Fleet Insurance Claim
Incident Details
On the 15th of October, 2060, two vehicles from our fleet were involved in a traffic accident at the intersection of Elm Street and Maple Avenue. The incident occurred at approximately 3:45 PM and involved the following vehicles:
Vehicle | Plate |
|---|
2055 Ford Transit | ABC-1234 |
2057 Freightliner Cascadia | DEF-5678 |
Damages Incurred
Vehicle | Description of Damages | Estimated Repair Cost |
|---|
2055 Ford Transit | Front bumper damaged, left headlight broken, front grill cracked | $3,000 |
2057 Freightliner Cascadia | The rear left taillight is broken, rear bumper dented | $1,500 |
Compensation Requested
We are requesting compensation for the total costs incurred due to the damages stated above, along with additional costs for towing and temporary vehicle rental:
Total Compensation Requested: $5,400
Contact Information
Name: | Ethan Brooks |
Contact Number: | (123) 456-7890 |
Address: | 123 Business Blvd, Suite 456, Metropolis, CA 90210 |
Declaration
I, Ethan Brooks, declare that the information provided in this Fleet Insurance Claim is true and accurate to the best of my knowledge. I understand that providing false information may result in the denial of the claim and potential legal consequences.
[YOUR NAME]
[DATE]
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