Wrongful Death Demand Letter

WRONGFUL DEATH DEMAND LETTER

[CLAIMANT OR COUNSEL LETTERHEAD]

Date: [__/__/____]
Delivery method and address: [EMAIL / PORTAL / MAIL AND DESTINATION]
To: [INSURER, ADJUSTER, OR RESPONSIBLE PERSON]
Claim or policy number: [____]

Re: Death of [DECEDENT FULL NAME] — incident on [__/__/____]

Dear [NAME]:

I represent [IDENTIFY EACH ACTUAL CLIENT AND CAPACITY] concerning the death of [DECEDENT] on [__/__/____]. This demand concerns only the claims and persons specifically identified below. Please direct questions and requests for supporting material to [CONTACT].

Claimants and authority

Governing state: [STATE]

Wrongful-death authority and eligible claimant(s) under current law: [STATUTE, EXACT SECTION, NAMES, RELATIONSHIPS, AND BASIS]

Estate or survival claim, if separately available: [STATUTE, EXACT SECTION, PROPER REPRESENTATIVE, CASE/LETTERS AND SCOPE OR “NOT INCLUDED”]

Court appointment, approval, or guardian authority needed for any claimant: [IDENTIFY AND ATTACH PROOF OR “NONE APPLICABLE”]

Other potential claimants whose claims are not included: [NAMES/STATUS OR “NONE KNOWN”]

Incident and evidence

On [DATE] at [PLACE], [SPECIFIC ACT OR OMISSION AND ACTOR] occurred. The evidence presently supports the following account of responsibility and causation: [CONCISE FACTS, INCLUDING DISPUTED FACTS AND THE LINK TO DEATH].

Date and source of death confirmation: [____]
Known coverage or collection issue: [____]

Losses claimed under the selected law

The following amounts are requested only for a claimant and category permitted by the law identified above. We have identified the supporting source and avoided counting the same loss twice.

Future-loss estimate and assumptions, if used: [INCOME/SUPPORT/SERVICES, PERIOD, DISCOUNT/OTHER METHOD, EXPERT SOURCE]

Funeral, medical, or other invoices included and the person legally entitled to claim them: [IDENTIFY]

Liens, reimbursement interests, prior payments, and allocation issues known to us: [IDENTIFY AND STATUS]

Settlement proposal

We offer to settle the identified claims of the listed claimants for $[EXACT DEMAND AMOUNT], payable by [PAYER] to [PAYEE AND DELIVERY METHOD] on [DATE OR EVENT]. If allocation among claimants or the estate is a material term, it is [EXACT ALLOCATION OR ATTACHED AGREEMENT], subject to [SPECIFIC APPROVAL, IF REQUIRED].

Persons to be released: [EACH NAME OR PRECISE CLASS]

Claims to be released: [EXACT CLAIMS, INCIDENT, AND CLAIMANTS]

Claims expressly reserved: [LIST OR “NONE”]

Release and payment sequence: [SIGNED RELEASE / CLEARED PAYMENT / DISMISSAL STEPS AND DATES]

Other material conditions: [COURT APPROVAL, LIEN PROCESS, CONFIDENTIALITY, NONCASH TERMS, OR “NONE”]

The proposed release [ATTACHED / TO BE EXCHANGED] will bind only persons with authority to settle the claims identified here. An unrepresented relative’s or another person’s independent claim is not offered for release.

Please respond by [DATE] at [TIME] [TIME ZONE] to [EMAIL AND ADDRESS], identifying any material information needed to evaluate the demand and the person authorized to negotiate. Any extension must be confirmed by us in writing. If the response date passes, contact us to determine whether this proposal remains available.

Sincerely,

[SIGNATURE]
[NAME, ROLE, FIRM, AND BAR NUMBER IF COUNSEL]
[PHONE AND EMAIL]

Enclosures actually sent: [ITEMIZED LIST]

Copies actually sent: [RECIPIENTS, METHODS, DATES OR “NONE”]