was [________________________________] at or near [________________________________], West Virginia.
Weather: [________________________________]
Road conditions: [________________________________]
Lighting: [________________________________]
Traffic: [________________________________]
B. The Incident
[________________________________]
[________________________________]
[________________________________]
[________________________________]
C. Emergency Response
☐ Police called — Report No.: [________________________________]
☐ EMS responded — Report No.: [________________________________]
☐ Claimant transported by ambulance to [________________________________]
☐ Claimant sought treatment at [________________________________]
☐ Fire department responded
☐ Photographs taken at scene
☐ Witness statements obtained
D. Witnesses
| Witness | Contact | Observations |
|---|---|---|
| [________________________________] | [________________________________] | [________________________________] |
| [________________________________] | [________________________________] | [________________________________] |
| [________________________________] | [________________________________] | [________________________________] |
E. Police Report
Officer [________________________________], [________________________________]:
- [________________________________]
- [________________________________]
☐ Citations to tortfeasor: [________________________________]
☐ No citations to Claimant
III. LIABILITY ANALYSIS UNDER WEST VIRGINIA LAW
A. Negligence Standard
West Virginia negligence requires:
- Duty of care
- Breach of that duty
- Proximate cause linking breach to injury
- Actual damages
B. Tortfeasor's Acts of Negligence
☐ Failure to maintain proper lookout
☐ Failure to yield right of way
☐ Following too closely (W. Va. Code § 17C-7-3)
☐ Distracted driving / texting (W. Va. Code § 17C-14-15)
☐ Excessive speed (W. Va. Code § 17C-6-1)
☐ Failure to obey traffic signals
☐ Improper lane change
☐ DUI (W. Va. Code § 17C-5-2)
☐ Reckless driving (W. Va. Code § 17C-5-3)
☐ Other: [________________________________]
C. Modified Comparative Fault (W. Va. Code § 55-7-13a)
West Virginia's statute provides:
- Plaintiff is barred from recovery only if plaintiff fault is greater than the combined fault of all other responsible persons
- Equality does not bar recovery; any allowed recovery is reduced by the plaintiff's percentage of fault
- The jury determines each party's percentage of fault
Claimant bears NO fault. The tortfeasor is 100% responsible.
D. Several Liability and Exceptions (W. Va. Code § 55-7-13c)
Each defendant is generally liable only for compensatory damages proportionate to that defendant's fault. Joint or joint-and-several liability may arise for conscious conspiracy and the conduct listed in subsection (h), and subsection (d) provides a limited postjudgment reallocation process for an uncollectible share.
E. Collateral Source Rule
West Virginia protects the collateral source rule:
- A defendant cannot reduce liability by pointing to compensation the plaintiff received from independent sources
- This includes health insurance, disability insurance, first-party medical benefits, and underinsurance benefits paid under contractual arrangements independent of the tortfeasor
F. Negligence Per Se
Statutory violations:
- W. Va. Code § [________________________________]: [________________________________]
- W. Va. Code § [________________________________]: [________________________________]
IV. INJURIES AND MEDICAL TREATMENT
A. Summary of Injuries
Primary Diagnoses:
- [________________________________]
- [________________________________]
- [________________________________]
Secondary/Associated Conditions:
- [________________________________]
- [________________________________]
B. Injury Checklist
☐ Traumatic brain injury / Concussion
☐ Cervical spine injury (herniation / bulge / fracture)
☐ Thoracic spine injury
☐ Lumbar spine injury
☐ Shoulder injury (rotator cuff / labral tear)
☐ Knee injury (ACL / MCL / meniscus)
☐ Hip injury / fracture
☐ Rib fractures
☐ Extremity fractures
☐ Facial lacerations / scarring
☐ Internal organ injury
☐ Soft tissue injuries
☐ Nerve damage / radiculopathy
☐ PTSD / anxiety / depression
☐ TMJ dysfunction
☐ Other: [________________________________]
C. Chronological Treatment History
| Date(s) | Provider / Facility | Treatment | Notes | Cost |
|---|---|---|---|---|
| [__/__/____] | [________________________________] | Emergency department | [________________________________] | $[________________________________] |
| [__/__/____] | [________________________________] | [________________________________] | [________________________________] | $[________________________________] |
| [__/__/____] | [________________________________] | [________________________________] | [________________________________] | $[________________________________] |
| [__/__/____] | [________________________________] | [________________________________] | [________________________________] | $[________________________________] |
| [__/__/____] | [________________________________] | [________________________________] | [________________________________] | $[________________________________] |
| [__/__/____] | [________________________________] | [________________________________] | [________________________________] | $[________________________________] |
| [__/__/____] | [________________________________] | [________________________________] | [________________________________] | $[________________________________] |
| [__/__/____] | [________________________________] | [________________________________] | [________________________________] | $[________________________________] |
D. Diagnostic Imaging
| Date | Study | Facility | Findings |
|---|---|---|---|
| [__/__/____] | [________________________________] | [________________________________] | [________________________________] |
| [__/__/____] | [________________________________] | [________________________________] | [________________________________] |
E. Surgical Procedures
| Date | Procedure | Surgeon | Facility | Cost |
|---|---|---|---|---|
| [__/__/____] | [________________________________] | [________________________________] | [________________________________] | $[________________________________] |
F. Prognosis
Treating physician [________________________________]:
- [________________________________]
- MMI: ☐ Reached [__/__/____] ☐ Not yet reached
- Impairment rating: [____]%
- Future treatment: [________________________________]
- Future medical costs: $[________________________________]
V. DAMAGES CALCULATION
A. Economic Damages (No Cap in General PI)
West Virginia does not cap compensatory damages in general personal injury cases. Caps apply only in medical malpractice (W. Va. Code § 55-7B-8). There is no ceiling on wrongful death recovery.
| Category | Amount |
|---|---|
| Past Medical Expenses | |
| Emergency / hospital | $[________________________________] |
| Ambulance | $[________________________________] |
| Primary care | $[________________________________] |
| Specialists | $[________________________________] |
| Surgery | $[________________________________] |
| Physical therapy | $[________________________________] |
| Chiropractic | $[________________________________] |
| Imaging | $[________________________________] |
| Medications | $[________________________________] |
| DME | $[________________________________] |
| Mental health | $[________________________________] |
| Subtotal — Past Medical | $[________________________________] |
| Future Medical | $[________________________________] |
| Past Lost Wages | $[________________________________] |
| Future Lost Earning Capacity | $[________________________________] |
| Property Damage | $[________________________________] |
| Other Economic | $[________________________________] |
| TOTAL ECONOMIC DAMAGES | $[________________________________] |
B. Non-Economic Damages (No Cap in General PI)
| Category | Amount |
|---|---|
| Physical pain and suffering (past and future) | $[________________________________] |
| Mental anguish / emotional distress | $[________________________________] |
| Loss of enjoyment of life | $[________________________________] |
| Inconvenience | $[________________________________] |
| Disfigurement / scarring | $[________________________________] |
| Physical impairment | $[________________________________] |
| Loss of consortium | $[________________________________] |
| TOTAL NON-ECONOMIC DAMAGES | $[________________________________] |
C. Total Damages Summary
| Component | Amount |
|---|---|
| Economic Damages | $[________________________________] |
| Non-Economic Damages | $[________________________________] |
| TOTAL DAMAGES | $[________________________________] |
VI. INSURANCE COVERAGE ANALYSIS
A. Tortfeasor's Liability Coverage
| Coverage | Limits |
|---|---|
| Insurer | [________________________________] |
| Policy Number | [________________________________] |
| BI — Per Person | $[________________________________] |
| BI — Per Accident | $[________________________________] |
| Property Damage | $[________________________________] |
| Umbrella / Excess | $[________________________________] |
West Virginia Auto Insurance Minimums (W. Va. Code § 17D-4-2):
- $25,000/$50,000 bodily injury; $25,000 property damage (25/50/25)
B. UM/UIM Coverage
West Virginia requires UM/UIM coverage under W. Va. Code § 33-6-31d.
| Coverage | Limits |
|---|---|
| Insurer | [________________________________] |
| UM — Per Person | $[________________________________] |
| UM — Per Accident | $[________________________________] |
| UIM — Per Person | $[________________________________] |
| UIM — Per Accident | $[________________________________] |
C. MedPay
| Coverage | Limits |
|---|---|
| MedPay available | $[________________________________] |
| MedPay utilized | $[________________________________] |
VII. PREJUDGMENT INTEREST
Under W. Va. Code § 56-6-31, prejudgment interest is available on special damages (lost wages, medical expenses, out-of-pocket expenditures).
Interest Rate Calculation
The rate is two percentage points above the Fifth Federal Reserve District secondary discount rate in effect on January 2 of the year the right to bring the action accrued.
Limits:
- Minimum: 4% per annum
- Maximum: 9% per annum
- Type: Simple interest (not compounding)
| Component | Value |
|---|---|
| Special damages | $[________________________________] |
| Year of accrual | [____] |
| Applicable rate | [____]% per annum |
| Accrual date | [__/__/____] |
| Estimated prejudgment interest | $[________________________________] |
VIII. PUNITIVE DAMAGES
Applicability (W. Va. Code § 55-7-29)
Punitive damages are available for willful, wanton, or reckless conduct.
Statutory Cap
Punitive damages are capped at the greater of:
- Four (4) times the amount of compensatory damages; or
- $500,000
☐ Punitive damages sought: [________________________________]
☐ Punitive damages not sought at this time
IX. SETTLEMENT DEMAND
SETTLEMENT DEMAND: $[________________________________]
Terms:
- Payment within thirty (30) days of receipt
- Certified funds to [________________________________], Attorney Trust Account
- Full and final release upon payment
- Inclusive of all claims from the incident
- Excludes first-party insurance claims
X. STATUTE OF LIMITATIONS AND RESERVATION OF RIGHTS
Statute of Limitations
Under W. Va. Code § 55-2-12, the SOL for personal injury is two (2) years.
| Item | Date |
|---|---|
| Date of Incident | [__/__/____] |
| SOL Expiration | [__/__/____] |
| Days Remaining | [____] days |
Discovery Rule: The SOL may be tolled under the discovery rule where the plaintiff did not know and could not have reasonably discovered the injury.
Reservation of Rights
Claimant reserves all rights, including filing suit, amending damages, pursuing punitive damages (up to 4x compensatory or $500K), pursuing UM/UIM claims, seeking prejudgment interest on special damages, and all other remedies under West Virginia law.
WARNING: If this demand is not accepted, Claimant will file suit and pursue the damages and remedies supported by current West Virginia law. Fault allocation, collateral-source issues, and prejudgment interest must be evaluated under the facts and controlling statutes.
XI. MEDICAL RECORDS AND EXHIBITS INDEX
☐ Emergency department records
☐ Ambulance / EMS report
☐ Hospital records
☐ Primary care records
☐ Specialist records
☐ Physical therapy records
☐ Chiropractic records
☐ Mental health records
☐ Surgical records
☐ Imaging reports
☐ Prescription records
☐ Medical narrative report
☐ Itemized bills
☐ EOBs
☐ Employer wage verification
☐ Tax returns
☐ Police report
☐ Photographs (scene, vehicle, injuries)
☐ Witness statements
☐ Property damage documentation
XII. SIGNATURE
Respectfully submitted,
[________________________________]
Attorney for Claimant
West Virginia State Bar No.: [________________________________]
[________________________________]
Firm Name
[________________________________]
Address
Telephone: [________________________________]
Email: [________________________________]
Date: [__/__/____]
XIII. SOURCES AND REFERENCES
West Virginia Statutes
- W. Va. Code §§ 55-7-13a, 55-7-13c — Modified comparative fault and generally several liability
- W. Va. Code § 55-2-12 — Statute of limitations (2 years)
- W. Va. Code § 55-7B-8 — Med mal non-economic cap ($250K / $500K catastrophic)
- W. Va. Code § 55-7-29 — Punitive damages cap (4x compensatory or $500K)
- W. Va. Code § 56-6-31 — Prejudgment interest (variable rate, 4-9%)
- W. Va. Code § 17D-4-2 — Auto insurance minimums (25/50/25)
- W. Va. Code § 33-6-31d — UM/UIM coverage requirement
- W. Va. Code § 55-7-5 et seq. — Wrongful death
- W. Va. Code § 17C-5-2 — DUI
- W. Va. Code § 17C-14-15 — Texting while driving
Key West Virginia Principles
- Modified comparative fault: recovery allowed at 50%; barred only above 50%
- Generally several liability, subject to statutory conspiracy, joint-and-several, and reallocation provisions
- No cap on compensatory damages in general PI
- Med mal caps: $250,000 non-economic / $500,000 catastrophic
- Punitive damages capped at greater of 4x compensatory or $500K
- Prejudgment interest on special damages (4-9% range)
- Collateral source rule protects plaintiff's recovery
- Auto minimums: 25/50/25
- 2-year statute of limitations
- West Virginia is a fault-based tort state
This template does not constitute legal advice and must be reviewed by a licensed West Virginia attorney before use.
About this template
- Last updated
- July 26, 2026
- Jurisdiction
- West Virginia
- Category
- Personal Injury
Legal authority
- W. Va. Code § 55-7-13a (Modified Comparative Fault — 50% Bar)
- W. Va. Code § 55-2-12 (Statute of Limitations — 2 Years)
- W. Va. Code § 55-7B-8 (Med Mal Non-Economic Cap — $250K/$500K)
- W. Va. Code § 55-7-29 (Punitive Damages Cap — 4x or $500K)
- W. Va. Code § 55-7-13c (Joint and Several — 25% Threshold)
- W. Va. Code § 56-6-31 (Prejudgment Interest)
- W. Va. Code § 17D-4-2 (Auto Insurance — 25/50/25)
- W. Va. Code § 33-6-31d (UM/UIM Coverage)
- W. Va. Code § 55-7-5 et seq. (Wrongful Death)
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.
Not legal advice
This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
The statutes this template relies on are listed under Legal authority.
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