Fill and Sign the Casualty Claim Service Organization Form

August 14, 2019Mr. __________________________-Casualty Claim Service OrganizationMarket Claim OfficePost Office Box ___________, Alabama _____Re:Client: ________________Date of Accident: _____________Your claim number: ______________Your insured: ____________________________Dear __________:As you are aware from my previous correspondence, we represent Mr._______ relating to the injuries he sustained while a backseat passenger in _________________ vehicle on June 10, 1998. _____________, a friend of _________, was driving the vehicle at the time, and was under the heavy influence of alcohol and/or drugs. Consequently, we will have no problem getting around the Alabama Guest Statute and showing wantonness. I will briefly summarize the events and injuries relating to this matter and have enclosed a packet of information relating to the medical bills, medical records, and a statement of opinion from Dr. __________________, D.M.D. _____________ was a passenger in the backseat of _____________ vehicle on June 10, 1998. He was sitting in the passenger seat of the vehicle behind the driver. The driver at the time of the accident was _____________, a friend of _______________ who had permission to drive. The girls had driven in Ms. _______ Nissan Ultima to the home of __________ and his parents where they came in contact with _____________ and others. Someone made the suggestion that they ride to the convenient store, and ______ agreed to go along. As soon as the kids were in the vehicle,_______ drove off towards the store. ______ began speeding, and going too fast around curves in the road. She lost control of the vehicle, tried to regain control, but could not, with the car spinning and rolling down into a ditch. ______ was thrown out of the car and remained unconscious for a period of time. He was found lying in the ditch and was taken via ambulance to Thomas Hospital, where he was admitted and not discharged until _____________. Mr. Scott ________Allstate Property-Casualty Claim Service OrganizationSeptember 14, 1999Page 2______ suffered extensive injuries due to the accident; specifically, a closed head injury (concussion), fractures of the mandibular, fracture of the cheek bone, and numerous bruises, cuts and lacerations, including three lacerations needing surgical intervention for repair. These lacerations were on_________ forearms. The injuries to his jaw and cheek bone necessitated surgical intervention as well. After being stabilized, ______ was taken to the operating room where Dr. _______________ performed open reduction and internal fixation of his right mandibular fracture and his left zygomatic fracture. Dr. _________ affixed metal plates in Mr. _______ jaw and cheek bone.After__________discharge, he was followed by Dr.__________ until May 20th of this year. On that date, Dr. _________ stated that, while he felt ________ facial fractures had healed well, there was a possibility that the plates attached to his mandibular bones might need to be extracted in the future. Additionally, ________ family dentist has stated that two teeth (#27 and #15) require root canals, build ups and crowns due to the fractures. Other of ________ teeth need work as well due to the extensive fixation methods used in treating the fractures. _______ also has permanent scarring on his arms, face and head due to the injuries and resulting surgeries. The total medical bills that have been incurred to this point are $19,143.91. ____________ Dentistry has approximated $2,098.00 for the dental work needed by ______ because of the accident. ________ parents have not had the dental work performed due to lack of funds. The total medical bills therefore are $21,241.91. Additionally, ______ was employed with ____________________________ at the time of the accident and lost 58 days work. His total lost wages are $4,180.00.Given the circumstances of the accident, the severity of the injuries sustained by ______, and the required treatment for those injuries, we are willing to recommend that our client settle his claims against your insureds related to the June 10, 1998 accident for the sum of $125,000.00. After you have had a chance to review the enclosed, please give me a call so that we may resolve this matter.Yours very truly, Attorney for Injured personFor the FirmEnclosures (these are the medical bills; medical records; wage loss info sheet; any report of PPI from the doctor-disability rating) Mr. Scott ________Allstate Property-Casualty Claim Service OrganizationSeptember 14, 1999Page 3cc: Plaintiff s underinsured coverage (company) for notice in the event that the defendants limits are not sufficient.Client